The management of patients with metastatic brain tumours requires involvement of a neuro-oncology multidisciplinary team, which should include neuro-oncologists, neurosurgeons, radiologists, and specialist nurses for diagnosis, treatment planning, and ongoing care NICE NG99.
Additional team members may include neuropsychologists, ophthalmologists, audiologists, and social care professionals to address complex needs such as cognitive, visual, hearing, and psychosocial support NICE NG99.
Coordination with radiologists is essential for imaging and assessment of disease progression or recurrence, while neurosurgeons and radiotherapists are involved in local treatment options like surgery or stereotactic radiotherapy NICE NG99.
Furthermore, the team should include specialists in systemic anti-cancer therapy to manage extracranial disease and consider the primary tumour type and molecular profile in treatment decisions NICE NG99.