An all‐in‐one workflow for emergency hippocampal‐avoidance whole‐brain radiotherapy in brain metastases, with optional online adaptive extension

The AIO workflow for managing emergency patients with BMs is feasible and safe, facilitating prompt initiation of highly efficient radiotherapy during the first treatment session, eliminating delays. Subsequent online ART effectively corrects rotational deviations, ensuring adequate prescription dose coverage of target volumes while optimizing dose distribution to normal tissues. HA-WBRT incorporating the AIO workflow with online adaptation demonstrates potential for timely control and alleviation of acute symptoms.