“…Local treatment of metastases mainly included palliative radiotherapy to alleviate pain and prevent paralysis due to bone metastases and was rarely used for systemic cancer control. However, recently, next-generation imaging tests including choline positron emission tomography (PET) [ 1 , 2 , 3 ], whole-body magnetic resonance diffusion-weighted imaging with background suppression (DWIBS) [ 3 , 4 , 5 ], fluorocholine PET [ 5 , 6 , 7 ], and prostate-specific membrane antigen (PSMA)-PET [ 8 , 9 , 10 ], have made it possible to identify micrometastasis that could not be identified by conventional imaging techniques such as computed tomography and bone scintigraphy. Hence, the concept of oligometastasis has been proposed [ 11 , 12 ].…”