How to follow brain metastases after radiosurgery – pro

How to follow a patient with treated brain metastases is becoming a more and more actual clinical problem as treatments that control systemic disease continue to improve. It is not uncommon now to follow a patient for many months or even years after treatment of metastatic disease without new metastases developing. One study reported a median time of 8.8 months to new metastasis after radiosurgery. Patients with 3 or more lesions and cancer histologies

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PET for glioblastoma – pro

PET is not medically appropriate to follow glioblastoma because it not supported by credible scientific evidence published in peer-reviewed medical literature generally and recognized by the relevant medical community.  PET for brain cancer is not included in the NCCN guidelines and CMS does not cover PET for this diagnosis. Occasionally, PET can provide information to differentiate tumor necrosis from tumor progression. The sensitivity of PET for

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Radiologic follow-up of pituitary tumors – pro

Pituitary tumors are classified as micoradenomas, sometimes called incidentalomas, because they tend to be asymptomatic and discovered incidentally, and macroadenomas. BMJ Best PRactice (2012) says that  there is no consensus about the follow-up duration of patients with non-functional pituitary microadenomas, but recommends a follow-up MRI in 1 year with no further routine imaging study if the tumour is stable, especially in those with a pituitary

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