At what dose would you recommend future audiogram screening for pediatric patients treated with radiotherapy?
Is it recommended in every pediatric patient? Are there any guidelines for organ-specific surveillance after XRT for children based on age, dose or other factors? Do you have standard recommendations for TBI patients? CSI patients?
Answer from: Radiation Oncologist at Academic Institution
I would refer to the COG Late Effects report on Auditory Late Effects (PMID: 20194279). This reference has many relevant papers in its citation list that would aid the evaluation of hearing in specific childhood cancer patient populations. They recommend audiologic evaluation including air and bone ...