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Thoracic Malignancies • Medical Oncology
Do you offer surveillance brain imaging for patients with EGFR+ NSCLC, stable systemic disease on TKI, and no history of metastatic brain disease?
Answer from: Medical Oncologist at Academic Institution
There are very few data based on randomized trials but we know that the brain is a major site of progression even with osimertinib so I get a brain MRI every 6 months.
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Answer from: Medical Oncologist at Community Practice
In the absence of data showing improved clinical outcomes from surveillance, and in light of the anxiety and costs associated with scans, I don’t.