In what settings do you routinely image the spine for work-up of an intracranial glioma?
In particular, for patients without clinical symptoms, would you image the spine based on any histologic, molecular, or other risk factors?
Answer from: Radiation Oncologist at Academic Institution
I do not routinely image the spine following workup of an intracranial glioma. It is not because they are not common because in fact, it can be found in 25% of patients with supratentorial glioblastoma (Kaloshi et al. Acta Inform Med 2014). Rather, symptomatic spinal dissemination occurs in less t...