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Is there a role for bevacizimab (IV or IA) for steroid refractory radionecrosis for AVM?
Answer from: Radiation Oncologist at Academic Institution
Radiation necrosis (RN) following SRS can occur at variable intervals of time following treatment, usually occurring 9-18 months later. The preferred first line of approach is usually steroids, as done in this case. I usually look at the MRI-Flair images and determine the dose of dexamethasone depen...
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Answer from: Radiation Oncologist at Academic Institution
Agree with the above. In addition, I would suggest considering other alternatives to treating radionecrosis that may have more favorable side effect profiles and may (purely conjecture) be able to treat the underlying cause of radionecrosis (inflammation) as opposed to just mitigating its symptoms a...