What follow-up imaging do you recommend after SBRT/SABR for lung cancer?
And at what intervals?
Answer from: Radiation Oncologist at Academic Institution
I generally take a more conservative approach for follow-up. Most guidelines do not recommend, in fact they discourage, routine PET-CT after definitive treatment of lung cancer. Therefore, for pure surveillance purposes I utilize chest CT only. My schedule is every 6 months for 2 years and annu...
Answer from: Radiation Oncologist at Academic Institution
Thank you for your question. For early stage NSCLC treated with SBRT, my imaging follow-up scheme has been the following: for PET+ lesions (invasive dz most commonly) a pre-SBRT PET-CT for planning or shortly before and a PET-CT for follow-up at 2 month followed by CT CAP Q 3 month until 1 year. At ...
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Radiation Oncologist at City of Hope Thanks for bringing this discussion back. I've mod...
Answer from: Radiation Oncologist at Academic Institution
The jury is still out on imaging follow-up after SBRT for lung cancer. Myself and Dr. Michael Ebright publised a report on this topic last year (The Journal of Thoracic and Cardiovascular Surgery, Vol. 145, Issue 3, p709–715). When we started our SBRT program in 2008 we were both relatively ...
Answer from: Radiation Oncologist at Community Practice
Currently I am still following @Percy Lee’s guidelines above… Initial non-contrast CT at two months then non-contrast CT every three months for the first year, every 4 to 6 months for year two then every six months. That said, I do not obtain a pet CT scan unless there is a ...