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What imaging surveillance do you do after SABR of oligo lung metastases?
Would you use the same schedule as early stage NSCLC primary?
Answer from: Radiation Oncologist at Academic Institution
Since these are metastatic patients I would recommend chest CT scans every 3-4 months for the first and second years. Abdomen and pelvis CT scans could also be done depending on the patient and their disease. I do not recommend PET-CT after SBRT for lung metastases or after SBRT for lung primaries....
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Answer from: Medical Oncologist at Community Practice
My local Radoncs like to get baseline pet/ct then repeat pet/ct after about 2-3mos after sabr, since, not infrequently, irradiate lung met may look larger after sabr from radiation changes. Decrease in SUV value would be reassuring. I then usually follow q3mos for 1st year with less freq...