What is your surveillance imaging schedule after whole brain radiotherapy for brain metastases?
Answer from: Radiation Oncologist at Academic Institution
I would integrate any follow up schedule within the patient’s plan of care. If you don’t have a plan in the setting of asymptomatic progression within the brain, then why get the MRI? Most patients receiving WBRT are not great SRS or SRT candidates, but if progression means t...
Answer from: Radiation Oncologist at Academic Institution
I would typically repeat MRI Brain scans every 2 to 3 months during the first year and less frequent after if there is no evidence of recurrence. I would take into account the primary disease site and extracranial disease status. If there is evidence of disease progression extracranially I would con...
Answer from: Radiation Oncologist at Academic Institution
We published on factors related to intracranial recurrences in patients on surveillance after being treated for brain mets (although this was for SRS, WBRT patients were excluded). The practice that was most commonly done for our ~130 patients was MRI q3 months for the first year and then spreading ...