Do you continue to obtain dedicated imaging of the spine after palliative radiation for epidural disease or cord compression?

If palliative, I do not routinely get imaging after treatment.

The best way to know if it has worked is if the symptoms stabilize or resolve. Imaging is reserved for when a patient has worsening or return of symptoms.

If oligometastatic and treating to higher dose/ablating, would consider imaging after discussing with the multi-disciplinary team and evaluating what you do with the findings. Will you re-treat if it appears to have progressed? If so, then it may be worth it. If not, then probably wait for symptoms.