How would you manage asymptomatic radiation necrosis seen on MRI after SRS of a benign tumor?
Will this disappear over time on its own or should I be concerned that the necrosis will worsen over time, and repeat MRI more frequently?
2 Answers
Mednet Member
Radiation Oncology · Yale School of Medicine
Answered on
About half the time, the MRI findings resolve or stabalize over time. We repeat the MRI every 6-12 weeks depending on how concerning the MRI findings are, stability, degree of edema, location of radionecrosis, etc.. If the patient becomes symptomatic, we start steroids and refer to a neurosurgeon ex...
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Mednet MemberInvited Expert
Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on
Asymptomatic necrosis could be observed with serial MRI imaging -- DCE MRI might be useful. Also how sure are you that the treated lesion was benign?
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