How would you manage asymptomatic radiation necrosis seen on MRI after SRS of a benign tumor?
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2 Answers
Mednet Member
Radiation Oncology · Yale School of Medicine
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...