What is appropriate followup duration after treatment for an acoustic neuroma?
The textbook "Shaped Beam Radiosurgery" recommends MRI q 6 months x 2 years, then annually through year 5. "UpToDate" recommends annual MRIs through 10 yrs, then q 2 years.
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Thomas Jefferson University Hospital
Answered on
Annual follow up is appropriate for most patients, and q6m MRI may not be necessary. If possible, long term follow up of 10 year or longer is prefered.
The local control of acoustic neuroma with radiation treatment (SRS or FSRT) is excellent. Most series reported long term control of 95% or higher....
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Mednet MemberInvited Expert
Radiation Oncology · Columbia University Irving Medical Center
Answered on
Follow up every 6 months for the first year, then annually after that is reasonable. While local control is excellent, long term effects including hearing loss, imbalance, and other quality of life issues need to managed.
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