What is the Required Frequency of MRI Scanning in the Wait and Scan Management?
Publication year
2018Source
Journal of International Advanced Otology, 14, 1, (2018), pp. 85-89ISSN
Annotation
1 april 2018
Publication type
Article / Letter to editor

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Organization
Otorhinolaryngology
Journal title
Journal of International Advanced Otology
Volume
vol. 14
Issue
iss. 1
Page start
p. 85
Page end
p. 89
Subject
Radboudumc 12: Sensory disorders DCMN: Donders Center for Medical NeuroscienceAbstract
The wait and scan policy is being increasingly used as the first measure after the diagnosis of a vestibular schwannoma (VS) using magnetic resonance imaging (MRI). As part of the European Academy of Otology and Neuro-Otology (EAONO) position statement on VS, the frequency of imaging has been studied in the literature. Among 163 studies, 29 fulfilled the inclusion criteria and were scored using the Grading of Recommendations, Assessment, Development, and Evaluation system. Because tumor growth rate during the first 5 years of follow-up is predictive of further growth during the upcoming years, a protocol for wait and scan is useful for centers dealing with this condition. The EAONO proposal is that after the initial diagnosis by MRI, a first new MRI would take place after 6 months, annually for 5 years, and then every other year for 4 years, followed by a lifelong MRI follow-up every 5 years. The first early MRI is to screen for fast-growing tumors, and the lifelong follow-up with tapered intervals is to detect late repeated growth.
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- Faculty of Medical Sciences [81054]
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