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Post-treatment follow-up
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Standard Follow-up:
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Clinical exam
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Every 4-6 months during 5 years
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CT / year
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Which place for new imaging modalities ?
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MRI ?
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FDG-PET/CT ?
Goal : To assess the response and to diagnose recurrence
when still resecable
Response assessment can be challenging
• frequent post-treatment modifications (edema, residual fibrosis or scar tissue)
can mimic persistent or recurrent disease
• Systematic biopsies should be avoided because of radionecrosis risk