Table 1:
Pt | Age (yr) | Clinical Course | Location | SRS Dose | SRS to Imaging | Bx | PET | SPECT | MR ASL |
---|---|---|---|---|---|---|---|---|---|
1 | 69 | RCC, s/p SRS and stent, new CE | Left paraventricular | 22 Gy × 1 | 11 Mo | RN | Negative | Positive | Negative |
2 | 63 | NSCLC, s/p SRS, new CE | Right frontal | 19 Gy × 1 | 12 Mo | TP | SUV 20 | Positive | Positive |
3 | 79 | NSCLC, s/p SRS, neurologic deterioration | Right frontal | 22 Gy × 1 | 8 Mo | RN | SUV 4.9 | Negative | Negative |
4 | 64 | Esophageal cancer, s/p SRS, new CE | Left frontal | 21 Gy × 1 | 4 Mo | TP | Negative | Positive | Positive |
5 | 72 | SCLC, 3 lesions s/p WBRT + SRS | Left parietal | 22 Gy × 1 | 7 Mo | TP | SUV 10.3 | Positive | Positive |
6 | 46 | Breast cancer, s/p SRS, new CE | Right cerebellar | 22 Gy × 1 | 4 Mo | TP | SUV 6.6 | Negative | Positive |
7 | 65 | Melanoma, s/p SRS, neurologic decline | Right temporal | 18 Gy × 1 | 10 Mo | RN | SUV 7.2 | Positive | Negative |
8 | 63 | RCC, s/p SRS, new CE | Right thalamus | 16 Gy × 1 | 6 Mo | RN | Negative | Negative | Negative |
9 | 58 | Melanoma, s/p IR, enlarged CE | Right frontal | 19 Gy × 1 | 4 Mo | TP | SUV 10.7 | Negative | Negative |
10 | 52 | NSCLC, s/p SRS, new CE | Right cerebellar | 18 Gy × 1 | 3 Mo | RN | Negative | Positive | Negative |
11 | 59 | Melanoma, s/p SRS | Left frontal | 22 Gy × 1 | 3 Mo | TP | SUV 8 | Negative | Positive |
12 | 52 | Breast cancer, s/p SRS | Right temporal | 8 Gy × 3 | 11 Mo | RN | Negative | Negative | Negative |
13 | 56 | RCC, s/p SRS | Left temporal | 21 Gy × 1 | 12 Mo | RN | Negative | Negative | Negative |
14 | 49 | Melanoma, s/p SRS | Right frontal | 21 Gy × 1 | 8 Mo | RN | Negative | Negative | Negative |
Note:—RCC indicates renal cell carcinoma; Bx, biopsy; s/p, status-pos; IR, ionizing radiation; NSCLC, non-small cell lung cancer; SCLC, small cell lung cancer; WBRT, whole brain radiation therapy.
Patients 1, 6, and 9 are those featured in the illustrative cases. Cells next to patients 1, 3, 7, 8, 10, and 12–14 represent RN on biopsy; other cells represent TN.