Treatment Protocols

 

Assessment, Investigations and the Decision making process


Guidelines for Medical Decompressive Therapy


Intensity Modulated Radiotherapy (IMRT)


Stereotactic Irradiation (SRS and SRT)


Performance Scales

>>Follow-Up Policy

Primary Treatment Policies


Astrocytic Tumors (Gliomas)

Ependymomas

 

Craniospinal Radiotherapy

 

Pituitary Tumors

Craniopharyngiomas

Meningiomas

Chordomas

Primary CNS Lymphomas

Spinal Tumors

 

Brain Metastasis


Follow-up Policy

Individually tailored according to the medical condition, logistics of coming to Mumbai and affordability.

Low grade Gliomas and other benign tumours: Post Treatment baseline imaging at 3 months, then 6 monthly follow up for 5 years and then annually. Subsequent imaging not routinely recommended unless there is a neurologic worsening or a specific clinical concern.

High grade gliomas and brain metastases: First follow up and Post Treatment baseline imaging at 6 weeks and subsequent follow ups at 2 - 4 months for 2 years and then 6 monthly. Subsequent imaging not routinely recommended unless there is a neurologic worsening or a specific clinical concern.

For children and those with tumours in and around the sella or this region in the radiation field (including craniospinal) monitor growth (height and weight) and regular endocrine evaluation.

 

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