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Surveillance Imaging in Pediatric Oncology

  • Martijn V. Verhagen
  • Kieran McHugh
  • Stephan D. VossEmail author
Chapter
Part of the Pediatric Oncology book series (PEDIATRICO)

Abstract

Surveillance imaging has become an increasingly important topic in pediatric oncology. More children than ever before are now alive at 5 years from the time of diagnosis.

With the number of cancer survivors growing each year, we are faced with the unique new challenge of determining how best to monitor these patients for disease recurrence. There has been increasing discussion related to how frequently surveillance imaging should be performed, with which imaging modalities, and whether aggressive surveillance imaging recommendations are justifiable in terms of the risks associated with frequent imaging and whether early relapse detection results in improved clinical outcomes.

This chapter will focus on the growing body of literature related to the role surveillance imaging plays in the care of patients with a variety of common pediatric malignancies. Evidence-based recommendations, where available, will be presented along with considerations for the appropriate use of imaging as an essential element of a comprehensive end-of-therapy monitoring plan.

Keywords

Surveillance imaging Radiation risk Early detection Improved outcome Lead-time bias Length-time bias 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Martijn V. Verhagen
    • 1
  • Kieran McHugh
    • 1
  • Stephan D. Voss
    • 2
    Email author
  1. 1.Great Ormond Street Hospital for ChildrenLondonUK
  2. 2.Boston Children’s HospitalHarvard Medical SchoolBostonUSA

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