Radiology for detecting brain tumor recurrences

Angiography, 99Tcm-pertechnetate scintigraphy and encephalography are compared in their efficacy in the detection of tumor recurrences in 45 patients following brain tumor resection. No single method is always preferable and the best way of detecting a particular tumor recurrence is based on the location and nature of the primary tumor. Scintigraphy is the method of choice for performing routine postoperative follow-up. In cerebral hemisphere tumors angiography may be replaced by brain scanning which is a lesser procedure for the patient and does not necessitate hospitalisation. Encephalography is the examination favoured for detecting recurrences near the base of the skull. Angiography is the best method for demonstrating recurrences near the surface in the region of craniotomy and is essential before reoperation.