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Research ArticleHead and Neck Imaging

Imaging Findings Post-Stereotactic Radiosurgery for Vestibular Schwannoma: A Primer for the Radiologist

Girish Bathla, Parv M. Mehta, John C. Benson, Amit K. Agrwal, Neetu Soni, Michael J. Link, Matthew L. Carlson and John I. Lane
American Journal of Neuroradiology September 2024, 45 (9) 1194-1201; DOI: https://doi.org/10.3174/ajnr.A8175
Girish Bathla
aFrom the Department of Radiology (G.B., P.M.M., J.C.B., J.I.L.), Mayo Clinic, Rochester, Minnesota
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Parv M. Mehta
aFrom the Department of Radiology (G.B., P.M.M., J.C.B., J.I.L.), Mayo Clinic, Rochester, Minnesota
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John C. Benson
aFrom the Department of Radiology (G.B., P.M.M., J.C.B., J.I.L.), Mayo Clinic, Rochester, Minnesota
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Amit K. Agrwal
bDepartment of Radiology (A.K.A., N.S.), Mayo Clinic, Jacksonville, Florida
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Neetu Soni
bDepartment of Radiology (A.K.A., N.S.), Mayo Clinic, Jacksonville, Florida
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Michael J. Link
cDepartment of Neurosurgery (M.J.L.), Mayo Clinic, Rochester, Minnesota
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Matthew L. Carlson
dDepartment of Otolaryngology (M.L.C.), Mayo Clinic, Rochester, Minnesota.
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John I. Lane
aFrom the Department of Radiology (G.B., P.M.M., J.C.B., J.I.L.), Mayo Clinic, Rochester, Minnesota
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References

  1. 1.↵
    1. Bathla G,
    2. Case BM,
    3. Berbaum K, et al
    . Vestibular schwannomas: do linear and volumetric parameters on MRI correlate with hearing loss? Otol Neurotol 2016;37:1168–73 doi:10.1097/MAO.0000000000001150 pmid:27466888
    CrossRefPubMed
  2. 2.↵
    1. Buss EJ,
    2. Wang TJ,
    3. Sisti MB
    . Stereotactic radiosurgery for management of vestibular schwannoma: a short review. Neurosurg Rev 2021;44:901–04 doi:10.1007/s10143-020-01279-2 pmid:32170501
    CrossRefPubMed
  3. 3.↵
    1. Marinelli JP,
    2. Lohse CM,
    3. Carlson ML
    . Incidence of vestibular schwannoma over the past half-century: a population-based study of Olmsted County, Minnesota. Otolaryngol Head Neck Surg 2018;159:717–23 doi:10.1177/0194599818770629 pmid:29712512
    CrossRefPubMed
  4. 4.↵
    1. Tsao MN,
    2. Sahgal A,
    3. Xu W, et al
    . Stereotactic radiosurgery for vestibular schwannoma: International Stereotactic Radiosurgery Society (ISRS) Practice Guideline. J Radiosurg SBRT 2017;5:5–24 pmid:29296459
    PubMed
  5. 5.↵
    1. Carlson ML,
    2. Link MJ,
    3. Driscoll CL, et al
    . Working toward consensus on sporadic vestibular schwannoma care: a modified Delphi Study. Otol Neurotol 2020;41:e1360–71 doi:10.1097/MAO.0000000000002917 pmid:33492814
    CrossRefPubMed
  6. 6.↵
    1. Tosi U,
    2. Lavieri MET,
    3. An A, et al
    . Outcomes of stereotactic radiosurgery for large vestibular schwannomas: a systematic review and meta-analysis. Neurooncol Pract 2021;8:405–16 doi:10.1093/nop/npab011 pmid:34277019
    CrossRefPubMed
  7. 7.↵
    1. Yeole U,
    2. Prabhuraj AR,
    3. Arivazhagan A, et al
    . Gamma knife radiosurgery for large vestibular schwannoma more than 10 cm3: a single-center Indian study. J Neurol Surg B Skull Base 2022;83:e343–52 doi:10.1055/s-0041-1729977 pmid:35832954
    CrossRefPubMed
  8. 8.↵
    1. Persson O,
    2. Bartek J Jr.,
    3. Shalom NB, et al
    . Stereotactic radiosurgery vs. fractionated radiotherapy for tumor control in vestibular schwannoma patients: a systematic review. Acta Neurochir (Wien) 2017;159:1013–21 doi:10.1007/s00701-017-3164-6 pmid:28409393
    CrossRefPubMed
  9. 9.↵
    1. Hayhurst C,
    2. Monsalves E,
    3. Bernstein M, et al
    . Predicting nonauditory adverse radiation effects following radiosurgery for vestibular schwannoma: a volume and dosimetric analysis. Int J Radiat Oncol Biol Phys 2012;82:2041–46 doi:10.1016/j.ijrobp.2011.02.017 pmid:21531086
    CrossRefPubMed
  10. 10.↵
    1. Tuleasca C,
    2. George M,
    3. Faouzi M, et al
    . Acute clinical adverse radiation effects after gamma knife surgery for vestibular schwannomas. J Neurosurg 2016;125:73–82 doi:10.3171/2016.7.GKS161496 pmid:27903185
    CrossRefPubMed
  11. 11.↵
    1. Fouard O,
    2. Daisne JF,
    3. Wanet M, et al
    . Long-term volumetric analysis of vestibular schwannomas following stereotactic radiotherapy: practical implications for follow-up. Clin Transl Radiat Oncol 2022;33:1–6 doi:10.1016/j.ctro.2021.12.003 pmid:34977365
    CrossRefPubMed
  12. 12.↵
    1. Kim JH,
    2. Jung HH,
    3. Chang JH, et al
    . Predictive factors of unfavorable events after gamma knife radiosurgery for vestibular schwannoma. World Neurosurg 2017;107:175–84 doi:10.1016/j.wneu.2017.07.139 pmid:28826715
    CrossRefPubMed
  13. 13.↵
    1. Rueß D,
    2. Schütz B,
    3. Celik E, et al
    . Pseudoprogression of vestibular schwannoma after stereotactic radiosurgery with cyberknife: proposal for new response criteria. Cancers (Basel) 2023;15:1496 doi:10.3390/cancers15051496 pmid:36900290
    CrossRefPubMed
  14. 14.↵
    1. Aoyama H,
    2. Onodera S,
    3. Takeichi N, et al
    . Symptomatic outcomes in relation to tumor expansion after fractionated stereotactic radiation therapy for vestibular schwannomas: single-institutional long-term experience. Int J Radiat Oncol Biol Phys 2013;85:329–34 doi:10.1016/j.ijrobp.2012.05.003 pmid:22704983
    CrossRefPubMed
  15. 15.↵
    1. Nagano O,
    2. Higuchi Y,
    3. Serizawa T, et al
    . Transient expansion of vestibular schwannoma following stereotactic radiosurgery. J Neurosurg 2008;109:811–16 doi:10.3171/JNS/2008/109/11/0811 pmid:18976069
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Breshears JD,
    2. Chang J,
    3. Molinaro AM, et al
    . Temporal dynamics of pseudoprogression after gamma knife radiosurgery for vestibular schwannomas: a retrospective volumetric study. Neurosurgery 2019;84:1:23–31 doi:10.1093/neuros/nyy019 pmid:29518221
    CrossRefPubMed
  17. 17.↵
    1. Whitmeyer M,
    2. Brahimaj BC,
    3. Beer-Furlan A, et al
    . Resection of vestibular schwannomas after stereotactic radiosurgery: a systematic review. J Neurosurg 2020;135:881–89 doi:10.3171/2020.7.JNS2044 pmid:34331121
    CrossRefPubMed
  18. 18.↵
    1. Kawashima M,
    2. Hasegawa H,
    3. Shin M, et al
    . Outcomes of stereotactic radiosurgery in young adults with vestibular schwannomas. J Neurooncol 2021;154:93–100 doi:10.1007/s11060-021-03803-w pmid:34241770
    CrossRefPubMed
  19. 19.↵
    1. Ogino A,
    2. Lunsford LD,
    3. Long H, et al
    . Stereotactic radiosurgery as the first-line treatment for intracanalicular vestibular schwannomas. J Neurosurg 2021;135:1051–57 doi:10.3171/2020.9.JNS202818 pmid:34600434
    CrossRefPubMed
  20. 20.↵
    1. Langenhuizen P,
    2. Zinger S,
    3. Hanssens PE, et al
    . Influence of pretreatment growth rate on gamma knife treatment response for vestibular schwannoma: a volumetric analysis. J Neurosurg 2018 Nov 1:1–8. [Epub ahead of print]
  21. 21.↵
    1. Milano MT,
    2. Grimm J,
    3. Niemierko A, et al
    . Radiation-induced edema after single-fraction or multifraction stereotactic radiosurgery for meningioma: a critical review. Int J Radiat Oncol Biol Phys 2018;110:68–86 doi:10.1016/j.ijrobp.2018.03.026 pmid:29726362
    CrossRefPubMed
  22. 22.↵
    1. Franco-Vidal V,
    2. Songu M,
    3. Blanchet H, et al
    . Intracochlear hemorrhage after gamma knife radiosurgery. Otol Neurotol 2007;28:240–44 doi:10.1097/01.mao.0000244360.57379.d4 pmid:17159493
    CrossRefPubMed
  23. 23.↵
    1. Massager N,
    2. Nissim O,
    3. Delbrouck C, et al
    . Irradiation of cochlear structures during vestibular schwannoma radiosurgery and associated hearing outcome. J Neurosurg 2007;107:733–39 doi:10.3171/JNS-07/10/0733 pmid:17937216
    CrossRefPubMedWeb of Science
  24. 24.↵
    1. Hasegawa T,
    2. Kida Y,
    3. Kato T, et al
    . Long-term safety and efficacy of stereotactic radiosurgery for vestibular schwannomas: evaluation of 440 patients more than 10 years after treatment with gamma knife surgery. J Neurosurg 2013;118:557–65 doi:10.3171/2012.10.JNS12523 pmid:23140152
    CrossRefPubMed
  25. 25.↵
    1. Kwon Y,
    2. Khang SK,
    3. Kim CJ, et al
    . Radiologic and histopathologic changes after gamma knife radiosurgery for acoustic schwannoma. Stereotact Funct Neurosurg 1999;72(Suppl 1):2–10 doi:10.1159/000056433 pmid:10681685
    CrossRefPubMedWeb of Science
  26. 26.↵
    1. Murakami K,
    2. Jokura H,
    3. Kawagishi J, et al
    . Development of intratumoral cyst or extratumoral arachnoid cyst in intracranial schwannomas following gamma knife radiosurgery. Acta Neurochir (Wien) 2011;153:1201–09 doi:10.1007/s00701-011-0972-y pmid:21369949
    CrossRefPubMed
  27. 27.↵
    1. Lee TK,
    2. Kim YJ,
    3. Jung TY, et al
    . From the perspective of pseudo-progression rather than treatment failure, how long should we wait before considering treatment failure if large cystic enlargement occurs after gamma knife radiosurgery for vestibular schwannoma? Insight into pseudoprogression based on two case reports. Acta Neurochir (Wien) 2023;165:2105–09 doi:10.1007/s00701-023-05684-6 pmid:37421424
    CrossRefPubMed
  28. 28.↵
    1. Benson JC,
    2. Carlson ML,
    3. Lane JI
    . Peritumoral signal on postcontrast FLAIR images: description and proposed biomechanism in vestibular schwannomas. AJNR Am J Neuroradiol 2023;44:1171–75 doi:10.3174/ajnr.A7979 pmid:37652582
    Abstract/FREE Full Text
  29. 29.↵
    1. Wagner S,
    2. Gufler H,
    3. Eichner G, et al
    . Characterisation of lesions after stereotactic radiosurgery for brain metastases: impact of delayed contrast magnetic resonance imaging. Clin Oncol (R Coll Radiol) 2017;29:143–50 doi:10.1016/j.clon.2016.09.021 pmid:27777145
    CrossRefPubMed
  30. 30.↵
    1. Cauley KA,
    2. Ratkovits B,
    3. Braff SP, et al
    . Communicating hydrocephalus after gamma knife radiosurgery for vestibular schwannoma: an MR imaging study. AJNR Am J Neuroradiol 2009;30:992–94 doi:10.3174/ajnr.A1379 pmid:19039040
    Abstract/FREE Full Text
  31. 31.↵
    1. De Sanctis P,
    2. Green S,
    3. Germano I
    . Communicating hydrocephalus after radiosurgery for vestibular schwannomas: does technique matter? A systematic review and meta-analysis. J Neurooncol 2019;145:365–73 doi:10.1007/s11060-019-03305-w pmid:31621039
    CrossRefPubMed
  32. 32.↵
    1. Nakahara M,
    2. Imahori T,
    3. Sasayama T, et al
    . Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: a case report. Radiol Case Rep 2020;15:1023–28 doi:10.1016/j.radcr.2020.04.063 pmid:32435322
    CrossRefPubMed
  33. 33.↵
    1. Shimizu Y,
    2. Miyamori T,
    3. Yamano J
    . Hydrocephalus after gamma knife radiosurgery for schwannoma. Asian J Neurosurg 2019;14:487–90 doi:10.4103/ajns.AJNS_278_18 pmid:31143267
    CrossRefPubMed
  34. 34.↵
    1. Lee SH,
    2. Seol HJ,
    3. Kong DS, et al
    . Risk factors and tumor response associated with hydrocephalus after gamma knife radiosurgery for vestibular schwannoma. Acta Neurochir (Wien) 2012;154:1679–84 doi:10.1007/s00701-012-1350-0 pmid:22535199
    CrossRefPubMed
  35. 35.↵
    1. Park Y,
    2. Yoo BG,
    3. Jeong S, et al
    . Normal pressure hydrocephalus after gamma knife radiosurgery in a patient with vestibular schwannoma. J Neurocrit Care 2020;13:127–31 doi:10.18700/jnc.200014
    CrossRef
  36. 36.↵
    1. Patel TR,
    2. Chiang VL
    . Secondary neoplasms after stereotactic radiosurgery. World Neurosurg 2014;81:594–99 doi:10.1016/j.wneu.2013.10.043 pmid:24148883
    CrossRefPubMed
  37. 37.↵
    1. Balasubramaniam A,
    2. Shannon P,
    3. Hodaie M, et al
    . Glioblastoma multiforme after stereotactic radiotherapy for acoustic neuroma: case report and review of the literature. Neuro Oncol 2007;9:447–53 doi:10.1215/15228517-2007-027 pmid:17704364
    CrossRefPubMed
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Cite this article
Girish Bathla, Parv M. Mehta, John C. Benson, Amit K. Agrwal, Neetu Soni, Michael J. Link, Matthew L. Carlson, John I. Lane
Imaging Findings Post-Stereotactic Radiosurgery for Vestibular Schwannoma: A Primer for the Radiologist
American Journal of Neuroradiology Sep 2024, 45 (9) 1194-1201; DOI: 10.3174/ajnr.A8175

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Post-SRS Imaging for Vestibular Schwannoma
Girish Bathla, Parv M. Mehta, John C. Benson, Amit K. Agrwal, Neetu Soni, Michael J. Link, Matthew L. Carlson, John I. Lane
American Journal of Neuroradiology Sep 2024, 45 (9) 1194-1201; DOI: 10.3174/ajnr.A8175
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