Hello everyone,
I am 51, newly diagnosed with Stage IV NSCLC, Adenocarcinoma with EGFR Exon 21. I have mets to liver, bone and lymph nodes. My diagnostic brain MRI was normal. I will hopefully start Tagrisso this week (the request is currently with insurance for authorization). My question is, how do we know if I develop brain mets in the future? My oncologist said he only does CT scans for surveillance, and a brain MRI would only be ordered if I had neurological symptoms. He doubted insurance would approve it as a purely surveillance measure. Waiting until I have neurological symptoms seems too late to me, and brain mets could be asymptomatic as well. Is this a standard approach? I also wonder how new bone mets would be detected with the CT-only approach.
Thank you for any insight!