amazin brain This was followed by 12 cycles of systemic chemotherapy (FOLFOX). Brain MRI at three months after SRS was negative, but at six months from SRS and eight months from initial presentation, there was evidence of tumor recurrence at the occipital surgical site on MRI accompanied by a rise in CEA. He was treated with partial brain fractioned radiation to the operative bed (30 Gy in 10 fractions). Continued surveillance vital alpha testo MRI imaging subsequently has shown no evidence of persistent or recurrent disease in the brain.