You should be referred to an oncologist familiar with ocular melanoma for follow up scans to monitor for disease progression. Your physician will recommend the scans that would be best for you, however there are some recommendations to consider. The most common scan protocol is an MRI, with and without contrast, of the abdomen with a CT of the chest. These test should be preformed in a frequency determined by your risk of disease progression. Typically Class 1 is every 6 months and Class 2 is every 3 months for the first 2 years. Some doctors do prefer an UltraSound of the liver and a chest X-Ray in replace of the MRI or in addition to.
NCCN Guidlines for Surveillance of Uveal Melanoma
Low risk, Class 1, Disomy 3, Gain of Chromosome 6p, EIF1ax Mutation, T1(AJCC)
Imaging every 12 months
Medium risk Class 1B SF3B1 Mutation, T2 and T3 (AJCC)
Imaging every 6-12 months for 10 years then as indicated
High risk Class 2, Monosomy 3, Gain of chromosome 8Q, BAP1 mutation, PRAME expression, T4 (AJCC)
Chest Abdominal/pelvic Ct with contrast
3-6 months for the first 5 years then every 6-12 months for years 6-10, every 12 months there after.
Always discuss any medical tests with your physician and make the decision that best fits your individual situation.