Acronis True Image Home 2011 user here.
I do backup before monthly updates. Before I update, I backup my C drive excluding directories such as temp, download, etc. Sonar data files residing on my D drive are not backed up at that time. After my Acronis backup (recently 43 GB), and before the Sonar update, I'm sure to set a restore point and call it BEFORE SONAR UPDATE (date). After the update, I create another restore point named AFTER SONAR UPDATE (date).
It's the undetected problems that I worry about. It's easy enough to turn back the clock if Sonar malfunctions just after an update. But those gremlins that surface a week or two later, such as a Wave plugin misbehaving or crashes with older projects, those get harder to troubleshoot, and I'm led to wonder if the last update was the cause. The restore points come in handy for turning back the clock without having to reinstall applications.