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Old 12-11-2006, 12:53 AM   #1
Chelee
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PET/CT question?

This is a bit unusal but I can't find a answer to this doing a search on google. Does anyone here know if you have a PET/CT scan...can they JUST do the CT part of the test and NOT do the PET once in this machine? Or are they done at the SAME time?

I've had two PET/CT's before this last one and this time I picked up the CD and I can't find anything but the CT part of it on the disk? Plus I had questioned the Imaging Dept. as to why there was only a CT report? There was a PET report...but it only said "refer to CT", nothing else. The TWO PRIOR to this both had a detailed report & final impressions included. The PET part of the scan I was looking forward to more so then the CT part. But it seems to be missing on the CD and report?

Is it possible to of only ran a CT on me? Maybe they have problems and didn't tell me? (If anyone has any idea, please reply.)

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 12-11-2006, 06:10 AM   #2
tousled1
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Chelee,

My oncologists orders PET/CT every 3 months for me and I have never gotten a CD. I always ask for a copy of the report but I'm told that it takes a day or two to read the results. The technician does the test and then all the images are given to the doctor to read. If you are not due to see your oncologist within a few days, then I'd call his/her office and ask for the results of the test and for some clarification.
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Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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Old 12-11-2006, 10:02 AM   #3
Sherryg683
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Yes you can have just a CT scan done and not really notice the difference. Except when they order my PET/CT I have to drink this stuff that comes in different flavors (I had peach tea last time) at the clinic and then sit for an hour. They then inject you with with the tracer dye stuff and they always give me valium. For just the CT with contrast, I have to drink two bottles of this creamy liquid gross stuff that I take home with me and drink a few hours before my tests. If you look at the orders it should say PET/CT or just plain CT with contrast. My results have come back several different ways with PET/CT..sometimes there are 3 sheets breaking everything down from lung area to liver area. Then this time...all I got back was one sheet saying no sign of disease or mets. I think it depends on who is reading it and does the reporting. I never get a CD, didn't know they offered one...sherryg683
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Old 12-11-2006, 10:05 AM   #4
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Oh I forgot, PET/CTs take a lot longer to do , you can be in and out of a CT/w contrast in 15 or 20 minutes...sherryg683
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Old 12-11-2006, 01:01 PM   #5
chrisy
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I've never had a PET (scan, that is) so I don't know, but if they have a different selection of gross stuff to drink, maybe I should ask for one!

I do always get a CD of the results, but I have to ask for it. I ask when I'm going in and they burn it for me before I leave. They never offered it to me, but I heard you could get one so I asked1

I still have to wait for the reports, but the main thing for me is that I have an actual physical copy of the scan.

I also get different kinds of things and levels of detail on the reports depending on who reads them.

The great news, Sherry, is that one page or three, you got another great report card Congratulations, Sherry!
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 12-11-2006, 04:21 PM   #6
Mary Anne in TX
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I have gotten 3 CT scans (just love that Berry Delight!) and get my results a couple of days later over the phone and then talk to onc to evaluate what they said. Just had one last Friday and can't wait to hear the results this Friday. My tumor marker has gone up again (64 - 76) and my alkaline phosphatase is at 167, up from 158. I have a place on my kidney that has grown and appears suspect and a place on my thyroid. Anxious to find out if it is thyroid or parathyroid.

From my reading, the CT scan appears to be best for the results we need for me. I never thought of getting a CD. I'll ask if I can get all of them. Thank you for the information.
ma
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 12-11-2006, 06:31 PM   #7
VirginiaGirl
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I nearly puked Berry Delight up in the CT room the first time! That stuff is disgusting! That's why I like the PET/CT combo, no nasty stuff to drink! But I don't know if you can do it separately from that combo machine or not. Definitely worth asking!

Liz
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3/05 Initial dx invasive dc 2 cm lump, age 39
lumpectomy & 3 of 5 nodes +, ER+/PR+, Her2+++
alternative chemo 5/05-7/05, rad 8/05-10/05
7/06 dx mets to vertebrae, pelvis & chest lymph nodes
8/06 - 10/06 tamoxifen, herceptin, oophorectomy & zometa
11/06 PET/CT showed continued bone mets, new spot on liver
12/06 began taxotere/herceptin 1x/3 weeks,
2/07 - 2-08 NED!
3/08 progression, start taxol/herceptin weekly, monthly zometa
8/08 start ai & herceptin
12/08 - progression, start weekly navelbine/herceptin thru 6/09 & monthly zometa
7/09 - PET/CT showed improvement in spine, but 2-3 lymph nodes in chest became active
9/09 - 11/09 - weekly abraxane/herceptin
12/09 - PET/CT - chest lymph nodes resolved, progression in spine & pelvis
2/10 - 6/10 - start tykerb/xeloda, progession in spine & pelvis
7/10 - start taxotere/carboplatin/herceptin

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Old 12-11-2006, 08:43 PM   #8
Sherryg683
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Yes, the PET/CTs definately have the better drinks. I've had lemonade and peach tea so far and they taste just like the real stuff. That creamy stuff for the CT is gaggy, I always get the banana..lol..sherry
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Old 12-12-2006, 12:05 AM   #9
Chelee
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I thought most people had the *combo* PET/CT scan done these days. It seems Sherri & Liz have both had this PET/CT scan. For the ones that haven't...this machine does BOTH at once. This saves a person from going to have a PET scan...then seperately to have a CT. This is a TWO in one machine so to speak.

Your right Sherri, my orders were for a PET/CT. I did drink clear baruim first...then taken in the back to sit in the chair as they inject me with the radioactive dye & then you have to sit there for one hour with NO reading, moving, nothing. Then was put in the machine & they do what I thought was the PET part of the scan...then MID way through they stopped it & slide me out enough to inject contrast into an IV in my arm.

Its just THIS time the PET report says nothing unlike my PRIOR two PET/CT scans? All it said was refer to CT. The CT report was detailed. I was more interested in getting the PET part of my scan due to *increased uptake* they found in areas in the prior two PET's. I wanted to see if it was gone...unchanged...or what?

When I put the CD in my laptop I can ONLY find the CT part of scan. No PET images? So since they were missing on the CD...and the report said nothing...it made me think they ONLY ran a CT scan on this machine? But I did NOT know if it was even possible to run JUST a CT on this combo machine? (Strange?)
I called down there today & the head of the oncology Dept. thinks its strange too & is looking into it.
I just wanted the PET report after going through all that. But since the the PET wasn't on the CD...and the report was missing...Thats what made me think they MIGHT be able to have the machine JUST run a CT WITHOUT the PET if the wanted too? Thats what lead to my orignal question.


For you that did not know, you CAN request a copy of your PET/CT. They will gladly put in on a CD for you. All they ask is I give them a day or two in order to have it ready for me.

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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