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Doctor insights on: Pet Scan Accuracy Cancer Detection

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Dr. Barry Rosen
4,214 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Should a pet scan show any cancer?

Should a pet scan show any cancer?

Glucose: Pet scan relies on the theory that tumors utilize a significant amount of glucose. Many different types of cancer can show up on pet scan but certain types of cancer are much more FDG avid. Low grade tumors usually have much less uptake than high grade tumors. In addition, mucinous neoplasms often do not have much FDG uptake. Small size tumors or micrometastases also may not show up on pet. ...Read more

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On a pet scan, are the dark areas cancer?

On a pet scan, are the dark areas cancer?

Yes and no: Areas with cancer are usually hypermetabolic in a pet scan due to the increased uptake of the radioactive glucose by cancerous cells. Looking at an FDG pet scan alone, you can grossly see "dark" areas in the brain, heart, kidneys and bladder and these are due to physiologic distribution/excretion of fdg. Not all "dark" is cancer and cancer is often but not always "dark". ...Read more

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What does a pet scan with cancer look like?

What does a pet scan with cancer look like?

Hypermetobolic: A pet scan will show increased metabolic activity or a area of locality that is different from surrounding tissue indicating area concerning for cancer. ...Read more

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Should pet scans continue to be part of cancer surveillance?

Should pet scans continue to be part of cancer surveillance?

Yes: Not every cancer should be followed with pet/ct. But when the cancer is visible by this technology, it is often helpful in treatment planning and follow up. Here is link: http://www.Petscaninfo.Com/zportal/portals/pat/cancer. ...Read more

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Are pet scans used for ovarian cancer?

Are pet scans used for ovarian cancer?

Not to diagnose: Pet/ct is not typically used to diagnose ovarian cancer, but may play a role in surgical planning or treatment followup. ...Read more

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Why do some cancers have a high uptake on pet scan and some low ?

Why do some cancers have a high uptake on pet scan and some low ?

Uptake on PET: The uptake of 18F-FDG by tissues is a marker for the tissue uptake of glucose, which in turn is closely correlated with certain types of tissue metabolism. Tumors in general are more metabolically active than normal tissues and this difference in uptake is what makes PET scans possible. Tumors that have a higher metabolic rate will have more FDG uptake. Tumors that are less active havel less . ...Read more

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If a pet scan indicates cancer but biopsy is normal, could I still have cancer?

If a pet scan indicates cancer but biopsy is normal, could I still have cancer?

PET is not 100%: The distribution and intensity of hyper-metabolic activity appearance on a pet/ct scan could be abnormal and may represent malignancy but is not pathognomonic and may also represent inflammation, infection or granulomatous disease. If biopsy is correctly done, results of direct tissue are usually more certain. However, short interval follow-up with pet/ct is often recommended. ...Read more

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On a pet scan does a lower SUV uptake meAn less aggressive cancer ? The SUV uptake was 5.2,

On a pet scan does a lower SUV uptake meAn less aggressive cancer ? The SUV uptake was 5.2,

No: SUV has no bearing on the aggressiveness of the cancer. It is a relative measure of the glucose metabolism. In fact, some very aggressive tumors have no FDG uptake at all. Some benign conditions like infection can have high uptake. The standard uptake value depends on many factors like patient body size and serum glucose level and the normal uptake in the tissue surrounding the target lesion. ...Read more

Dr. Guido Davidzon
279 doctors shared insights

Pet Scan (Definition)

Pet scans most often use a radioactive form of glucose, the energy source for most of the cells in our bodies. The pet scanner can detect and measure how much of the radioactive glucose analog, f-18 fdg, is in a particular organ or region. The areas using more glucose are hyper metabolic and generally more worrisome. Our brains and sometimes hearts prefer glucose as food, making ...Read more