Doctor insights on:
What Does Cancer Look Like On A Pet Scan
Frequently light up: Breast cancers frequently light up on pet scan but the purpose of the scan is usually to look for metastases, not look at the actual breast tumor. Small tumors, including in the breast or metastases, may not be seen on pet scan so while a positive scan confirmed with biopsy means there is a metastasis, a negative scan does not automatically mean that you don't have a metastasis. ...Read more
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
Does metabolism of the brain mean cancer somewhere in your body? Dr. Said pet scan to be done to look for cancer due to brain metabolism. Confused!
A CT did not show the presence of cancer but a PET scan with contrast did. Why is this when they were looking for cancer within the pancreas?
Complementary: CT and PET are complementary and are usually used in conjunction with each other. Not uncommonly, a finding on a CT or on a PET will not be seen on the other study. Sometimes, I am asked to biopsy something only seen on PET that I have to guesstimate on the CT scan - using anatomic landmarks - because it is not visible on the CT. That's the challenge of imaging and why your radiologist is valuable ...Read more
Lost about 50 pounds and have tenderness on right side and small lump. Doctor ordered pet scan also said it looks like cancer thank you in advance
Complete the workup: Get the pet scan and any other labs and tests your health care provider thinks are necessary. Unexplained weight loss is a sign of cancer. Lumps and tenderness need to be explained too. Get all the information possible, perhaps including a biopsy, so a proper plan of action can be determined. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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