Do the pet scans include the brain?

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mich
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Do the pet scans include the brain?

Postby mich » Mon Nov 21, 2011 10:51 pm

I am not sure if the scan includes the brain or not...its a standard colon cancer scan at USC.
Last edited by mich on Wed Jul 18, 2012 10:33 pm, edited 1 time in total.
Dh DX 1/07 stg 4 age 48
colon & liver resect
1 yr chem
3yrs NED
6 mnts chem no oxy
6/12 node active
7/12 peri node excised
8/12 Rad & chemo
4/13 Lung met
lobe removed
11/2013 chemo
4/17/2014 Nodes
radiation/ not Erbuitux candidate
Cancer spreads ..starting Stirvarga
Lasted 9 weeks on stir varga
Passed away Nov2015

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RayGirl
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Re: Do the pet scans include the brain?

Postby RayGirl » Mon Nov 21, 2011 11:10 pm

mine are always described as eye to thigh coverage, but I'm not sure if that is standard everywhere.
Stage III Rectal: T3, 3/21 Nodes
dxn:Feb-10
Radiation&Xeloda
7.5 hr surgery
12th FOLFOX Nov-10
Takedown:Jan-11

"Life is not about waiting for the storm to pass, it's about learning how to dance in the rain."

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fourT's
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Re: Do the pet scans include the brain?

Postby fourT's » Mon Nov 21, 2011 11:10 pm

My hubby's have been of just the chest and abdomen.
Husband dx 4/08 @ 38
Stage IV
colon resect 4/08/liver resect 10/08
11/09 NED-3/10 colo-pleural fistula/ileo
6/10 ileo rev
3/13 mets to peritoneum/HIPEC
Chemo since 9/14
wife/18 yr dau/14 yr son-Loves God!

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Bev G
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Re: Do the pet scans include the brain?

Postby Bev G » Mon Nov 21, 2011 11:11 pm

Hello Mich:

Using the standard protocol, his brain will not be scanned, unless there is a specific reason to do so.

HTH

Bev
58 yo Type1 DM 48 years
12/09 Stage IV 2/22 nodes + liver met, colon resec
3 tx FOLFIRI, liver resec 4/10
9/10 6 mos off chemo, Neg PET&CTC CEA nl
2/11 finished total 10 rounds chemo

9/13 ^17th clean PET/CT NED for now

simon031003
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Re: Do the pet scans include the brain?

Postby simon031003 » Mon Nov 21, 2011 11:22 pm

Esteban has never had his brain scanned. As a matter of fact, he was having headaches and onc said that if they persisted (which they didn't) that he would order a separate scan of his brain.
Michelle wife of Esteban
T3N1M0 12/31/10
Folfox 2/22/11
9/19/2011 confirmed cancerous lymph nodes via biopsy; started FOLFIRI with Avastian turned into FOLFIRI with Ebritux now FOLFIRI w Vectibux 12/12 mets to liver and pancreas
2/17/13 resting in Heaven

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Gloria
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Re: Do the pet scans include the brain?

Postby Gloria » Mon Nov 21, 2011 11:56 pm

All of my scans were from brain to thigh
56
DX 6/10/10
Resection 6/17/10
Stage IIA (pt3N0MX)
8/8 benign lymph nodes
Blockage/tumor 2.5 x2 x .3 cm
Start Folfox 8/9/10
Finished 1/17/11
NED :)

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aussielones
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Re: Do the pet scans include the brain?

Postby aussielones » Tue Nov 22, 2011 12:08 am

I had a PET today, and I do believe i Had the whole shabang. Took ages! I'm not sure if it's common procedure though or on a needs must basis.
31y/o
Dx 24/9/10
Cecum, liver, LN, lungs
Sg IV C.C inoperable
Folfiri, Xeloda ,FOLFOX. More FOLFIRI
Regorafinib nearly killed me. But I'm still alive! LOVE BEATS CANCER

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catta
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Re: Do the pet scans include the brain?

Postby catta » Tue Nov 22, 2011 1:37 am

My dads pet scans always started at the base of his skull, down to his thighs.. hence the reason why his braim met was missed for so long(2 years was their estimate).. he was told a PET SCAN doesnt always pick up things in the brain , as its not as indepth.. his brain met was found by a brain MRI...
DD of CC Patient
3C dx04/98
NED 11Yrs
R/U lbe 15cm met 02/09
folfox X6 04/09,lobectmy/6 XFolfox 12/09
2cm met lobe 02/10 Vats 04/10
folfiri 6 rounds
10/10 Clean scan and Pet
6mm lung met 1/11
Brain met 2/11
Liver mets 4/11
Eternal peace 23rd December

Georgie
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Re: Do the pet scans include the brain?

Postby Georgie » Tue Nov 22, 2011 4:21 am

It usually depends in the protocol of the centre as to whether or not the brain is included in a PET scan.

So, with PET scans, the radioactive glucose molecule (FDG) is taken up by areas of the body that use glucose as its primary food source. The brain uses glucose as its primary food source. This means that basically the brain takes up enough of the tracer to be imaged quite well. The problem is that it is very difficult to tell the difference between normal brain uptake and tumour/mets in the brain. For this reason MRI is the imaging modality of choice when brain mets are suspected.

Where I have worked previously, the scanning protocol for CRC patients is base of skull to just below groin. This encompasses the major areas CRC usually occupies and spreads to.

So, long story short, they may or may not scan his brain. If brain mets are a concern then an MRI is the best way of detecting them.

Fingers crossed for good results!!

Georgie
Nuclear Medicine/PET Tech
Stage 3 T4N1M0 Rectal Ca diag 1/11 at age 29
Clinical trial (chemoradiation) 12 wks incl FOLFOX
Surgery 14 June '11
Post op infection
Iliostomy reversal 12 Sept '11
NED 6 years!
2017 Stage II Breast cancer triple positive
BRCA2 mutation
Bilateral mastectomy, chemo, herceptin

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BrownBagger
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Re: Do the pet scans include the brain?

Postby BrownBagger » Tue Nov 22, 2011 8:42 am

If you look at a PET scan image, the brain is all lit up, as is the groin area. As Georgie says, that makes it difficult to read the brain.

I've heard the same thing about persistent headaches. I rarely get one, so when I do, I sweat.
Eric, 58
Dx: 3/09, Stage 4 RC
Recurrences: (ongoing, lung, bronchial cavity, ribs)
Major Ops: 6/ RFA: 3 /bronchoscopies: 8
Pelvic radiation: 5 wks. Bronchial radiation—brachytheray: 3 treatments
Chemo Rounds (career):136
Current Chemo Cocktail: Xeloda & Erbitux & Irinotecan biweekly
Current Cocktail; On the Wagon (mostly)
Bicycle miles post-dx 10,477
Motto: Live your life like it's going to be a long one, because it just might, and then you'll be glad you did.

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jules10100
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Re: Do the pet scans include the brain?

Postby jules10100 » Wed Nov 23, 2011 2:59 am

I had never received a brain MRI before passing out and going to the local ER last week. When I started the clinical trial I was on a few weeks ago, I had mentioned to my onc that I was getting headaches. His response was less then 1 % of rectal cancer metastasizes to the brain, so typically a routine scan does not include a brain scan. So lucky me, I'm in that 1%. Makes you wonder if I could have known earlier. Finished tx 5 today. My poor husband did a heroic job fighting my insurance battle. After about 500 phone calls and appeals, we were finally approved to continue whole Brain rad at Uci. Even on thanksgiving! So thankful to be at home and looking forward to getting well! Maybe I will be the 1% that beats this flipping Bitch of a disease?!
RC resection 06/07 xeloda, radiation, folfox
Stage IV Lung and Liver Mets 11/08 res
Folfiri & Avas 09
2/10 lung spots Irr.Erb
Next Vectibix
Irr, Erb and Avas. for Lung spots 4/11
Folfirinox
Clinical trial Nov 11. Brain mets
Option for Chemo unknown

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Ashlee H.
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Re: Do the pet scans include the brain?

Postby Ashlee H. » Wed Nov 23, 2011 3:10 am

Jules - so happy to hear you got the insurance issue handled and will have treatments at UCI. As you know, I've been terribly worried about you.
My scans have only been from the base of the neck to the thighs...guess I'll have to have a conversation with my ONC about when they do the brain scans.
Prayers twice a day for you to have your brain mets disappear. I hope this treatment goes quickly for you.
Lots of hugs!
Stage IV w/liver met dx 7-1-09
KRAS Mutant
Member of the HIPECKERS (2011) and OLYMPHIANS (2012)
2/14 - standard chemo has stopped working
3/14 - Stivarga
LIVE LIFE!

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fritts44
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Re: Do the pet scans include the brain?

Postby fritts44 » Wed Nov 23, 2011 8:02 am

Yeah Jules! Your husband's persistence worked! I'm pulling for you from GA!

Lee F
Lee F
RC dx 12/16/10
resection & perm colo 12/17/10
8 rounds chemo, 28 rounds radiation
finished 8/26/2011
clean scope 9/20/2011
clean CT scan 12/26/2011
NED

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jules10100
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Re: Do the pet scans include the brain?

Postby jules10100 » Wed Nov 23, 2011 3:42 pm

Showed up for treatment this am, now told not approved. Explained to Doc about vp at PAC care approving. So 10 mi. Later they say it is approved and send me In. Then I get home and my hubby says Uci won't contract with The medical group calla Uci says no approval. Uugggggggg. I'm losing my patience. On the way back to see Onc for Chemo plan after radiation. Had just made plans to go to spend weekend camping and eating and was so happy!! Put a fork in me, I'm done!
RC resection 06/07 xeloda, radiation, folfox
Stage IV Lung and Liver Mets 11/08 res
Folfiri & Avas 09
2/10 lung spots Irr.Erb
Next Vectibix
Irr, Erb and Avas. for Lung spots 4/11
Folfirinox
Clinical trial Nov 11. Brain mets
Option for Chemo unknown

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fritts44
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Re: Do the pet scans include the brain?

Postby fritts44 » Thu Nov 24, 2011 12:24 pm

Oh no, Jules -- I'm so sorry about the insurance. That's so frustrasting!!! Keep appealing!!!

Lee F
Lee F
RC dx 12/16/10
resection & perm colo 12/17/10
8 rounds chemo, 28 rounds radiation
finished 8/26/2011
clean scope 9/20/2011
clean CT scan 12/26/2011
NED


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