What is your typical CT scan experience?

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mobrouser
Posts: 174
Joined: Wed Apr 11, 2018 1:44 pm
Location: Ontario

What is your typical CT scan experience?

Postby mobrouser » Sun Nov 19, 2023 5:37 pm

What is your typical CT scan experience?
I am six years into this journey and have had probably 24 of them, all basically the same procedure. Last Thursday was odd though.

Normal two passes followed by the contrast injection. Then a very long wait before the third pass, another long wait. I’m positive there was more contrast added as I felt the warm sensation again. Then a fourth pass and sent on my way. I’ve only ever had one pass after the contrast in all my other scans. What is normal when you have scans?

Worst part is the results are not in the portal, and, I got a phone call from the oncologist three hours after the scan telling me my review appointment had to be changed from the 23rd to Dec 4th. That’s a long time to wait…



I know, I still haven't updated my signature...Liver mets in 2020, resection in 2021.
CC Dx 102017 age 58
Lap. right hemi-colectomy Dec 2017
Adenocarcinoma ascending colon – 6cm x 6cm x 2cm, Low Grade, penetrates to peritoneum
T4a N2a M0, Stage IIIC
lymph nodes 6 positive out of 18
FOLFOX start Jan/18 end Aug/8 (felt like a year)
CEA - 01/15/18-2.8; 07/29/18-5.3; 09/19-2.4; 03/20-2.7; 09/20-2.9
CT scan 08/18 - Clear; 10/19 - Clear; * 10/20 - 8mm & 6mm nodules in liver
PET scan 09/18 (thought about bringing the cat :wink: ) - Clear
Colonoscopy Dec 7 2018 - Clear - Next in 3 years?

Pagola44
Posts: 405
Joined: Mon Jul 03, 2023 7:57 pm

Re: What is your typical CT scan experience?

Postby Pagola44 » Sun Nov 19, 2023 10:52 pm

When I had a CT i just drank the contrast dye and that was it
29m Male.
DX: CC, Right Hepatic Flexure, 4cm, T3, G2, M0
Stage III3B , Positive lymph nodes: (2/20)
Baseline CEA value: 1.98
LVI and PNI: absent
Surgical margins: clear
No lynch Syndrome or MSI
Primary surgery type: Laparascopic

roadrunner
Posts: 483
Joined: Sun Jan 12, 2020 8:46 pm

Re: What is your typical CT scan experience?

Postby roadrunner » Mon Nov 20, 2023 12:28 am

I’ve had many, many scans, with good results and bad. As you judged, this experience does not sound typical. I’ve not had that happen, at least. That doesn’t necessarily mean that it was a bad scan, of course. They may have wanted to look more closely at something that turned out to be benign, for example. Or had technical issues. You also say “it’s not on the portal,” but is that inconsistent with past experience? One might say the apparent double contrast is concerning, but delay goes the other way—most health care practices expedite reports that show disease.

It’s generally not a great idea to get too into your head about these. I understand the stress/anxiety, of course, and I’ll admit to “reading the techs” on the way out ; )
One option here would be to call the oncologist and ask that the result be uploaded (if you feel comfortable reading it without full explanation). Or you could resolve simply to wait until the 4th. But once you decide, try to rest easy, as it will be out of your hands.

Sorry that’s not too helpful, but these are difficult, subjective, personal decisions. Good luck!
7/19: RC: Staged IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.; lung micronodule
8/19-10/19 4 rds.FOLFOX neoadjuvant, 3 w/Oxiplatin (reduced 70-75%)
neoadjuvant chemorad 11/19
4 rounds FOLFOX July-August 2020
ncCR 10/20; biopsies neg
TAE 11/20, tumor cells removed
Chest CT 3/30/21 growth in 2 nodules (3 and 5mm)
VATS 12/8/21 sub-pleural met 7mm.
SBRT nodule 1/22
6/20/22 TAE rectal polyp benign)
NED from 3/22 - 3/23
4 cycles FOLFIRI
LUL VATS lobectomy for radio resistant met 7/7/23

Rock_Robster
Posts: 1038
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: What is your typical CT scan experience?

Postby Rock_Robster » Mon Nov 20, 2023 1:23 am

Indeed my experience is the same as yours - one quick pass pre-contrast, one during, and one after.

However on balance I’d say it’s more likely that they didn’t get the image quality that they needed on the pass - perhaps there was some movement, or an issue with the machine etc. It’s unlikely (IMO) they would do a 4th pass simply because there was something ‘bad’ on the scan. The main focus of the rad techs is getting a quality image according to what’s ordered.

I did have them repeat a liver MRI pass once because (as they told me) they cut the scan off a bit early, and wanted to make top of the organ was fully imaged.

Good luck for results.
41M Australia
2018 Dx RC
G2 EMVI LVI, 4 liver mets
pT3N1aM1a Stage IVa MSS NRAS G13R
CEA 14>2>32>16>19>30>140>70
11/18 FOLFOX
3/19 Liver resection
5/19 Pelvic IMRT
7/19 ULAR
8/19 Liver met
8/19 FOLFOX, FOLFOXIRI, FOLFIRI
12/19 Liver resection
NED 2 years
11/21 Liver met, PALN, lung nodules
3/22 PVE, lymphadenectomy, liver SBRT
10/22 PALN SBRT
11/22 Liver mets, peri nodule. Xeloda+Bev
4/23 XELIRI+Bev
9/23 ATRIUM trial
12/23 Modified FOLFIRI+Bev
3/24 VAXINIA (CF33 + hNIS) trial

Rock_Robster
Posts: 1038
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: What is your typical CT scan experience?

Postby Rock_Robster » Mon Nov 20, 2023 6:54 pm

Funny coincidence - I had a CT this morning and they did a 4th pass - I asked the radiographer about it and he said it was a “delayed scan” done 3-4 mins after administering the contrast, as part of “triple phase imaging” of my liver (which the radiologist wanted apparently). Not sure if this helps you or not.
41M Australia
2018 Dx RC
G2 EMVI LVI, 4 liver mets
pT3N1aM1a Stage IVa MSS NRAS G13R
CEA 14>2>32>16>19>30>140>70
11/18 FOLFOX
3/19 Liver resection
5/19 Pelvic IMRT
7/19 ULAR
8/19 Liver met
8/19 FOLFOX, FOLFOXIRI, FOLFIRI
12/19 Liver resection
NED 2 years
11/21 Liver met, PALN, lung nodules
3/22 PVE, lymphadenectomy, liver SBRT
10/22 PALN SBRT
11/22 Liver mets, peri nodule. Xeloda+Bev
4/23 XELIRI+Bev
9/23 ATRIUM trial
12/23 Modified FOLFIRI+Bev
3/24 VAXINIA (CF33 + hNIS) trial

User avatar
mobrouser
Posts: 174
Joined: Wed Apr 11, 2018 1:44 pm
Location: Ontario

Re: What is your typical CT scan experience?

Postby mobrouser » Tue Nov 21, 2023 8:31 pm

Thanks for the responses everyone. Still nothing in the portal and this is not normal. I usually see results within two days, sometimes even same day.

Just some further comments on my situation. Pagola 44 I was given oral contrast in all my scans prior to starting chemo, it has been through IV injection since then. Not that fond of needles but honestly it is much preferable to drinking the contrast.
roadrunner, I'm of two minds about asking for the results. I am very comfortable reading the results prior to meeting with my oncologist that way I know what is going to be discussed and what I should be asking about. I can't change anything by knowing the results sooner but I can be more prepared. I'm just obviously thrown by the change in procedure this time.
Rock_Robster, what a coincidence that you would have the same "extra pass" that I had. It's always been two through the machine, add contrast, wait for the warm sensation, and then another pass.

I'll post the results when I get them. I hope everyone has good scan results today and forever.
CC Dx 102017 age 58
Lap. right hemi-colectomy Dec 2017
Adenocarcinoma ascending colon – 6cm x 6cm x 2cm, Low Grade, penetrates to peritoneum
T4a N2a M0, Stage IIIC
lymph nodes 6 positive out of 18
FOLFOX start Jan/18 end Aug/8 (felt like a year)
CEA - 01/15/18-2.8; 07/29/18-5.3; 09/19-2.4; 03/20-2.7; 09/20-2.9
CT scan 08/18 - Clear; 10/19 - Clear; * 10/20 - 8mm & 6mm nodules in liver
PET scan 09/18 (thought about bringing the cat :wink: ) - Clear
Colonoscopy Dec 7 2018 - Clear - Next in 3 years?

Nor Cal
Posts: 92
Joined: Sun Dec 06, 2020 8:18 pm

Re: What is your typical CT scan experience?

Postby Nor Cal » Mon Dec 04, 2023 11:23 pm

Typically one pass after the contrast, but there have been pauses in some when they take additional images. Never with more contrast though.
Dx June 2020, stage IV, w liver mets in both lobes. M, age 50. Right-sided colon tumor. CEA 120.
BRAF+ TMB 5% MSS TDL1-1%
July 2020 - Present: 57 cycles chemo (All the various 5-FU regimens)
December 2020 - February 2021 Y90 Radioembolization, Chemoembolization x2

Dennyp
Posts: 86
Joined: Thu Oct 29, 2020 9:28 pm

Re: What is your typical CT scan experience?

Postby Dennyp » Wed Dec 06, 2023 2:08 pm

mobrouser wrote:What is your typical CT scan experience?
I am six years into this journey and have had probably 24 of them, all basically the same procedure. Last Thursday was odd though.

Normal two passes followed by the contrast injection. Then a very long wait before the third pass, another long wait. I’m positive there was more contrast added as I felt the warm sensation again. Then a fourth pass and sent on my way. I’ve only ever had one pass after the contrast in all my other scans. What is normal when you have scans?

Worst part is the results are not in the portal, and, I got a phone call from the oncologist three hours after the scan telling me my review appointment had to be changed from the 23rd to Dec 4th. That’s a long time to wait…

I’ve had quick scans, just a couple of passes and others like you described. I haven’t noticed a pattern with the results between the 2 some good and bad with each type.


I know, I still haven't updated my signature...Liver mets in 2020, resection in 2021.
5/19 IIIC sigmoid cancer 2/25 lymph nodes positive
5/19 surgery
7/19 FOLFOX 6 months
9/20 recurrence to single lymph node
10/20 FOLFIRI 5 rounds
1/21 surgery to remove lymph node
4/21 CT NED
8/21 CT NED
11/21 CT NED
2/22 CT NED
5/22 CT NED
8/22 PET NED
11/22 CT NED
3/23 PET lesion on liver
3/23 MRI confirmed lesion
4/23 liver surgery aborted lesion found on diaphragm
5/23 chemo started
7/23 CT shows shrinkage of lesion, consult scheduled with surgeon


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