Scans frequencies.....: How often you... - Advanced Prostate...

Advanced Prostate Cancer

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Scans frequencies.....

Ahk1 profile image
Ahk1
15 Replies

How often you guys do bone and CT scans?

I am asked to do both and just very worried about the toxicities from all these scans. Are they safe to do them like let’s say every year?

Thank you all for your help

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Ahk1 profile image
Ahk1
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15 Replies
Tall_Allen profile image
Tall_Allen

Why would you do them every year?

Ahk1 profile image
Ahk1 in reply to Tall_Allen

I am not doing them every year. It’s just I am applying for 18F pet/ct and they ask me to do a bone scan and ct scan for chest , abdomen and pelvis before they perform the 18F scan. I just did an mri for a whole body and gave to them but they still want those 2 scans and am worried about the radiations from all these scans.

Tall_Allen profile image
Tall_Allen in reply to Ahk1

A full body PET/CT exposes one to about 25 mGy. It's not something you want every year over a lifetime, but get it if you need it. By comparison, I received 40 Gy to my prostate only, which is 1600 times as much. The reflected dose to other parts of my body was probably 1 Gy, which is 40 times as much. Other sources of radiation exposure include flying at high altitude, granite countertops, radon in the house, and potassium in foods like bananas or potatoes.

E2-Guy profile image
E2-Guy in reply to Tall_Allen

Very interesting!

dlestercarlson profile image
dlestercarlson

Scans usually from any where from 6 months to a year. It depends a lot on what my PSA is doing. Usually the doctor will order the scans if he wants a new baseline or if he checking to see if any thing has changed. My PSA has stayed relatively low, so the scans help to see what is really going on.

I won't do additional imaging unless I suspect progression from either rising PSA, Alkaline Phosphatase or change in symptoms such as increasing pain. As a general rule, I consider tests to be used to inform treatment decisions.

j-o-h-n profile image
j-o-h-n

As I said before I get so many scans that I'm starting to speak Scandinavian.

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 01/27/2019 1:20 AM EST

Joeym1040 profile image
Joeym1040

Diagnosed in Sept 1999, treated with IMRT and seeds. Recurrance in 2011 and had bone scan and put on itermittent ADT. Had PET scan in 2013, all clear. Based on PSA readings and lack of any signs of mets did not have another one until last week I had an Axium Pet Scan which was also clear. I consider myself blessed.

Ahk1 profile image
Ahk1 in reply to Joeym1040

Thank you ALL for your response. I truly appreciate it and wishing you all the best

Ahk1 profile image
Ahk1 in reply to Joeym1040

Joeym,

Great results. Are you been on IADT since 2011?which drugs you are on please?

Joeym1040 profile image
Joeym1040 in reply to Ahk1

Been on lupron usually 1 yr on 1yr off. Did one year in clinical trial (2017) using an estradoil cream which worked very well.

Been off meds since then See my MO next week to see if I have to restart lupron.

Ahk1 profile image
Ahk1 in reply to Joeym1040

Joeym,

Why did you stop the DES if it was working very well for and goes back on lubron? Thanks

Joeym1040 profile image
Joeym1040 in reply to Ahk1

It was a clinical trial for a year. Not back on Lupron as yet. I am going to try Estradoil cream (I think).

Ahk1 profile image
Ahk1 in reply to Joeym1040

Thanks Joe

Ahk1 profile image
Ahk1 in reply to Joeym1040

Joe,

Have you find out where to buy the gel please? I have an appointment with my MO in 3 weeks from now and would like to try it before my appointment and see if it does anything to psa before I see him, may be I can try to convince him for me to go this route for a bit. Thanks a lot

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