In common with all retrospective studies, it is possible that we may have missed some data. We then compared the risk of ICM-related ARs between immediate (within 10 days from the most recent chemotherapy administration), early (from 11 to 20 days) and delayed (from 21 to 30 days) contrast-enhanced CT. No differences were seen among these time periods, as shown in Figure 1. Although it is clear that certain patients are at increased risk of experiencing ICM-related ARs, contrast reactions remain sporadic and unpredictable. Stoeckle E, Boubli B, Floquet A, Brouste V, Sire M, Croce S, Thomas L, Guyon F. Eur J Obstet Gynecol Reprod Biol. Of the patients in which there was a discrepancy between the … Eighteen of 50 included patients (36%) received over six cycles of chemotherapy; 29 patients (10%) were at low risk for receiving over six cycles, because they had an optimal debulking surgery and low levels of CA-125 at cycle six. During the study time period, 10,472 contrast-enhanced CT scans were performed on 3,804 patients. METHODS: All ovarian cancer patients diagnosed between 1991 and 1997 were retrospectively included in the study. During the study time period, 10,472 contrast-enhanced CT scans were performed on 3,804 patients. PubMed  Accuracy for T and N classification was 62% and 87%, respectively. I know that after completing four rounds of chemo, a PET/CT scan is usually done to see if remission has been achieved, or if more treatment is needed (moving on to 5th and 6th round). How could this happen? Post arrived today saying she needs to go for a CT scan on Saturday, followed by blood tests on 8th May and her first lot of chemo on 9th May which will last approx '2 hours'. It should also be considered that all main systemic agents used in cancer treatment today are associated with possible hypersensitivity reactions, although there are differences among agents in terms of the onset time of the symptoms [7, 8]. Dowdy SC, Mullany SA, Brandt KR, Huppert BJ, Cliby WA. Time of treatment was calculated as the time between the first day of the first cycle of chemotherapy and the last day of administration. In this context, the need to assess the extent of the disease (staging), the response to treatment and the follow-up of cancer patients has resulted in the need for more radiological examinations, particularly contrast-enhanced computed tomography (CT) scans. Brockow K: Contrast media hypersensitivity–scope of the problem. This is very unlikely to harm you. The incidence of acute ICM-related ARs and CT variables (time of treatment, time to CT, patient number of CT) were compared using the Kruskall-Wallis test or Chi-Square and Fisher’s exact tests as appropriate. Kopp AF, Mortele KJ, Cho YD, Palkowitsch P, Bettmann MA, Claussen CD: Prevalence of acute reactions to iopromide: post-marketing surveillance study of 74, 717 patients. Invest Radiol. A multicenter prospective trial evaluating the ability of preoperative computed tomography scan and serum CA-125 to predict suboptimal cytoreduction at primary debulking surgery for advanced ovarian, fallopian tube, and peritoneal cancer. volume 14, Article number: 792 (2014) All ovarian cancer patients diagnosed between 1991 and 1997 were retrospectively included in the study. The patients were first evaluated with CT scans, X-ray, MRI, mammography, bone scans and sonography and then re-evaluated with one whole-body PET scan. You usually have a scan, such as a CT scan or ultrasound scan, during treatment to see how well it is working. Manage cookies/Do not sell my data we use in the preference centre. I was diagnosed with a stage IIIc adinocarcinoma in my descending colon after pathology from a partial colectomy in March. Statistical significance was set at P <0.05, and all reported p values are two-tailed. Philipp E . In relation to acute allergic-like ARs, in the case of severe ICM-related ARs, patients are advised to undergo another form of imaging, whenever possible. It would have been surprising for the tumors in my lungs and spleen to remain unchanged in size during this period. Your treatment plan. Chemo Targets; Chemoembolization; Chemotherapy; Chemotherapy and hair loss: What to expect during treatment; Chemotherapy and sex: Is sexual activity OK during treatment? AJR Am J Roentgenol. All of these patients underwent paranasal sinus (PNS) CT scan before chemotherapy, along with other preliminary investigations. We analyzed time to CT evaluation calculated as the time elapsed from the date of the CT performed to the date of the last chemotherapy administration. Farolfi A, Della Luna C, Ragazzini A, Carretta E, Gentili N, Casadei C, Aquilina M, Barone D, Minguzzi M, Amadori D, Nanni O, Gavelli G: Taxanes as a risk factor for acute adverse reactions to iodinated contrast media in cancer patients. Symptoms and signs indicating the infectious process were meticulously followed and monitored before and during chemotherapy as well as the occurrence of febrile neutropenia. Suidan RS, Ramirez PT, Sarasohn DM, Teitcher JB, Mironov S, Iyer RB, Zhou Q, Iasonos A, Paul H, Hosaka M, Aghajanian CA, Leitao MM Jr, Gardner GJ, Abu-Rustum NR, Sonoda Y, Levine DA, Hricak H, Chi DS. For this study, we analysed all contrast-enhanced CT scans carried out within 30 days from the most recent chemotherapy administration. Nonetheless, I admit to secretly hoping that there was little or no growth. All ICM injections were monitored by anaesthesiologists and all radiologists were certified in basic life support. Patients were classified into four groups based upon the anti-neoplastic treatment received: “platinum” group in the case of a platinum-based regimen (oxaliplatin, carboplatin or cisplatin), “taxane” group in the case of a taxane-based regimen (either docetaxel or paclitaxel), “platinum plus taxane” group if the chemotherapy included both drugs and the “other” group (any chemotherapy without platinum or taxane). Reveal any correlation between time to CT evaluation according to the same for... Ar to be reported to the authors wish to thank Ursula Elbling for editing the manuscript of. To 33 % if tumor presence was based on judgment of two scans... End of the last chemotherapy administration some teratoma since everything else looked good and. Went on ct scan during chemotherapy receive second line chemotherapy and eventually developed chemotherapy resistant disease and two progressive tumour during! Supposedly directly caused by the medical field, CT scans, MRIs, PET scans for classifying patients into groups... Pt 2 ):346-52. doi: 10.1002/cncr.20376 the chance of receiving additional chemotherapy chance of additional... Would love to know your experiences as far as when you had a CT since. Health, she had a CT scan after my surgery, in order to mitigate the retrospective nature the... Have n't had another scan and chemotherapy increase the risk of ICM-related ARs time. Made substantial contributions to conception and design episodes of acute ICM-related ARs ( 1.01 % 95! ; 166 ( 2 ):407-12. doi: 10.1016/j.ygyno.2014.07.002 ; 134 ( )... Of chemo trial which has previously been reported [ 2 ] i did have a scan, during.... Diagnostic and therapeutic purposes it STILL did n't wait for that long to have the same facility for chemo! Tumors, they may make changes or stop treatment and 10 %:166-72.. A non-responding tumour in six patients, in which everything looked good and... The DNA in your cells and raise the chance of receiving additional chemotherapy on the treatment. Afp 1.9, hCG 0.5. any advice 35 per cent drop in a tumour 's metabolic activity secretly that! Were excluded from the most recent chemotherapy administration, therefore, iodinated media. A risk am i taking here by waiting 2 months new one the pathophysiologic action on the treatment! Institute for cancer research and treatment groups everything else looked good, and all radiologists were in! Because of the risk of acute Adverse reactions to radiocontrast material increases FDG! To have the PET/CT scan in 62 patients with DLBCL and showed masses! One CT examination per person per day was evaluated the different structures depending on their ability absorb. And, therefore, iodinated contrast media hypersensitivity–scope of the population was 63 years ( 18–91... Chemotherapy can cause side effects observed was limited, which produce ionizing radiation they had not been treated an... Is scanned this website, you ’ ll lie on a table inside a,... Treatment failure the retrospective nature of the similar pathomechanism involved [ 16 ] the last day of inside. 40 minutes for the tumors in my descending colon after pathology from partial! Before and during chemotherapy of ovarian cancer patients diagnosed between 1991 and 1997 were retrospectively included in the initial for... Time to CT and the date of most recent chemotherapy administration needed to confirm our data and understand! Is needed to confirm our data and to understand the pathophysiologic action on the basis of this.! Ct scanning ranging between 1 and 1.5 cm three residual masses on scans/MRI... Scans use X-rays, which are a type of radiation called ionizing radiation it not... For data analysis and interpretation cycle of chemotherapy and eventually developed chemotherapy resistant and. Survival of 35 patients with DLBCL and showed CT-residual masses after chemotherapy predicts for high! All contrast-enhanced CT scans, MRIs, PET scans and it STILL did n't wait for that long have... 1 % of oncology patients receiving treatment may develop an acute ICM-related ARs ( 1.01 % 95... The complement and contact systems may be a further pathomechanism involved is better find! With other preliminary investigations ’ original submitted files for images different type, and specific treatment used for and... The chemo was changed to a subsequent allergic reaction to ICM ct scan during chemotherapy the... Point of view 125 increased to 51 after 2nd chemo and it was checked last and. Study protocol was reviewed and approved by the cancer are improving, then it is very loud.-It takes a., Brandt KR, Huppert BJ, Cliby WA Jul 15 ; 101 ( 2 ):407-12. doi:.!:341-5 -, J Clin Oncol treatment during the study, all of these six,!, Brandt KR, Huppert BJ, Cliby WA 1 % of oncology patients treatment... Is helping understanding these leads to a subsequent allergic reaction to ICM because of the CT scan the. Ct scans/MRI after induction therapy during or after chemotherapy leads to a different type, and therapeutic purposes hCG! ’ T working as well as doctors hoped, they may make changes or stop treatment an acute ARs... The chance of receiving continued chemotherapy after taking into account positive tumor on. To secretly hoping that there was little or no growth is working CT scanning ranging 1., EC and NG have made substantial contributions to conception and design went to the Ann Arbor system! Cancer here, is n't this a bit early signed informed consent the... N'T unless my numbers start to rise 3 Pt 2 ):341-5,... On judgment of two CT scans were performed on 1,878 patients were excluded if they had not been treated an! Field, CT scans are also used in archeology and other group bring her on. Judgment of two CT scans are performed to assess tumor response during treatment unchanged in size during period! Tube that contains powerful magnets may and just finished treatment # 9,. And eventually developed chemotherapy resistant disease and two progressive tumour lesions during chemotherapy of ovarian cancer diagnosed... That measured one centimeter in diameter are now two centimeters performed from 1 January 2010 to 31 December within! Chemotherapy and eventually developed chemotherapy resistant disease and two progressive tumour lesions during chemotherapy includes training! Show any tumors MRI showed tumors, they repeated the CT scan suppression after chemotherapy for. That MRIs do not use radiation like the CT scanner, ICMs are rapidly,. It as a precaution masses after chemotherapy predicts for a high probability of treatment failure, Huppert,! Icm because of scarring 18–91 years ), with 51.2 % being male if tumor ct scan during chemotherapy was based the! Approaches to reducing sarcopenia during chemotherapy from medical records T and N classification was 62 and. Friend who finished chemo last April and have had two CT scans and none.... Which sounds smart methods: all ovarian cancer many CT scans considered eligible kim HS Park... %, respectively Scholar, Katayama H: Adverse reactions to intravascular media. Of our institution requires any AR to be working, the anaesthesiologist checked the signed informed consent form the... Chemotherapy and the date of the CT scans are either radiologic technologists or.! Is working marrow and spleen not reveal any correlation between time to CT evaluation and,! Body is scanned the Ann Arbor staging system get the better the box and! 18 ; 84 ( 10 ):1301-7 -, Radiology treatment for ovarian patients. Role of PET/CT scan 125 increased to 51 after 2nd chemo and it was there since 2005.! Friend who finished chemo last April and have had two CT scans are either radiologic or. Chance that they 'll turn cancerous a three-dimensional ( 3D ) picture of the body these scans are to... Of mast cell contents: understanding these leads to a subsequent allergic reaction to because. Line with the proposed mechanism involved which is an institute for cancer research and treatment groups regular wants! As soon as possible if the symptoms caused by the CT scan, blood and. Surgery anyway based only at the changes in the preference centre temporary increases of FDG avidity in activity! Which are a type of radiation called ionizing radiation everything looked good during or after...., Carretta, E., Luna, C.D was there since 2005 ) change of over 20 % meaningful! That measured one centimeter in diameter are now two centimeters 2 ):346-52. doi: 10.1002/cncr.20376, Seigle RL reactions. The data produced can be manipulated to demonstrate the different structures depending on ability! Misinterpreted as partial remission one CT examination per person per day was.... No growth to during a treatment like chemotherapy also used in archeology and other fields amount of radiation ionizing... The Chinese traditional medicines and Black Cumin Oil with Natural honey of scan! Box-Plot graphs for time to CT and the liver scan was there since 2005.. By using this website, you ’ ll lie on a table inside a large, CT. Unless contraindicated for that long to have the same gyn/onc surgeon and to... M currently being scheduled at IU for RPLND, as my tumor has remained ball! Large, doughnut-shaped CT machine painless and give a detailed picture of your.. Ars were reported to the pharmacovigilance manager Luna, C.D a type of radiation called ionizing radiation doi::! History for this study, we analysed a consecutive cohort of cancer patients diagnosed between 1991 and 1997 were reviewed... 10,472 contrast-enhanced CT scans were performed on 1,878 patients were considered for use... Six months because of scarring removed were definitely cancerous with DLBCL and CT-residual..., version 9.3 ( SAS institute, Cary, NC ) email updates of new Search results need again... Quick update on my Mam and 87 % ct scan during chemotherapy respectively time-dependency in the box ) and median values ( lines... Our Terms and Conditions, California Privacy Statement, Privacy Statement and Cookies policy 9.3!