Whole body bone scan Vs. CT scan Question

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anniea
Regular Member


Date Joined May 2007
Total Posts : 234
   Posted 4/9/2008 10:51 PM (GMT -6)   
Hi Everyone, Hope you are all okay.
 
We went to the Dr. today to go over the whole body bone scan that was done on Rick last week They had injected him 4 hours prior to doing the scan with something to make him light up. The Dr. today said he was not satisified with the results and has ordered a Ct scan for this Friday. He showed us on the bone scan where his sholders, arms, knees, hips, pelvis area, and big toe seem to be what they call light up and the radiologist thinks it is arthritus. The Dr. seems to think it might be something more????? so he ordered the CT. Scan. My question is what and how much is the difference between a whole body bone scan and a CT scan?
Thanks in advance for your help.
Diana
Rick & Diana
Age 68/ 67@ Dx
6-30-06  PSA 2.54
1-22-07  PSA 4.98
1-26-07  PSA 5.09
Diag: 2-14-07 Gleason 8 Stage T1c PSA 5.09
Bone Scan 3-1-07 Clear
3-6-07 Triple Spinal Fusion (due to old back injury)
Radical retropubic surgery 4-2-07  Post surgery Gleason 9 Stage T3a Positive margins
4-29-07 PSA 0.02
6-9-07   PSA 0.02
7-6-07   PSA 0.03
8-1-07   CT Scan & Chest X-Ray   Clean
 9-26-2007 PSA 0.07
11/1/07 PSA 0.1
11/30/07 PSA 0.12
01/31/2008 PSA 0.3
03/01/2008 PSA 0.3


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/9/2008 11:00 PM (GMT -6)   
Hi Diana,
These are two totally different tests. The isotope that takes up in the bones will illuminate in the bone scan. CT shows the uptake in the soft tissues. He is just verifying that the uptake in the bone IS arthritis. I believe what the doctor saw was enough uptake in the bones to be unsatisfied with the results. The PSA numbers do not suggest he has such wide spread PC. I just believe he was unable to use the bonescan to any real value. Could it be something more? Yes. But the CT should show some activity as well. I still believe that he has local recurrance. The 0.3 suggest slight spread, and that is usually in the prostate bed. Have you ever had anybody tell you to stay positive? :-)

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator


anniea
Regular Member


Date Joined May 2007
Total Posts : 234
   Posted 4/9/2008 11:15 PM (GMT -6)   
Hi Tony,
Thank you for your quick response. In answer to your question I think I remember a really good friend on a web site called Healing Well has reminded me to think positive, by the way that really good friend lives in Las Vegas. I am still thinking positive, just a little concerned but I know that God will only give me what I can handle to deal with and he does watch over me very carefully.

God Bless You & Ruthie

Diana
Rick & Diana
Age 68/ 67@ Dx
6-30-06  PSA 2.54
1-22-07  PSA 4.98
1-26-07  PSA 5.09
Diag: 2-14-07 Gleason 8 Stage T1c PSA 5.09
Bone Scan 3-1-07 Clear
3-6-07 Triple Spinal Fusion (due to old back injury)
Radical retropubic surgery 4-2-07  Post surgery Gleason 9 Stage T3a Positive margins
4-29-07 PSA 0.02
6-9-07   PSA 0.02
7-6-07   PSA 0.03
8-1-07   CT Scan & Chest X-Ray   Clean
 9-26-2007 PSA 0.07
11/1/07 PSA 0.1
11/30/07 PSA 0.12
01/31/2008 PSA 0.3
03/01/2008 PSA 0.3

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