As mentioned, cost is one factor. A CT is easier to read, and doesn't need specialized training like a PET, no specialized diet, fasting, so is the most often utilized scsn. I had about 11 PET/CT scans, some costing $6,000. It also depends what the doctor wants to view, area, to indicate which diagnostic test to use, sometimes multiple ones. CT is also good to highlight bone involvement, MRI for vessels, nerve line involvement, and a PET/ CT for distance metastases, and lymph nodes. I also had an MRI's followed by a PET/CT due to tooth filling scatter. I read that the most accurate is the PET/CT, down to as small as 5mm, then the MRI, followed by CT. PET also has a high rate of false positives. Some say it's 90% accurate at 8 weeks, 3 months is the most often taken, 4 months is better, and at a year is 100% accurate. I had most scans done at 3 months, and two at 5 months, 8 months post treatment for various reasons, and that's long waiting.

I'm also have a scheduled for a PET/CT in August, without CT contrast, due to the kidneys. At first my ENT was scheduling a CT, but I needed the nephrologist's clearance, and in between my RO, who specialises in HNC, said I need to get a PET/CT, and that is what I'm having. Personally, I would rather have a PET/CT, and If needed, another test to follow to highlight the area they want to view, as Don mentioned, I don't think it as good in a PET vs stand alone CT.

Good luck with your scan.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs