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Ct Scan Radiologist Analysis Quality

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Subject: CT Scan Radiologist Analysis Quality
Date: 12/31/2007

If you've had CT Scans and had difficulty getting consistent Radilogical  reports, then you have experienced some of my frustrations. 

  I was diagnosed in Oct 2005 with RCC Stage 3B (Distant Mets). I had a large tumor in my right kidney (that extended well into my Vena Cava) and a very small tumor on my right adrenal gland. I tried Nexavar but it didn't work for me. I went to Sutent, and it stablized me for 15 months. Then we saw progression (Pleural Effusion in left lung).  Now I'm on a Chemo mix of Xeloda, Gemzar, and Avastin, and I'm stable.

  Here's the problem. While on Sutent, I got a CT scan (Chest, abdomen, and Pelvis) every 6 weeks, and now I get one every 8 weeks.  My oncologist is affiliated with a large hospital in St. Louis, with a large Radiology Dept. Each time I get a different Radiologist, who reports the tumor and lymphnodes differently.  Usually they just report what changed from the last review, but, as someone with a large number of lymph nodes that are affected, I cannot believe that there are NO CHANGES in them after they were first reported. I tract the reported results and measurements in a spreadsheet, and it is shocking how inconsistent these medical professionals can be in their analysis.

Here is a list of the lymphnodes (and single tumor) they've mentioned (but usually not more than a couple times) over the past 18 months: 

Right Adrenal Mass
Retroperitoneal Lymph Nodes
Left Hilar Lymph Node
Right Hilar Lymph Node
Aortopulmonary Lymph Node
mediastinal lymphadenopathy
Left lower paratracheal Lymph Nodes
Left para-aortic lymph node
Right periaortic lymph node
Anterior right periaortic lymph node
Inferior right periaortic lymph node
Inferior left periaortic lymph node
retrocaval lymph node
Right Pericaval  lymph node
Pretracheal lymph nodes

  Their diagnoses are so incomplete and inconsistent, my oncologist is embarassed, and he agrees with my frustration. He has no suggestion on how to address it other than contacting the head of radiology.

Have you had similar experiences?  Do your CT Scan reports give you precise measurements for each existing site?  

Please let me know.  I'd like to know if this is an industry standard approach, or an anomoly in this department.

Thanks !

D. J. in St. Louis.

Messages History for "Ct Scan Radiologist Analysis Quality"

  1. CT Scan Radiologist Analysis Quality
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