CT Scan - Personal Cost/Benefit analysis..!

CT Scan - Personal Cost/Benefit analysis..!

Author
Discussion

Krhuangbin

Original Poster:

1,014 posts

146 months

Tuesday 7th January
quotequote all
I have a CT scan coming up, as part of a "belt and braces" investigation into a potential chest issue that has largely been ruled out now.

Some background: I had 2 suspected enlarged lymph nodes in neck, and some other symptoms ( a little back pain and gut pain)

Had that biopsied and ultrasounded, all normal and no concern. X-Ray of chest also normal. Several rounds of blood tests, a colonoscopy and further FIT/stool sample test. All normal and nothing dodgy. The back pain has completely gone. Indeed, the Radiologist who did the negative biopsy even said he wondered about the usefulness of a CT scan, due to radiation exposure.

Seeing as there seems to be nothing wrong, I am a little concerned about having the CT scan. I have read that all they do in healthy people is cause unnecessary worry, and show any "nodules" which many people have, and that which then require regular further scans to monitor, when 95/100 times they are completely benign.

There is also the Radiation exposure....

But then again, it would be nice to have a look inside!

As a 30's generally healthy person..... what would you do?


Edited by Krhuangbin on Tuesday 7th January 14:51

Bill

55,775 posts

270 months

Tuesday 7th January
quotequote all
Who organised the CT, I'd talk to them. But if the symptoms have gone (and you don't smoke...) then they need to justify the need IMO.

ChevronB19

7,812 posts

178 months

Tuesday 7th January
quotequote all
Krhuangbin said:
I have a CT scan coming up, as part of a "belt and braces" investigation into a potential chest issue that has largely been ruled out now.

Some background: I had 2 suspected enlarged lymph nodes in neck, and some other symptoms ( a little back pain and gut pain)

Had that biopsied and ultrasounded, all normal and no concern. X-Ray of chest also normal. Several rounds of blood tests, a colonoscopy and further FIT/stool sample test. All normal and nothing dodgy. The back pain has completely gone. Indeed, the Radiologist who did the negative biopsy even said he wondered about the usefulness of a CT scan, due to radiation exposure.

Seeing as there seems to be nothing wrong, I am a little concerned about having the CT scan. I have read that all they do in healthy people is cause unnecessary worry, and show any "nodules" which many people have, and that which then require regular further scans to monitor, when 95/100 times they are completely benign.

There is also the Radiation exposure....

But then again, it would be nice to have a look inside!

As a 30's generally healthy person..... what would you do?


Edited by Krhuangbin on Tuesday 7th January 14:51
The radiation exposure is literally F all compared to what a private individual already gets. And even then a tiny proportion of what classified radiation workers/airline crew, people living above fractured granite etc get. Do not worry about it. Seriously. Source: me - 30 years working in the field of radiation protection/decommissioning etc.

Just do it.

paddy1970

1,110 posts

124 months

Tuesday 7th January
quotequote all
Unless the CT scan has a clear, actionable purpose (e.g., addressing something the previous tests missed), you are within reason to discuss postponing or declining it. However, if peace of mind is worth the minor risks of radiation and possible follow-up, the scan could be valuable. Ultimately, the decision should align with your comfort level after consulting your doctor.

popeyewhite

23,007 posts

135 months

Tuesday 7th January
quotequote all
Have the scan.

Armitage.Shanks

2,743 posts

100 months

Tuesday 7th January
quotequote all
Personally I'd have the scan as it's a good indepth look if there are any underlying potential issues.

On an MRI scan 6yrs ago they found a cyst on my pancreas that I didn't know anything about and not subject to why I was having the scan in the first place. It's never caused an issue and up until that point nobody knew anything about it. I'm on the 'active surveillance list' and have scan every year to monitor it. I'd rather have a MRI every year and treat it like an annual health check up.

There are patients that get investigated for one thing and they then find something incidental and completely unrelated to why they're there.

The question is do you want to offer yourself up to finding something if you don't need a scan? I'd rather find out something early than too late.

Badda

3,208 posts

97 months

Tuesday 7th January
quotequote all
Krhuangbin said:
I have a CT scan coming up, as part of a "belt and braces" investigation into a potential chest issue that has largely been ruled out now.

Some background: I had 2 suspected enlarged lymph nodes in neck, and some other symptoms ( a little back pain and gut pain)

Had that biopsied and ultrasounded, all normal and no concern. X-Ray of chest also normal. Several rounds of blood tests, a colonoscopy and further FIT/stool sample test. All normal and nothing dodgy. The back pain has completely gone. Indeed, the Radiologist who did the negative biopsy even said he wondered about the usefulness of a CT scan, due to radiation exposure.

Seeing as there seems to be nothing wrong, I am a little concerned about having the CT scan. I have read that all they do in healthy people is cause unnecessary worry, and show any "nodules" which many people have, and that which then require regular further scans to monitor, when 95/100 times they are completely benign.

There is also the Radiation exposure....

But then again, it would be nice to have a look inside!

As a 30's generally healthy person..... what would you do?


Edited by Krhuangbin on Tuesday 7th January 14:51
You sound as though you understand the risks of over investigation well.

danb79

11,713 posts

87 months

Tuesday 7th January
quotequote all
Get the scan done; peace of mind then

I'm in for an MRI and CT with contrast soon before a number of 'oscopies' and biopsies on 27th this month; hoping to get the bottom of this post gallbladder removal surgery that's making my life a bloody misery

Krhuangbin

Original Poster:

1,014 posts

146 months

Tuesday 7th January
quotequote all
Thanks all - went and had it this evening so all done and dusted