Wednesday, 2 September 2015

Day 28 - Failed PET scan

What a disappointment. The FDG preparation for my Pet scan this morning failed. So they rescheduled me for Friday morning. :-(
I was up at 5:00 and made a fruit salad for lunch, and a thermos of coffee. Nothing by mouth, except water, for the last 7 hours. No carbs or sugars for 24 hours. I packed all my clothes I would need during and after the scan. I made sure the Beetle would start, and then they called saying that my FDG production had failed.

This cancer has a very powerful encouragement to learn about things I never even knew existed. FDG is one of them. You can call it 2-deoxy-2-(18F)fluoro-D-glucose, if you prefer.


From this article:
http://mg.co.za/article/2013-08-02-00-sa-corners-radioactive-market

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At the Pelindaba Nuclear facility, outside Pretoria, vast energies are pumped into a cyclotron — a machine that accelerates protons and neutrons, the building blocks of matter, and smashes them into a material. 

The machine creates beams of these particles that bombard a target substance, creating fluorine-18 [18F], which is mixed with fluorodeoxyglucose (FDG). It is quickly packaged and driven to the nearest hospital and injected into a waiting patient’s blood stream.

The clock is ticking. Its radioactive decay is measured by its half-life, which is the time it takes for half of the substance to decay. 18F-FDG has a half-life of 110 minutes and after that time it is not effective, which is what dictates the stringent deadlines to get it from the lab into the patient. From the minute the intimidatingly named 18F-FDG is created, doctors have less than two hours to administer the radioactive substance to their patient before it becomes ineffective. With it, the doctor will be able to map their patient’s cancer and be better equipped to treat it using a PET/CT scan.

18F-FDG is a substance that behaves like glucose when ingested into the body, but it cannot be metabolized. This means it will pass harmlessly through the system once it has done its work. Although most of it will be excreted after consumption, after 12 hours it will be in effect untraceable in your body.
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 It hurts my little brain to remember that an FDG PET/CT scan is really a "fludeoxyglucose positron emission tomography/computed tomography scan".

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