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PET scan for breast cancer

Breast positron emission tomography; PET - breast; PET - tumor imaging - breast

A positron emission tomography (PET) scan is an imaging test that uses a radioactive substance (called a tracer) to look for potential spread of breast cancer. This tracer can help identify areas of cancer that an MRI or CT scan may not show.

How the Test is Performed

A PET scan requires a small amount of radioactive material (tracer). This tracer is given through a vein (IV), usually on the inside of your elbow, or in a small vein in your hand. The tracer travels through your blood, collects in organs and tissues and gives off a signal that helps the radiologist see certain areas or disease more clearly.

You will need to wait nearby as your body absorbs the tracer. This usually takes about 1 hour.

Then, you will lie on a narrow table, which slides into a large tunnel-shaped scanner. The PET scanner detects signals that are given off from the tracer. A computer converts the results into 3D pictures. The images are displayed on a monitor for your doctor to interpret.

You must lie still during test. Too much movement can blur images and cause errors.

The test takes about 90 minutes.

Most PET scans are performed along with a CT scan. This combination scan is called a PET/CT and allows a detailed examination of the whole body, looking for any sign of cancer cells.

How to Prepare for the Test

You may be asked not to eat anything for 4 to 6 hours before the scan. You will be able to drink water.

Tell your health care provider if:

  • You are afraid of closed spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious.
  • You are pregnant or think you might be pregnant.
  • You are breastfeeding.
  • You have any allergies to injected dye (contrast).
  • You take insulin for diabetes. If so, you will need special preparation.

Always tell your provider about the medicines you're taking, including those bought without a prescription. Sometimes, medicines can interfere with the test results.

How the Test will Feel

You may feel a sharp sting when the needle containing the tracer is placed into your vein.

A PET scan causes no pain. The room and table may be cold, but you can request a blanket or pillow.

An intercom in the room allows you to speak to someone at any time.

There is no recovery time, unless you were given a medicine to relax.

Why the Test is Performed

A PET scan is most often used when other tests, such as MRI scan or CT scan, do not provide enough information or physicians are looking for the potential spread of the breast cancer to lymph nodes or beyond.

If you have breast cancer, your doctor may order this scan:

  • Soon after your diagnosis to see if the cancer has spread and to help tailor your treatments
  • After treatment if there is concern that the cancer has come back
  • During treatment to see if the cancer is responding to treatment

A PET scan is not used to screen for, or diagnose, breast cancer.

Normal Results

A normal result means there are no areas outside the breast in which the radiotracer has abnormally collected. This result most likely means the breast cancer has not spread to other parts of the body.

Very small areas of breast cancer may not show up on a PET scan.

What Abnormal Results Mean

Abnormal results may mean that the breast cancer may have spread outside of the breast.

Blood sugar or insulin level may affect the test results in people with diabetes.

Risks

The amount of radiation used in a PET scan is low. It is about the same amount of radiation as in most CT scans. Also, the radiation does not last for very long in your body.

Women who are pregnant or breastfeeding should let their doctor know before having this test. Infants and babies developing in the womb are more sensitive to the effects of radiation because their organs are still growing.

It is possible, although very unlikely, to have an allergic reaction to the radioactive substance. Some people have pain, redness, or swelling at the injection site.

After the scan is performed, you may be asked to drink a lot of water and stay away from children under 13 years old or anyone pregnant for 24 hours.

If you are breastfeeding, tell your doctor. Your doctor may recommend that you do not breastfeed for 24 hours after the scan.

References

Bassett LW, Lee-Felker S. Breast imaging screening and diagnosis. In: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. The Breast: Comprehensive Management of Benign and Malignant Diseases. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 26.

Chernecky CC, Berger BJ. Positron emission tomography (PET) - diagnostic. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6th ed. St Louis, MO: Elsevier Saunders; 2013:892-894.

National Cancer Institute website. Breast cancer treatment (adult) (PDQ) - health professional version. www.cancer.gov/types/breast/hp/breast-treatment-pdq. Updated February 9, 2023. Accessed February 28, 2023.

Tabouret-Viaud C, Botsikas D, Delattre BM, et al. PET/MR in breast cancer. Semin Nucl Med. 2015;45(4):304-321. PMID: 26050658 pubmed.ncbi.nlm.nih.gov/26050658/.

  • Breast cancer

    Animation

  •  

    Breast cancer - Animation

    Of all the different types of cancers, breast cancer is one of the most talked about, and with good reason. One out of every eight women will develop breast cancer sometime in their life. That's why every woman should be thinking about how to protect herself from this disease. Breast cancer is cancer that forms in the breast. Usually, it begins in the tubes that transport milk from the breast to the nipple. If the cancer spreads to other parts of the breast or body, it's called invasive breast cancer. Some breast cancers are more aggressive, growing more quickly than others. Although women are 100 times more likely to develop breast cancer, men can also get the disease because they do have breast tissue. You're more likely to get breast cancer if you're over 50, you started your periods before age 12, or you have a close family member with the disease. Drinking more than a couple of glasses of alcohol a day and using hormone replacement therapy for several years also may increase your risk. The telltale sign of breast cancer is a lump in your breast or armpit. You may also notice a change in the shape, size, or texture of your breast, or have fluid coming from your nipple when you're not breastfeeding. If you notice any changes in your breasts, call your doctor. You'll probably need to have an imaging scan, such as a mammogram, MRI, or ultrasound. A piece of tissue may be removed from your breast, called a biopsy. With these tests, your doctor can tell whether you have breast cancer, and if so, determine whether or not it has spread. So, how do we treat breast cancer? That really depends on the type of cancer, and how quickly it's spreading. Your doctor may recommend that you have the cancer removed with surgery. Sometimes it's enough just to remove the lump. That's called a lumpectomy. In other cases, the doctor will need to remove the entire breast to get rid of all the cancer or prevent it from coming back. That's called a mastectomy. Other treatments for breast cancer include chemotherapy, medicines that kill cancer cells, and radiation therapy, which uses energy to destroy cancer. Women whose cancer is fueled by the hormone estrogen may receive hormone therapy to block the effects of estrogen on their cancer. Today's breast cancer treatments are better than ever. Many women who have breast cancer go on to live long, healthy lives. The outlook really depends on how fast the tumor is growing, and how far it has spread. That's why it's so important to report any changes in your breasts to your doctor as soon as you notice them. Women who are at an especially high risk for breast cancer because of their family history can talk to their doctor about taking medicine or even having surgery to reduce their risk.

  • Breast cancer

    Animation

  •  

    Breast cancer - Animation

    Of all the different types of cancers, breast cancer is one of the most talked about, and with good reason. One out of every eight women will develop breast cancer sometime in their life. That's why every woman should be thinking about how to protect herself from this disease. Breast cancer is cancer that forms in the breast. Usually, it begins in the tubes that transport milk from the breast to the nipple. If the cancer spreads to other parts of the breast or body, it's called invasive breast cancer. Some breast cancers are more aggressive, growing more quickly than others. Although women are 100 times more likely to develop breast cancer, men can also get the disease because they do have breast tissue. You're more likely to get breast cancer if you're over 50, you started your periods before age 12, or you have a close family member with the disease. Drinking more than a couple of glasses of alcohol a day and using hormone replacement therapy for several years also may increase your risk. The telltale sign of breast cancer is a lump in your breast or armpit. You may also notice a change in the shape, size, or texture of your breast, or have fluid coming from your nipple when you're not breastfeeding. If you notice any changes in your breasts, call your doctor. You'll probably need to have an imaging scan, such as a mammogram, MRI, or ultrasound. A piece of tissue may be removed from your breast, called a biopsy. With these tests, your doctor can tell whether you have breast cancer, and if so, determine whether or not it has spread. So, how do we treat breast cancer? That really depends on the type of cancer, and how quickly it's spreading. Your doctor may recommend that you have the cancer removed with surgery. Sometimes it's enough just to remove the lump. That's called a lumpectomy. In other cases, the doctor will need to remove the entire breast to get rid of all the cancer or prevent it from coming back. That's called a mastectomy. Other treatments for breast cancer include chemotherapy, medicines that kill cancer cells, and radiation therapy, which uses energy to destroy cancer. Women whose cancer is fueled by the hormone estrogen may receive hormone therapy to block the effects of estrogen on their cancer. Today's breast cancer treatments are better than ever. Many women who have breast cancer go on to live long, healthy lives. The outlook really depends on how fast the tumor is growing, and how far it has spread. That's why it's so important to report any changes in your breasts to your doctor as soon as you notice them. Women who are at an especially high risk for breast cancer because of their family history can talk to their doctor about taking medicine or even having surgery to reduce their risk.

A Closer Look

 

Tests for PET scan for breast cancer

 

Review Date: 7/23/2022

Reviewed By: David Herold, MD, Radiation Oncologist in Jupiter, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Editorial update 02/28/2023.

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