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Topics:
Medical Oncology • General Internal Medicine • Rheumatology • General Rheumatology • Radiology • Oncology
When screening for malignancy, do you order CT with contrast (or) both with and without contrast?
Do you need to have the non-contrast study when ordering the CT C/A/P with contrast, and what does the non-contrasted show that requires it in additional to the contrast?
Answer from: at Community Practice
I think the best way to think about this is to assess what each scan shows. A CT with oral and IV contrast is very good for assessing details between soft tissues and blood vessels. A CT without contrast is better for assessing for renal stones and for fractures, especially small insufficiency fract...
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Answer from: Medical Oncologist at Community Practice
First, I would recommend a good intake and a thorough physical examination. Depending on the rheumatology symptoms, various cancer diagnoses could be targeted. For example, for dermatomyositis, one would look for ovarian cancer. Then imaging directed toward such cancers, first. In the absence o...