Imaging and Mesothelioma Diagnosis
Page Medically Reviewed and Edited by Anne Courtney, AOCNP, DNPThis page has been fact checked by a Doctor of Nursing Practice who specializes in Oncology and has experience working with mesothelioma patients.
Sources of information are listed at the bottom of the article. We make every attempt to keep our information accurate and up-to-date.
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Imaging studies are necessary to evaluate new symptoms and determine if mesothelioma may be the cause. Receiving a mesothelioma diagnosis can be overwhelming. It is important to keep in mind that early and accurate imaging can help diagnose mesothelioma as soon as possible. This will allow for the right treatment of this cancer.
The Importance of Imaging
Imaging is important in diagnosing mesothelioma. It will provide information such as the extent of disease in the original organ and also show if the cancer has spread to other locations. It is not uncommon for a combination of several imaging exams to be performed at initial diagnosis. Once treatment is underway, your doctors will determine the best imaging studies to be performed on a regular basis to reflect accurate comparisons in order to determine if treatment is working.[1]
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X-Ray
This is a common initial study performed when someone has any trouble breathing, coughing, or chest discomfort. An X-ray uses high energy electromagnetic radiation to image dense tissue in the body. Using an X-ray image, the doctor can see if the pleura around the lungs has thickened, an indication of cancer. X-rays also indicate fluid build-up, another type of asbestos-related condition which may indicate mesothelioma.[2]
CT Scan
Computed tomography, or CT scans, also uses X-rays. This technique, instead of taking two-dimensional images created with a chest X-ray, takes cross-sectional images of the body. When receiving a CT scan, the patient lies on a table while the device moves around the body making multiple images. A computer then takes those images and creates detailed cross sections. A radioactive dye, either injected or ingested as a drink, can provide a more detailed image because the dye helps distinguish between finer structures in the body.
CT scans are useful for diagnosing mesothelioma. The image shows abnormal tissue which could be malignant tumors. These scans also help stage cancer, determining how much it has spread to other tissues.[3] CT scans also help doctors determine if treatment is working and the effect it has had on tumor number and size.
MRI
An MRI, or magnetic resonance imaging, creates a picture similar to a CT scan. Instead of X-rays, an MRI uses radio waves to take detailed pictures of the body’s soft tissues. MRI scans typically require a dye to show contrast between blood vessels and other tissues. If a patient is allergic to the dye used for CT scans, an MRI is an alternative and vice versa. MRIs are particularly useful for imaging the diaphragm.[1] The diaphragm is often difficult to see in a CT scan because it is located underneath the lungs.
The image produced by an MRI is slightly more detailed than a CT scan.[3] However, an MRI takes significantly longer. To have an MRI, you must lie inside a hollow tube. Because the space is tight, it may not be an option for those who are obese or overweight. The confined space is also problematic for people who may experience anxiety and fear. Should that be the case, speak with your doctor and they may be able to prescribe some medication to help alleviate these feelings prior to the scan.
PET Scan
Positron emission tomography, or PET scans, uses a radioactive material to image the inside of the body. First, a radioactive substance is injected into the body. Next, a scanner takes pictures of the radioactivity. The process requires you to lie on a table for about a half an hour. The image is not as clear as a CT or MRI scan, but is useful in other ways.
One important thing a PET scan can determine is whether tissue that appears abnormal is malignant or benign. It can also determine where the cancer has spread because a PET scan produces a whole-body image. The PET scanner can be combined with a CT scan to give your doctor a more detailed and comprehensive image. This combination also produces a three-dimensional image.[1]
Echocardiogram
This is a specialized ultrasound to evaluate the function of the heart. This helps determine if there is fluid in the lining around the heart as well as the overall function. It allows for visualization of the valves as the heart pumps. This is helpful when your doctors want to take a closer look at heart function beyond what is seen on a CT or MRI.[1]
Imaging Goes Beyond Diagnosis
These imaging techniques are crucial for a complete mesothelioma diagnosis; however, they are useful for much more than that. If you have mesothelioma, scans can help your doctor stage the cancer. The images also allow your doctor to see how far the cancer has spread, as well as how large the tumors are in the original location.
Images also track cancer progression and treatment. If you have surgery, chemotherapy, or radiation, an imaging scan can show how successful that treatment has been. Because they allow your doctor to see the progress of the treatment, these images also influence the next step of cancer treatment.[4]
Page Medically Reviewed and Edited by Anne Courtney, AOCNP, DNP
Anne Courtney has a Doctor of Nursing Practice degree and is an Advanced Oncology Certified Nurse Practitioner. She has years of oncology experience working with patients with malignant mesothelioma, as well as other types of cancer. Dr. Courtney currently works at University of Texas LIVESTRONG Cancer Institutes.