What is a PET-CT scan? 

Positron Emission Tomography-Computed Tomography (PET-CT) combines two different techniques in one scanner.


PET-CT is a diagnostic imaging technique used mainly in oncology, neurology, cardiology, infection and inflammation, and planning surgery and treatment.


It gives clinicians two sets of information about the body from one examination – functional and structural.


The CT scanner takes a series of two-dimensional cross-section images ("slices") and the computer uses these to construct a three-dimensional image.


PET works by detecting gamma rays from a radioactive tracer injected into the body.


Important things to tell us

It’s important that you tell us before the scan if you:


  • are diabetic
  • are (or might be) pregnant, breast feeding or in contact with young children
  • weigh more than 100kg
  • are booked for other appointments on the same day
  • suffer from allergies or asthma
  • have ever received chemotherapy or radiotherapy
  • have a follow-up appointment with your doctor


Important things to tell us

It’s important that you tell us before the scan if you:


  • are diabetic
  • are (or might be) pregnant, breast feeding or in contact with young children
  • weigh more than 100kg
  • are booked for other appointments on the same day
  • suffer from allergies or asthma
  • have ever received chemotherapy or radiotherapy
  • have a follow-up appointment with your doctor



BEFORE YOUR SCAN


  • Unless we tell you otherwise, please don't eat or drink (except water) for six hours before your appointment.
  • It is helpful if you drink four or five glasses of plain water before your appointment.
  • Let us know if you have any disabilities so that we can offer you the highest quality service.
  • Confirm your appointment by phone 24 hours before your scan.
  • You’re welcome to bring a friend or a relative with you but, for safety reasons, we can't normally allow them into the examination room. Companions who are pregnant will not be allowed into the examination room.
  • Arrive in plenty of time. We will need to give you a radioactive tracer (see below for more details) which has an extremely short shelf life. If you are late, we might not be able to use it and your appointment may need to be rescheduled.
  • We may give you medicine to enhance the scan results. If we think this is necessary, we will discuss it with you before your scan. However, you will not be able to drive afterwards so you will need to arrange for someone to collect you.
  • Bring your appointment letter with you.

PREPARING FOR YOUR SCAN


  • Once you have checked in, a member of the radiology team will meet you, explain the procedure, go through your safety questionnaire with you and ask you to sign a consent form. You will have the opportunity to ask any questions about the scanning process.
  • We may ask you to change into a hospital gown. We’ll provide somewhere for you to change and safely store your personal possessions.
  • We will inject you with a radioactive tracer. It is a minor injection, similar to having a blood test.
  • After the injection, you will be taken to a quiet room in which you can lie still without talking for an hour. This allows your body to absorb the radioactive tracer.
  • Then, we’ll ask you to empty your bladder, and you will be ready for your scan.
  • Throughout the procedure, you will be looked after by the radiology team. They will explain what’s happening and will be there if you experience any discomfort or have any concerns.

DURING YOUR SCAN


  • The radiographer operating the scanner will be able to see and hear you throughout the procedure.
  • We’ll ask you to lie down on the scanner bed and we'll make sure you're comfortable so you can stay as still as possible. 
  • Most scans take between 30 minutes and one hour. You won’t feel anything during the scan.

AFTER YOUR SCAN


  • You will normally be able to drive after your scan. Our team will tell you in advance if you can't.
  • Drink plenty of fluids to help flush the tracer from your body.
  • We strongly recommend that you avoid close contact with pregnant women or young children for eight hours following your scan.
  • A radiologist will examine the images after your visit and send a report to your doctor or consultant, normally within 48 hours.
  • For ethical and professional reasons, we cannot discuss results with you. Only your doctor or consultant can do this.

Your Patient Journey


Referral

Your doctor or clinician sends your imaging referral to Alliance Medical.


Authorisation

Your referral is reviewed by clinical staff and verified. We may contact you with further questions.


Booking

Our team will contact you by telephone or letter with a choice of dates and times for your appointment. Once your appointment is booked, we will send you confirmation and an information pack by post or e-mail.


The Bookings Team can also assist you with any queries and we will offer you the choice of an e-mail or SMS reminder service.


Imaging

On the day of your appointment, you will attend the Alliance Medical Guildford PET-CT Centre. A member of the team will be with you throughout your appointment and can answer any of your questions.


Read more about the preparation for a PET-CT scan. Once the diagnostic imaging is completed, you can get changed and you will be given your discharge information.


Reporting

Your scan images will be shared with an appointed Consultant Reporter. They will review your images and write a report on their findings.


Results

Once reported, the results will be sent back to your referring doctor or clinician. They will contact you with any further follow up or treatment required.

Patient FAQ


Your PET-CT Scan

  • Why am I having this test?

    Your Consultant has referred you for a PET-CT scan. This test will provide important diagnostic information to help your Consultant and their team plan appropriate treatment for you.


    If you have any concerns either before or after your scan, please don’t hesitate to contact the team at the Guildford PET-CT Centre by emailing guildfordpet@nhs.net or calling 01483 948348.  

  • I have already had a CT scan. Why do I need another one?

    The CT performed in a PET-CT scan is used to complement the PET information. It is not used in the same way as a full CT.

  • How long will the test take?

    This relatively simple procedure should take between 2 to 3 hours from start to finish. 


    The actual time spent on the scanning bed is around 30 minutes. However, there is at least 90 minutes of preparation necessary before the scan. Therefore, it is very important to arrive on time for your appointment. 


    For the procedure you will be given a radioactive injection which is produced specifically for you, and has a very short shelf life, meaning that it doesn’t last very long in your body.


    If you are late we may not be able to proceed with your scan. If you're worried that you will be late, call us on 01483 948348.  

  • Can I bring someone with me?

    Whilst a friend, relative or carer may accompany you to the PET-CT Centre, they will not be able to go with you into the preparation area unless they are providing translation services or there is a legal need for them to be present. 


    They will not be able to accompany you into the scanning room. A member of our team will be watching your scan from the Control Room and, if you have any concerns during the procedure, you will be able to communicate with them via a two-way microphone.

  • What do you mean by radioactive?

    Radiation is simply a type of energy; the most familiar form of radiation is visible light like that produced from the sun. 


    Other forms of radiation, like X-rays and gamma rays, are used in medical imaging and provide useful tools for the diagnosis and treatment of diseases. 


    In PET, the amount of radiation given in an injection is just sufficient to obtain the required information and, after a short time, there is no trace that the test was ever done. 


    The radiation decays away soon after your scan is complete. The amount of radiation received from a PET-CT scan is comparable to that of many diagnostic X-ray and CT procedures.

  • Are there any after effects?

    There have been no documented side effects associated with the radioactive injection. 


    The small amount of radioactivity involved is kept to a minimum and has a very short shelf life. It will not make you nauseous or drowsy so will not prevent you from driving to and from your appointment.

  • How will my appointment be made?

    Once we have received a completed request form from your Consultant, we will contact you to make an appointment and discuss the procedure. An information pack will be sent to you via email or through the post. 

  • What is the difference between PET and other medical imaging tests?

    Procedures such as X-Ray, CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) provide valuable information

    about the structure or anatomy of the tissues being examined. 


    By giving small quantities of a radioactive injection called 18F-Fluorodeoxyglucose (similar to sugar), PET (Positron Emission Tomography) produces images showing how the cells of your body are functioning. 


    By combining PET and CT in a single scanner, images are produced which can reveal information regarding the exact location, size, nature and extent of disease anywhere in the body with much greater detail.

  • How do I prepare for the scan?

    Unless you are told otherwise, please do not have anything to eat or drink for 6 hours prior to your appointment except plain water, and any necessary medication. We encourage you to drink plenty of plain water both before and after your scan (approximately 4 to 5 glasses) as this helps flush the injection we give you through your body. You may continue to use the toilet as usual prior to your scan.


    When you arrive at the centre and have been checked in for your appointment, you will be taken through to the patient preparation area. You may be asked to change into a gown and remove any jewellery or metallic objects. 


    The procedure will be fully explained by our team, and they will also take a brief clinical history.

  • What does the scan involve?

    You will be taken to a private, quiet uptake room where you will be given a small injection of a radioactive liquid into a vein - usually your arm. This is a small injection, similar to a blood test. Each injection is prepared on the day of the scan, specifically for your needs. 


    After receiving the injection, you will need to rest and remain lying down comfortably for approximately 1 hour while the injection is absorbed into your body. During this time it is very important that you remain rested and relaxed.


    Once the injection has been absorbed, you will be given the opportunity to go to the toilet and you are then ready for your scan. In the scanning room, you will be asked to lie down on your back on the scanning bed. The bed will move through the ring of the scanner and collect images for around 30 minutes, depending on the type of scan that you need. You will need to remain still for the scan however you can continue to breathe normally throughout. A member of our team will be watching your scan from the control room and if you have any concerns during the procedure you will be able to communicate with them via a two-way microphone.

  • Is sedation necessary?

    Sedation will not be offered for this test and will not be available on the day of your appointment. If you have any concerns, please contact us by emailing guildfordpet@nhs.net or calling 01483 948348.  

  • What happens after the scan?

    After the scan has been completed, you are free to change back into your clothes and leave. Because a small amount of residual radioactivity will still be in your body, we recommend that you don’t have close contact with pregnant women or young children for 8 hours after the scan. We encourage you to drink plenty of water (approximately 4 to 5 glasses), and go the toilet as usual.


    Your images will be analysed by our PET-CT Specialists and a report will be sent to the doctor who requested your scan. We aim to have your results returned to the referring doctor within a week of your scan.

Your Medical History

  • Do I need to provide my medical history?

    Yes. Our team needs to fully understand your recent medical history in order for them to be able to provide a comprehensive report.

  • What if I have reduced mobility?

    Your Consultant should indicate on the referral form if any special requirements are needed, if you are disabled or if you have reduced mobility. 


    When we contact you to arrange your appointment, we will also ask you questions regarding your mobility to ensure we can give you the best possible care.

  • What if I am Diabetic?

    When we contact you to arrange your appointment, please let us know if you are diabetic. If so, we will give you special dietary instructions to follow prior to your scan. It is important that you let our team know prior to the day of your scan if you are taking tablets, on insulin or controlling your diabetes with diet alone.


    The radioactive injection is a form of sugar or glucose which allows for areas of interest to be highlighted on the scan.


    Diabetes can affect the PET-CT scan in the following ways:


    • If your own blood sugar level is high, your body will not take up as much of the injection because your own sugar will be taken up in preference. This means that the scan may not highlight areas of interest.
    • If your insulin is high, this will also affect the scan results because the insulin encourages your own normal tissues and organs to take up the injection and once again the areas of interest may not be highlighted.

    Because your blood sugar level is so important for the scan, all patients coming for a PET-CT scan will have their blood sugar measured before the radioactive tracer injection is given - even people who don’t have diabetes. 


    The blood might be taken by a fingerprick test or a drop of blood might be taken during the injection. Ideally, blood sugar level should be between 4 and 10 millimoles per litre before the scan. If the level is more than 12, we would usually postpone the scan.


    The amount of glucose you are given for the scan is not known to affect your diabetes.

  • What if my child needs a PET-CT scan?

    Specific guidelines apply for children referred for a PET-CT scan, and the referring Consultant will also be asked to complete a Paediatric Patient Questionnaire.


    Age, weight and ability to cope with the procedure are all taken into account.


    If you have any concerns, please contact us by emailing guildfordpet@nhs.net or calling 01483 948348.  

  • Do I need to stop my medication?

    No. Unless you have been told otherwise, you can continue to take any medication that has been prescribed by your Doctor and you may take over the counter medications.

  • What if I am undergoing cancer treatment?

    It is crucial for us to know if you are currently undergoing any Chemotherapy or Radiotherapy, if you have had therapy in the past, or if you are scheduled to start therapy. Your PET/CT appointment will need to be scheduled around your therapy dates.


  • What if I am hard of hearing?

    Your Consultant should indicate on the referral form if any special requirements are needed, for example if you have any disabilities in relation to your hearing. When PMC phones to arrange your appointment they will also ask you questions regarding any disabilities.


    If you have any concerns, please contact PMC on 0845 045 0103 to discuss.

  • What if I am pregnant?

    It is imperative that we know before the test if you are trying to get pregnant, are pregnant or breast feeding. As the procedure involves radioactivity, your referring Consultant and the PET Specialists need to be able to ensure the need for the scan.


    If you are pregnant or breast feeding, the team will need to give you special advice to follow after the procedure.

  • What if I have a pacemaker, joint replacement or other implant?

    There is no risk involved with this test if you have any of the above. Implants or joint replacements may be identified on the scan, so it is important for our team to know your medical history. You will be asked to remove hearing aids, dentures and limb prostheses prior to the scan.

  • What if I am visually impaired?

    Your Consultant should indicate on the referral form if any special requirements are needed, for example if you are visually impaired. When PMC phones to arrange your appointment they will also ask you questions regarding any disabilities. Patient literature can be provided in Braille.


    If you have any concerns, please contact PMC on 0845 045 0103 to discuss.

Guildford PET-CT Centre

  • Is parking available?

    Yes, there is plenty of free parking available at Guildford PET-CT Centre. 

  • How will I find out more information?

    To speak to a member of the team, please contact us by emailing guildfordpet@nhs.net or calling 01483 948348.  


    Further information can be found on the Alliance Medical website http://www.alliancemedical.co.uk

  • How do I provide feedback?

    If you would like to speak to a member of our team directly, please contact us by emailing guildfordpet@nhs.net or calling 01483 948348.  


    You may also be given the opportunity to complete a Patient Satisfaction Survey (PSS) on the day of your appointment, or you can access one below.

  • Will information be provided in other languages?

    Your Consultant should indicate on the referral form if any special requirements are needed, such as translation services. 


    If you would like to speak to a member of our team directly, please contact us by emailing guildfordpet@nhs.net or calling 01483 948348.  


    We have enlisted the services of a professional translation agency who will be able to assist us in arranging the PET-CT scan appointments of non-English speaking patients, ensuring the patient receives all the relevant safety checks and is provided with the appropriate information required.


    Patient guides are available in the following languages (other languages are available on request):


    Arabic         Hindi

    Bengali       Polish

    Chinese      Punjabi

    Gujarati      Urdu


    At the time of arranging the appointment, we will ask if you have a relative/friend who could accompany you to your appointment and provide translation services. If you are not happy for a relative/friend to accompany you, an interpreter will need to be arranged to assist on the day.

Patient Downloads


A guide to your PET-CT scan with Alliance Medical

Help us improve our service by telling us about your experience with us

A guide for older children to explain a PET-CT scan with Alliance Medical

This illustrated guide helps to explain a PET-CT scan to younger children