When a breast cancer has been diagnosed, some people have a CT scan of their chest and tummy (abdomen) to stage the breast cancer.
Staging tells the doctor how big a cancer is and whether it has spread. Knowing the stage helps your doctor decide which treatment you need.
You usually have this if you have symptoms that could be due to the cancer spreading to the lung or liver. The symptoms could be due to other medical conditions though.
You might also have a liver ultrasound scan if:
- there are cancer cells in the lymph nodes under your arm (axilla)
- you have a larger breast cancer, for example bigger than 5 cm
What is a CT scan?
A CT scan is a test that uses x-rays and a computer to create detailed pictures of the inside of your body. It takes pictures from different angles. The computer puts them together to make a 3 dimensional (3D) image.
CT (or CAT) stands for computed (axial) tomography.
You usually have a CT scan in the x-ray (radiology) department as an outpatient. A radiographer operates the scanner. The whole appointment can take up to an hour and a half depending on which part of your body they are scanning.
Preparing for your CT scan
A couple of hours before your scan you might need to stop eating and drinking. Tell your doctor if this is a problem for you: for example, if you have diabetes.
You might have a drink or an injection of contrast medium, or both. Contrast medium is a dye that helps body tissues show up more clearly on the scan.
Before you have the contrast medium, the radiographer asks if you have any medical conditions or allergies. Some people are allergic to the dye.
They also check the results of your most recent blood test. This is to make sure your kidneys are working well and able to flush the contrast medium out of your body. You'll have a blood test before the scan if you haven't had one recently.
The radiographer explains how to drink the contrast. You usually drink the liquid slowly for about an hour before the scan.
Some people feel claustrophobic or closed in when they‘re having a scan. Tell the radiographers before your appointment if you think you’re likely to feel this way. They can take extra care to make sure you’re comfortable.
When you arrive
The radiographer might ask you to change into a hospital gown. You should remove jewellery and other metal objects, such as hair clips around the area being scanned. Metal interferes with the images produced by the scanner.
In the scanning room
When you’re ready, your radiographer or an assistant takes you into the scanning room. A CT scanning machine is large and shaped like a doughnut.
You might have an injection of a type of dye called a contrast medium through a small tube (cannula) in your arm. You may:
- feel hot and flushed for a minute or two
- have a metallic taste in your mouth
- feel like you’re passing urine but you aren’t – this feeling is common and passes quickly
Tell your radiographer if you feel anxious or claustrophobic about having a scan.
Having the CT scan
You usually lie down on the machine couch on your back. Once you’re in the right position, your radiographer leaves the room to protect them from the radiation. They can see you on a TV screen or through a window from the control room. You can talk to each other through an intercom.
The couch slowly slides backwards and forwards through the hole of the scanner. The machine takes pictures as you move through it.
The scan is painless but can be uncomfortable because you have to stay still. Tell your radiographer if you’re getting stiff and need to move.
During the scan
You’ll hear a whirring noise from the scanner.
Your radiographer might ask you to hold your breath at times.
When the scan is over, your radiographer comes back into the room and lowers the couch so you can get up.
This 2 minute video shows what happens when you have a CT scan.
Voiceover: A CT scan helps your doctor make a diagnosis, decide about what treatment you need or find out if your treatment is working.
This type of scan takes a series of x-rays and uses a computer to put them together.
Before your scan you may need to drink either half a litre of water or a type of dye called a contrast medium. This helps to make the scan clearer.
Before most scans you have a small tube put into your vein, which connects to a drip containing the dye. Again, this helps to show up the inside of your body more clearly on the scan.
During the scan the bed moves in and out of the scanner. You may find it a bit noisy.
As the drip goes in you’ll probably get a metallic taste in your mouth, feel warm and you might think you are passing urine, you’re not. These feelings pass quickly.
The radiographer controls the scan from a separate room. The CT machine takes pictures of your body from different angles and builds up a series of cross sections.
This creates a very detailed picture of the part of your body being scanned. Most scans take just a few minutes. The whole thing takes about 90 minutes and you usually get the results within a couple of weeks.
After your CT scan
You stay in the department for about 15 to 30 minutes if you had an injection of the dye. This is in case it makes you feel unwell, which is rare.
Your radiographer removes the cannula from your arm before you go home.
You should be able to go home, back to work or the ward soon afterwards. You can eat and drink normally.
Getting your results
You should get your results within 1 or 2 weeks.
Waiting for results can make you anxious. Ask your doctor or nurse how long it will take to get them. Contact the doctor who arranged the test if you haven’t heard anything after a couple of weeks.
You might have contact details for a specialist nurse and you can contact them for information if you need to. It may help to talk to a close friend or relative about how you feel.
A CT scan is a safe test for most people but like all medical tests it has some possible risks. Your doctor and radiographer make sure the benefits of having the test outweigh these risks.
Rarely, people have an allergic reaction to the contrast medium. This most often starts with weakness, sweating and difficulty breathing. Tell your radiographer immediately if you feel unwell.
Bruising and swelling
You might get a small bruise around the area where they put the needle in.
There's a risk that the contrast medium will leak outside the vein. This can cause swelling and pain in your hand or arm but it’s rare.
There is a small risk that the contrast medium can affect your kidneys. Your radiographer checks your most recent blood test results before your scan to make sure your kidneys are working well.
Exposure to radiation during a CT scan can slightly increase your risk of developing cancer in the future. Talk to your doctor if this worries you.
Pregnant women should only have CT scans in emergencies. Contact the department as soon as you can before the scan if you are pregnant or think that you might be.