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Lung CT with contrast & CKD 3A

Lung Cancer | Last Active: 1 hour ago | Replies (9)

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Profile picture for Colleen Young, Connect Director @colleenyoung

@abob, I merged your 2 discussions into one and posted it in both the Lung Cancer group and the CKD group so that you can get comments from members of both groups in one place.
I'm tagging @gingerw as she may have some experience with having to deal with kidney disease and CT scans for cancer monitoring.

@abob, is your husband's oncologist aware of the new diagnosis of stage 3A kidney disease?

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Replies to "@abob, I merged your 2 discussions into one and posted it in both the Lung Cancer..."

@colleenyoung
Thanks.
Chest CT is to be done just prior to next appt with oncology PA. I will try to contact them for feedback re contrast. I cannot fault their clinical approach, but sadly their patient communucation is lacking.

@colleenyoung @abob
Group II Gadolinium based contrasts are generally okay for kidney disease patients, as long as their eGFR is greater than 30%. Any time you can get a study done without contrast, opt for that! I realize that it depends on what the study is looking for, but we need to think of how any dye or contrast may affect our kidneys, regardless of their current function level.

I will say that in my case, my kidneys are about 13% eGFR even with dialysis. Some might argue, "hey, you're already on dialysis, how much worse could it be, to have contrast?" At this point, any scans could send me into complete kidney failure. So, my medical team and I discuss every procedure.

It's very important that you keep your team appraised of not only this new kidney concerns, but look into how any medications may affect the kidneys!
Ginger