One scan is all you need!
Get the most accurate information about your cancer. Fast.
One scan is all you need!
Get the most accurate information about your cancer. Fast.
If you’re reading this, it is likely that you or someone you care about either has cancer or you’re concerned that you might.
We are here to help you find out for sure, and to ensure that you have the most accurate diagnosis and most effective treatment. For over 15 years, the CTOAM team has been helping cancer patients around the world access the most advanced and beneficial diagnostics and treatment options for cancer. PET/CT is the world gold standard for imaging tests for cancer diagnosis. And yet, patients around the world are often not offered this powerful diagnostic tool.
For example, in just one province in just one country (Ontario, Canada) alone, 11,000 patients died unnecessarily in 2022 because of massive wait times to even get a diagnosis.* This issue is not limited to Ontario, nor just to Canada.
And you don’t need to wait – you don’t need to waste precious time on tests that are not going to get you and your doctor the information they most need. We are here to help. Once you have proof with a PET/CT scan of your cancer status, the cancer clinic nearest you will be able to act more rapidly to get you the surgery and treatment you most need.
PET/CT (Standard FDG PET) and PSMA-PET (for prostate cancer – Prostate Specific Membrane Antigen PET) are the only imaging tests that can tell you definitively with one scan whether you do or don’t have cancer.
CT scans require multiple scans over three to six months or more and, even then, are only up to 60% accurate. Yet, they are cheap and plentiful as they are already a part of our healthcare system, whereas PET/CT is newer technology. (Even though PET-CT was first developed in a combined USA and Canadian research program in 1998 – 25 years ago!)
While PET/CT is well proven to be far superior to CT and MRI for cancer detection and staging, at this time, due to lack of uptake in the healthcare infrastructure, PET-CTs cost more.
So, CT scans are still the most used imaging tool for cancer despite their significant limitations (60% maximum validity only after repeated scans – see additional resources for more information and statistics).
Cancer patients should not have to suffer inaccurate diagnoses or less than the best care simply because of budget limitations and outdated technologies when better options exist.
This is why our team has been coordinating private PET/CTs for our patients for over a decade in Canada and around the world.
Our team has 55+ combined years in cancer care
Surgery can be more effective - more of the tumour(s) can be removed.
Radiation can be properly targeted.
You’ll get a better biopsy sample to have genetic testing performed.
You see, sometimes the most aggressive tumours are not the largest ones – but they are the ones we want addressed asap. Ideally, those are the ones we want to use for genetic testing of your biopsy/surgical tissue to ensure your treatment is targeted to the most aggressive mutations that are driving your cancer.
A Few Common Questions About PET-CT
PET/CT can detect tumours as small as 0.88 cm in size.
A PET/CT scan (i.e. standard FDG PET) is an excellent to use for almost all types of cancer except:
a) Blood-based cancers that are in early stages, and therefore have no solid tumours. For these types of cancer, we offer a blood-based assay that looks at every gene in your body (20,813 of them!) to see if cancer is present – this test is called Liquid RNA or LRNA. If you would like more information on this test just let us know. (However, please note: "F-FDG PET/CT may become a critical diagnostic tool for the early diagnosis of leukemia in patients without a remarkable abnormality in peripheral blood or patients presenting with non-specific symptoms, such as bone pain and fever.")
b) Glioblastomas/brain cancers – because the brain drinks up a lot of the glucose solution (from a PET-CT), which can give false readings. MRI is the preferred imaging test for the brain, since it is very clear. It is worth nothing, however, that PET/CT can be used to determine necrosis versus progression in brain cancers.
If you would like more information, just contact us or book a Free Cancer Care Strategy Session with us.
d) Some kidney, urothelial and bladder cancers.
e) Some low-grade sarcomas (i.e. soft tissue cancers).
f) And there’s a special PET/CT just for prostate cancer called PSMA-PET. This stands for: Prostate Specific Membrane Antigen. It is not the same as PSA. This test provides prostate cancer patients with a very accurate diagnosis. An entire field of cancer treatment has been established for prostate cancer patients based on the information provided by this scan. This field is call Theranostics. We can help coordinate your access to Theranostics if that is the right treatment for you.
If you're unsure whether PET-CT is right for you, just email us at admin@ctoam.com to ask.
A PET-CT scan is excellent for almost all types of cancer. (Please see the question above for the cancer types it does not work well for.) PET-CT is a combination of positron emission tomography (PET) with computerized tomography (CT). It is a powerful, essential tool for cancer detection and diagnosis. It is superior to a CT scan in many ways: PET-CT can identify the aggression level of tumors anywhere in the body; differentiate between benign vs. malignant tumors; and requires just one scan to provide you with this information, rather than relying on comparison between multiple scans.
A PSMA-PET scan is specifically for prostate cancer. It stands for: Prostate Specific Membrane Antigen (not the same as PSA). This test provides prostate cancer patients with a very accurate diagnosis. An entire field of cancer treatment, called Theronostics, has been established for prostate cancer patients based on the benefits of this scan. If you get a PSMA-PET and we learn that Theronostics is the right treatment for you, our team can help coordinate access to this leading-edge treatment. Many of our patients have had great success with Theranostics.
The PET/CT is a full body scan. However, it does not include the brain and cannot be used for accurate brain imaging. This is because the brain is just as thirsty for resources as cancer is and, therefore, will also drink up quite a bit of the isotope/glucose solution, giving a false sense of cancer presence there.
For the rest of your body, PET/CT is the best way to identify what is and isn’t cancer.
If there is any reason whatsoever to assume anything cancer-related is in the brain region, the best diagnostic tool you can use is an MRI. We can coordinate an MRI for you if needed.
"A positron emission tomography (PET) scan is an imaging test that can help reveal the metabolic or biochemical function of your tissues and organs. The PET scan uses a radioactive drug called a tracer to show both typical and atypical metabolic activity. A PET scan can often detect the atypical metabolism of the tracer in diseases before the disease shows up on other imaging tests, such as computerized tomography (CT) and magnetic resonance imaging (MRI)." – Mayo Clinic
"With PET/CT, Stanford doctors can make more accurate diagnoses, develop more targeted treatment plans, and do better, less-invasive treatment monitoring, which should result in improved patient outcomes." – Stanford Healthcare
"Unlike computed tomography (CT) or magnetic resonance imaging (MRI), which show anatomic detail, PET images biochemical or physiologic phenomena. Because of this, PET offers substantial advantages over anatomic imaging modalities in oncologic imaging. PET can often distinguish between benign and malignant lesions when CT and MRI cannot." – PubMed (From 2005!)
"Research demonstrates that many treatment plans change drastically after a cancer patient receives a PET/CT scan: "Depending on the tumor subtype, changes in
therapeutic management of between 15% and 40% based on PET or PET/CT findings have been described." – Journal of Nuclear Medicine Technology
Double the Diagnostic Clarity.
Clearly, the fact that a PET scan and CT scan show different things, that when combined patients reap twice the diagnostic benefits. Alone, a PET scan will show areas of increased activity within the body – while a CT scan alone produces detailed images of tissues and organs inside the body. Together, the scans allow your doctor to see exactly where the issues are, and what may be contributing to it. It can help differentiate between a cancerous and noncancerous mass in the body.
It is a relatively painless procedure that measures both anatomy and metabolic function within the patient’s body as images are captured in a single scan.
The actual scan only takes about a half an hour to complete.
Easy and non-disruptive. Aside from the initial injection of the radioactive material, the exam is non-invasive and requires no recovery or downtime afterward. Patients may immediately assume normal activities after a PET/CT scan.
help diagnose certain cancers
see how far the cancer has spread (staging)
find out if cancer treatment is working or as part of follow-up
check if cancer has come back (recurred) after treatment or spread to other parts of the body
help diagnose non-cancerous conditions
The advantage of PET scanning is that it may show more extensive disease than the CT or MRI.
This information could change how the illness is managed (for example, whether a patient is offered aggressive, potentially curative treatment as opposed to palliative treatment).
"Compared to the standard scans alone, when PSMA-PET/CT was used, clinicians changed how they might treat a patient with clinically significant prostate cancer in 19% of cases. The technique also helped detect significantly more clinically significant prostate cancers."
"On the basis of the findings, treatment was altered in 81% of patients in the PET/CT-FDG group and in 95% in the conventional staging group with upstaging to stage IV. On the basis of the results, the Ontario Ministry of Health now funds [PET/CT-FDG] for the staging of patients with clinical stage IIb (T3 N0) and stage III breast cancer."
STEP 1
Initiate Your PET/CT Scan
Just out your brief intake form and then wait for our team to contact you within 24 business hours. We will answer questions you have and gather any additional information about your specific situation and PET-CT scan needs, and explain how payment works. You can feel confident that we're handling everything for you.
STEP 2
Your Form Gets Signed
Our team's Medical Doctor will review your information further and, assuming a PET-CT scan is right for you, they will sign the test requisition and return it to our team that same day. This will put your test coordination into motion and you will soon receive further information about the date, time, and location of your scan.
STEP 3
We Book Your Scan Date
Our team will now begin to find the soonest appointment at the nearest location for you. Many clinics can book you in within just a few days! The longest wait for a private PET/CT scan is usually 2 weeks (for some regions in Canada). But often we are able to get you booked and scanned within the same week you reach out to us.
STEP 4
Having Your PET-CT Scan
You will get all the information you need on when and where to go for your scan. We'll ensure you are fully prepared, know what to expect, and feel as relaxed as possible about going to your scan. The whole experience will be as stress-free as possible!
STEP 5
Get Your Results in 48 Hours
Your scan results will be available to us within 48 business hours of your scan. You will receive a call from our cancer specialist, Alex Rolland, to discuss your results on the same day we receive them. We will also forward your results to your doctor and treatment team to ensure they're in the loop.
STEP 6
What Happens After Your Results
You will receive recommendations for your next steps from our cancer specialist, Alex Rolland, based on your scan results. If there is anything that needs to change regarding your staging and/or treatment plan, our team is here to help you and your treatment team move forward with getting you the care you need, as fast and easily as possible.
Frequently Asked Questions
PET/CT scans in Canada range in fee from $1,000 CAD to $3,500 CAD, depending on the location. (To you give you an idea, British Columbia is least expensive while Quebec is most expensive.)
In the USA, they range from $3,000 USD to $6,500 USD, depending on location and additional services associated with the scan.
When you use our PET-CT Scan Coordination Service, our team will find the scanning clinic that is closest to you and the least costly – and you will always have the option to choose the facility that works best for your needs.
We work hard to make these leading-edge diagnostics accessible to as many patients as possible!
Our PET/CT coordination program costs $497 CAD. (Approx. $360 USD.)
This fee includes:
The cost of our Medical Doctor reviewing your file and completing your requisition form.
Our administrative team's time to find and book you in for a scan at the clinic of your choice ASAP.
A phone call from our director, Alex Rolland, within 48 hours after your scan to discuss your results and best next steps.
Submitting the scan results to your treatment team.
We are often able to get you booked and scanned within the same week you reach out to us. The longest wait for a private PET/CT scan would be around 2 weeks (for certain regions in Canada with fewer scanning clinics, for example).
Statistics from studies conducted all around the world show that treatment plans are changed 95% of the time based on the PET/CT results!
If your scan results indicate that there is anything that needs to change regarding your staging and/or treatment plan – whether for surgery, radiation, or treatment options – our team is here to help you figure out what your best next steps are.
We will ensure that every step moving forward happens as quickly and effortlessly as possible. We will guide you and your treatment team towards the very best possible treatment that science-based medicine can provide you today.
If you would like our team to arrange a PET/CT scan or PSMA/PET scan for you, just do this:
Click any of the orange buttons on this page
You will be taken to an intake form
Fill out your intake form and click 'Submit'
You will then be taken to a secure payment page
After you make your secure payment, our Medical Office Director, Lindsey, will follow-up with you within 24 business hours
And our team will get things going for you ASAP!
If you would like to speak with us to ask questions prior to filling our your form, you can email our Medical Office Director, Lindsey, at admin@ctoam.com or give our office a call at (+1) 778-999-5463.
We're happy to talk with you and ensure you have the answers you need in order to feel confident about your choices during this challenging time.
PET/CT and thorough genetic testing will give you and your treatment team the most accurate treatment plan. But what does that really mean? I mean, how far away from "thorough" is your standard of care diagnosis?
Well, right now – as of late 2023 – "thorough genetic testing" means identifying, across as much of your personal genome as possible, which mutations and molecular features are involved in your cancer. And that means ensuring you have both DNA and RNA testing – not just one or the other! – as well as one or two other specific types of tests based on your specific type of cancer. And you want to ensure you have a genetic panel that looks at a minimum of 350 genes: ideally, you want a 550+ gene tumour DNA panel and a 21,000 gene RNA panel.
If you’re not sure whether you’ve had genetic testing, don’t just ask your doctor if you’ve had genetic testing. Instead, ask them to provide you with the following:
a) The name of the test used and
b) A complete copy of the results of the testing. (Our team can also facilitate this for you if you prefer.)
Seeing the test results will allow you, or other experts like our team, to assess the thoroughness of your testing so far and ensure that any genetics that have been performed are being applied as effectively as possible. For example, our team will do this for you as part of your Precision Second Opinion consultation and follow-up.
Always remember: only 20% of doctors surveyed in the USA in 2023 say that they feel they have even a moderate sense of confidence in how, and when, to use genetic testing and how to apply the results of the tests to inform their treatment of their individual patients. That is not a lot!
Given the tens of thousands of scientific papers showing the massive benefits of targeted therapies and properly applied immune therapies – which can only be identified and accessed for you with genetic testing – it is reasonable to consider it negligent of our cancer care system that this testing is not provided to every single cancer patient immediately upon diagnosis. However, that’s a topic for another day.
The most important point here is there is so much that can be done to enhance standard of care and to significantly increase your odds of beating cancer – whether you are stage I, or stage IV, or anywhere in between.
Our team provides all the support that your doctor needs to access the best possible treatment(s) for you – even if the treatment is brand new to them or has never been used at their cancer centre before. As long as it’s FDA-approved, which all of our treatment recommendations are, then your doctor can prescribe it for you.
And that is what we are here for! To help advocate with your treatment team for your best care; to stand by to assist in coordination of the best treatment options for you; advocate with your doctors; and, if needed, arrange further testing of your tumour DNA, RNA, or other important indicators of which many hundreds of new FDA approved, non-chemotherapy treatments would give you the greatest possible benefit.
Visit our YouTube channel and search for your cancer type to learn a bit more about the many hundreds of different types of non-chemo-based FDA approved therapies for your cancer type. And be sure to watch the PET/CT video that I shared at the top of this page to learn more about PET-CT scans.
Our team has 55+ combined years in cancer care
Annette F.
Stage 4 survivor, now cancer-free for 8+ years
“We have only good things to say about CTOAM. Alex was just so positive and we enjoyed our phone calls with him because after we talked to him, we were like, okay we can do this! You know, I want the person who knows the most about cancer to be managing my case. And Alex is that person. In 2015 I was diagnosed with stage 4 cancer and I didn't know if I'd be able to see my first daughter graduate highschool. Now it's 8 years later and I was able to do that! And I'm still in long-term remission."
Elke D.
Stage 3 survivor, cancer-free for 4+ years
“I’m thankful to CTOAM for all I’ve learned about cancer and have recommended you to many friends. I had a couple phone consults with Alex two years ago. As a result of his suggestions I asked for a biopsy and genetic analysis and targeted treatment. Fortunately I met the criteria for immunotherapy which has been very effective in treating my lung cancer for the past couple years. My latest scan shows no tumours and I’m off treatment now. I wish I had discovered and trusted CTOAM sooner."
Korey H.
Stage 4 survivor, now living an excellent quality of life for 5+ years
"For a lot of people, I think the route with Alex is sort of a must. I trusted him wholly right away. He shows you the science behind everything and then it’s up to you to decide what you want to do. He goes along with your choices, never forces anything on you. I wished I’d known about CTOAM a lot sooner and talked to you years ago. But thankfully it all worked out. Without Alex, I wouldn't have gotten the immunotherapy and then I'd still be on chemo. Or worse."
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Email: admin@ctoam.com
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Suite 377142-757 W. Hastings St. Vancouver BC, V6C 1A1
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Toll-free Phone Number:
1-833-493-5463
Phone Number (Canada):
778-999-5463
Office: We serve patients worldwide. Our headquarters is in Vancouver, BC, Canada.
Call 1-833-493-5463
Email: admin@ctoam.com
Site: www.ctoam.com