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Imaging Test Can Reveal How Far Cancer Has Spread

Radioactive Fluid Circulates Through Patient's Body

POSTED: 11:35 a.m. EST October 28, 2002

One of the toughest parts of battling prostate cancer is figuring out where it may have spread and finding the best way to treat it.

As part of NewsChannel5's "Loving Partners -- For the Man in Your Life" series, Alicia Booth reported on a new way to find the cancer and a man who's willing to travel thousands of miles to be a part of it.

It is not a usual trip to the doctor for Julian Darley. It's a trip halfway around the world -- from England -- in hopes that he can learn more about his prostate cancer.

Darley said the diagnosis was tough to take, at first.

"I felt like there was a thundercloud or fist right behind my head," he said. "I felt bad. 'Depression' is the wrong word. I felt threatened, really like a sense of doom."

But Darley's doom quickly turned into a commitment to fight, which matched him up with Dr. Bruce Sodee. Sodee is part of a team of nuclear radiologists at University Hospitals who have developed the most specific test of its kind.

"Putting imaging into this mix, we're able to tell the patient where this disease is, and the doctor has a better idea of what therapy to use," Sodee said.

Darley has already battled prostate cancer once, with radiation, but blood tests showed that it wasn't gone.

The imaging test will show him exactly how far the cancer has spread. A radioactive fluid goes into his arm and will circulate through his body.

Four days later, it's time for a scan, which will tell Darley what the future holds for him. The fluid will have attached itself to the cancer cells and be highlighted on the screen.

The scan will produce 3-D images that will help the doctor.

"What used to be a blob is now becoming a pinpoint," Sodee said.

The image is a map that puts everything into perspective.

When NewsChannel5 talked to Darley before the test, he was optimistic.

"I expect to be around for a long while yet," he said.

Sodee had good news for Darley before he went back home. The cancer was, in fact, still there, but it had not spread outside of the local area. That means Darley should have a lot of good years ahead of him, Sodee said.

The doctor said Darley will just have to keep an eye on the cancer and watch his diet.

The imaging, according to doctors, can also work for younger men who have just been diagnosed. In some cases, it can help men avoid unnecessary surgery.

If you have any questions about prostate cancer and want some more information on how to find it and what your treatment options are, call a University Hospitals hot line for a free mailer at (800) 641-2422.





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