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Hey, radiologist here. So, the question of "what next" after a positive result on one of these tests is still... open. The Grail test provides indication of li
by doctoring 5y ago
Hey, radiologist here.
So, the question of "what next" after a positive result on one of these tests is still... open. The Grail test provides indication of likely tissue of origin, so a likely first step may be a targeted study (e.g. colonoscopy if it said a colonic source, MRI if it said pancreatic). There may be role for PET/CT as well to further stage and assess for metastases, perhaps after finding a lesion.
What to do if your blood test is positive but the workup is negative? Lots of discussion but nobody is quite sure.
As for a periodic full body MRI, I will say that currently uh, most of those are garbage. Unfortunately, for a full body MRI to be practical (that is, to not take hours and hours), you have to run very few sequences. (For example, a dedicated MRI of say, your brain or your liver alone could take about hour, each.) As a result, you greatly reduce your sensitivity for most pathologies, which kind of is counter to the point of the MRI to begin with.
- giantg2 5y agoOh, so the test does give the source. I must have missed that part of the article thinking it was only identifying that there was a source in the cfDNA that was abnormal, but not realizing they could determine where it came from.