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Imaging Guidance: Prioritization of Oncology Patients

• Conduct “timed” imaging examinations during active phase of treatment
(eg, assessment of response)
• Consider deferring surveillance imaging for recurrence

Modality Considerations
CT and MRI • Book per existing scheduling
• Patients with neo/adjuvant indications with modest survival benefits could be considered for deferral

PET • Perform imaging if new therapy is being considered
• Consider deferring in patients with relatively indolent malignancies that will not be treated or therapy
will not be altered during pandemic

BMD • To be deferred unless expressly requested by oncology

Ultrasound • Proceed as required for ongoing clinical management of cancer patients according to planning priority

Interventional • Proceed as required for ongoing clinical management of cancer patients according to planning priority
Radiology • Consider deferring prostate biopsy for non-high-risk patients

Priority levels: A – deemed critical; B – cancer patients requiring systemic/radiation treatment; C – generally healthy, non-life-threatening condition).

Ontario Health - Cancer Care Ontario: COVID-19 Supplemental Clinical Guidance for Patients with Cancer. March 29, 2020
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