PET Imaging

- PET/CT Description and Overview
The PET/CT is designed to help physicians diagnose and localize
cancer faster than ever before with technology combines today's
most sophisticated positron emission tomography (PET) and computed
tomography (CT) systems, producing images that provide anatomic
and metabolic information that result from a single exam in
a single system.
Relevance to Cancer
PET/CT can help physicians, in a single exam, answer critical
questions for patients:
· Where is the tumor? Is it spreading?
· How large is it?
· What is the optimal therapy?
· Is the therapy working?
· Is there a recurrence? And if so, where and to what
extent?
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PET (or Positron Emission Tomography) imaging is a diagnostic
procedure used to visualize metabolically active tissues
using sugar (glucose) molecules labeled with the radiopharmaceutical
FDG (Fluorine-18). The labeled glucose is incorporated into
the actual cell and once the cell has metabolized the glucose,
the low-level radioactivity can be detected by the PET scanner
and then generate images used for diagnosis and treatment.
PET scan results show the areas of abnormal glucose metabolism
and exactly where the areas are located.
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What is cell metabolism? All living cells utilize glucose
to live and make the building blocks of life. Some cells
metabolize glucose faster than others. Cancer cells are
hyperactive and divide quickly, and therefore metabolize
FDG (Fluorine-18) faster than normal cells. On a PET scan,
cancer cells appear "hot" and significantly more prominent
than normal cells.
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Radiation from PET scans is not dangerous. The quantity
of radiation is low and the FDG (Fluorine-18) radiopharmaceutical
has a short half-life (110 minutes). The FDG (Fluorine-18)
decays quickly so that no detectable radioactivity is present
after several hours. In addition to the radioactive decay
of FDG (Fluorine-18), the remaining FDG (Fluorine-18) is
eliminated in the urine.
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Family members are not at risk for exposure since greater
than 90% of the radioactivity has left the body or decayed
before the patient has left the PET Scan Department.
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