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Positron emission tomography

Positron-emission tomography (PET) is a nuclear medicine functional imaging technique that is used to observe metabolic processes in the body as an aid to the diagnosis of disease. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radioligand, most commonly fluorine-18, which is introduced into the body on a biologically active molecule called a radioactive tracer. Different ligands are used for different imaging purposes, depending on what the radiologist/researcher wants to detect. Three-dimensional images of tracer concentration within the body are then constructed by computer analysis. In modern PET computed tomography scanners, three-dimensional imaging is often accomplished with the aid of a computed tomography X-ray scan performed on the patient during the same session, in the same machine. Positron-emission tomography (PET) is a nuclear medicine functional imaging technique that is used to observe metabolic processes in the body as an aid to the diagnosis of disease. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radioligand, most commonly fluorine-18, which is introduced into the body on a biologically active molecule called a radioactive tracer. Different ligands are used for different imaging purposes, depending on what the radiologist/researcher wants to detect. Three-dimensional images of tracer concentration within the body are then constructed by computer analysis. In modern PET computed tomography scanners, three-dimensional imaging is often accomplished with the aid of a computed tomography X-ray scan performed on the patient during the same session, in the same machine. If the biologically active tracer molecule chosen for PET is fludeoxyglucose (FDG), an analogue of glucose, the concentrations of tracer imaged will indicate tissue metabolic activity as it corresponds to the regional glucose uptake. Use of this tracer to explore the possibility of cancer metastasis (i.e., spreading to other sites) is the most common type of PET scan in standard medical care (representing 90% of current scans). Metabolic trapping of the radioactive glucose molecule allows the PET scan to be utilized. The same tracer may also be used for PET investigation and diagnosis of types of dementia. Less often, other radioactive tracers, usually but not always labeled with fluorine-18, are used to image the tissue concentration of other types of molecules of interest. One of the disadvantages of PET scanners is their operating cost. A similar imaging process to PET is single-photon emission computed tomography (SPECT), which also uses radioligands to detect molecules in the brain, and is less expensive. PET is both a medical and research tool. It is used heavily in clinical oncology (medical imaging of tumours and the search for metastases), and for clinical diagnosis of certain diffuse brain diseases such as those causing various types of dementias. PET is also an important research tool to map normal human brain and heart function, and support drug development.

[ "Nuclear medicine", "Radiology", "Pathology", "Neuroscience", "Single photon emission computerised tomography", "Single photon emission computerized tomography", "2 18f fluoro 2 deoxy d glucose", "6 18f fluoro l dopa", "whole body pet" ]
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