MadSci Network: Medicine |
A Positron Emission Tomography (PET) scan is a technique that is used both for medical diagnosis involving the detections of certain types of tumors and for study of the functioning the the brain and other organs. It is a type of Nuclear Medicine study (others are bone scans, lung perfusion scans, thyroid scans) that uses the radioactive isotope Fluorine-18 attached to a glucose molecule. The combination is called 18-F-FDG, which stands for 18-Fluorine-fluorodeoxyglucose. The molecule is taken up by cells as glucose is, so it localizes most strongly in cells, such as tumors and the brain, that are metabolically active. The F-18 decays by emitting a positron, which can travel up to 2 mm before bumping into an electron and emitting two 0.5ll Mev photons. PET Can produce very detailed images. It does this by taking advantage of the fact that when the positron and electron annihilate, the two photons produced travel away from each other at 180 degrees. The detector is in the shape of a donut with the patient in the center of the donut hole. Since each F-18 decay produces two produces two photons, since the photons travel 180 degrees away from each other, and since the two photons from a decay strike the detector array virtually simultaneously, the detector: 1) assumes that any two photons hitting within 30 nanoseconds of each other come from a single event (it is right 70% of the time in this assumption), 2) draws a line between the two photon "hits" in order to locate the site of emission somewhere along that line, and 3) repeats the procedure for a huge number of decays. The points where the greatest number of lines intersect are the areas of greatest cellular activity. The F-18 has a half-life of 111 minutes. It is produced in a cyclotron (usually at a site within a few hours of the PET scanner), combined with glucose, and shipped to the PET. One shipment of 18-F-FDG can last a PET scanner an entire day; a large enough dose is delivered to provide for all scheduled patients when the half-life is taken into account.
Try the links in the MadSci Library for more information on Medicine.