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PET-CT
By: Seyedeh Shabnam Mousavi Gezafroodi
Medical Physics M.Sc.
Outline
• Nuclear Medicine
• PET
o Principles
o Radiopharmaceuticals
o Crystals
• PET/CT
o Imaging technique
o Clinical applications
o Radiation exposure
o Coincidence
o Resolution
o Limitations & advantages
Shabnam Mousavi, Medical Physicis
What is nuclear medicine?
• Biodistribution map of Radiopharmaceutical in Body
• Diagnostic (Gamma radiation) & Treatment (Beta radiation)
• Nuclear medicine imaging includes:
1. Radioisotopes (Generator, Baby cyclotron)
2. Radiopharmaceuticals (Hot Lab)
3. Instruments (PET & SPECT)
4. Data processing
Shabnam Mousavi, Medical Physicis
PET imaging
• Detecting (indirectly) positrron emission via the detection of both annihilation photons
(511 keV) that occur and hit opposite detector simultaneously
 β⁺ emission
 β⁺ annihilates to 2 photons
 Photons are detected
 Lies on a line
 At a point determind by time of flight
• Positron imaging idea
• William H Sweet (Suggestion for using annihilation radiation)
First clinical positron imaging device 1953
Shabnam Mousavi, Medical Physicis
Basics of Positron Emission Tomography
Shabnam Mousavi, Medical Physicis
Principles of PET
Shabnam Mousavi, Medical Physicis
FDG
Shabnam Mousavi, Medical Physicis
PET radiopharmaceutical
Shabnam Mousavi, Medical Physicis
Crystals used in PET
Shabnam Mousavi, Medical Physicis
Designs for PET
• NaI PET system
• Coincidence Gamma Camera (PET/SPECT)
• Dedicated PET
• Hybrid PET/CT Scanner
• Small animal PET
• Portable PET
Shabnam Mousavi, Medical Physicis
PET/CT
• Was invented by Dr. Ron Nutt and Dr. David Townsend in 1998
• Medical inventions of the year 2000 by time magazine
• Commercially available in 2001
Shabnam Mousavi, Medical Physicis
PET/CT
Shabnam Mousavi, Medical Physicis
Shabnam Mousavi, Medical Physicis
Imaging technique
Shabnam Mousavi, Medical Physicis
SUV
Shabnam Mousavi, Medical Physicis
Display of PET-CT
Shabnam Mousavi, Medical Physicis
PET-CT clinical application
• Oncology
• Neurology
• Cardiology
Shabnam Mousavi, Medical Physicis
FDG-PET false negative
Shabnam Mousavi, Medical Physicis
FDG-PET false positive
Shabnam Mousavi, Medical Physicis
Conclusion
Shabnam Mousavi, Medical Physicis
Radiation exposure from PET/CT
Shabnam Mousavi, Medical Physicis
PET imaging: Ideal case
Shabnam Mousavi, Medical Physicis
Data arrangment
Shabnam Mousavi, Medical Physicis
Deviations from ideal case – scatter events
Shabnam Mousavi, Medical Physicis
Deviations from ideal case – random counts
Shabnam Mousavi, Medical Physicis
Type of coincidence may be detected
(at a glance)
Shabnam Mousavi, Medical Physicis
Resolution
Shabnam Mousavi, Medical Physicis
Limitations & artifacts of PET-CT
Shabnam Mousavi, Medical Physicis
Advantages of PET-CT
Shabnam Mousavi, Medical Physicis
Advantages of PET/MRI over PET/CT
Shabnam Mousavi, Medical Physicis
Shabnam Mousavi, Medical Physicis

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PET CT. Shabnam.pptx-positron emission tomography scan

Editor's Notes

  1. درمانی: آلفا-بتا-دلتا تشخیصی: اکس و گاما
  2. Spatial resoulution ̴ 4-5 mm FWHM
  3. Analog of glucose Transported by facilitated diffusion Phosphorylated within the cell to [18F] FDG –6-phosphate Phosphorylated FDG can not exit cell
  4. Speciefic activity: High Half life: Few minutes Short: not enough time for examination Long: High dose to the patients & Waste disposal
  5. NaI NaI detectors thickness (up to 30 mm) Large area rather than a block configuration Six such crystals in hexagonal arrangement Suited to steady-state imaging Due count rate limitations, are less suitable for performing kinetic studies -------------------------------------------------- Coincidence camera Dual-head NaI-based gamma-cameras Crystal thickness is 15 mm Signal processing techniques improves poor coincidence count rate capability ------------------------------------- Dedicated One or more complete rings of block detectors Small ring diameter (60 cm) for brain imaging Larger ring diameter (100 cm) for whole body imaging Axial field of view depends on the number of rings Relatively high count rate capability Suitable for kinetic studies -------------------------- animal PET is  Noninvasive  Flexible in chemistry Very attractive in the study of laboratory animals and measuring biological process Several dedicated PET with spatial resolution of 1-2 mm have been developed for mice and rat
  6. عکس 5 فلدر 1
  7. عکس 14 فولدر 1
  8. عکس 14 فولدر 1