Overview

PET Scan is a nuclear medicine imaging technique used to assess metabolic activity in the body.

Introduction / Historical Perspective

Positron Emission Tomography (PET) Scan is a medical imaging technique that uses radioactive tracers to visualize metabolic processes in the body. Developed in the 1970s, PET scans have become crucial in diagnosing and managing various diseases, especially cancer.

What is a PET scan?

A PET scan is a type of imaging test that uses a radioactive tracer (usually FDG – Fluorodeoxyglucose) to detect metabolic changes in the body, highlighting areas with high glucose uptake, like cancer cells.

Mechanism of PET Scan

Indications for PET Scan

Contraindications for PET Scan

Interpretation of PET Scan Images

SUV (Standardized Uptake Value):

Measures the tracer uptake.

Correlations Between CT Scan, MRI Scan, and PET Scan

Modality Use Case

PET Scan

Metabolic activity

CT Scan

Structural info (anatomy)

MRI Scan

Soft tissue detail

Test Details

Sensitivity

  • High for detecting metabolic changes (e.g., cancer)

    ~85-90% for many cancers

Specificity

  • Good (~80-90%) but depends on context and tracer used

False Positivity

  • Inflammation, infection, brown fat uptake

False Negativity

  • Small lesions, low metabolic activity tumors

Negative Predictive Value

  • High if PET scan is negative (often rules out active disease)

Positive Predictive Value

  • Depends on pre-test probability and SUV values

Best Time for Postoperative PET Scan

  • Typically 2-3 months after surgery to avoid post-op inflammation

Best Time for PET Scan After Radiotherapy

  • 3-4 months post-radiotherapy to minimize false positives from inflammation

PET scans are valuable for assessing metabolic activity, aiding diagnosis, staging, and treatment monitoring, especially in oncology. Interpretation requires correlation with clinical context and other imaging.

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