Definition:
A positron emission tomography (PET) scan is an imaging test that uses a radioactive substance (called a tracer) to look for disease in the body. Unlike magnetic resonance imaging (MRI) and computed tomography (CT) scans, which reveal the structure of and blood flow to and from organs, a PET scan shows how organs and tissues are working. See also:
Alternative Names:
Nuclear medicine scan; Positron emission tomography
How the test is performed:
The health care provider will inject a small amount of a radioactive material into one of your veins, usually on the inside of the elbow. The substance travels through the blood and collects in organs and tissues. You'll be asked to wait nearby as the radioactive substance is absorbed by your body. This usually takes about 1 hour. Then, you will lie down on a table that slides into a tunnel-shaped hole in the center of the PET scanner. The PET machine detects energy given off by the radioactive substance and changes it into 3-dimensional pictures. The images are sent to a computer, where they are displayed on a monitor for the health care provider to read. You must lie still during the PET scan so that the machine can produce clear images. How long the test takes depends on what part of the body is being scanned.
How to prepare for the test:
You must sign a consent form before having this test. You will be told not to eat anything for 4 - 6 hours before the PET scan, although you will be able to drink water. Tell your health care provider if you are pregnant or think you might be pregnant. Also tell your health care provider about any prescription and over-the-counter medicines that you are taking, because they may interfere with the test. Be sure to mention if you have any allergies, or if you've had any recent imaging studies using injected dye (contrast). During the test, you may need to wear a hospital gown. Take off any jewelry, dentures, and other metal objects because they could affect the scan results.
How the test will feel:
You will feel a sharp prick when the needle with the radioactive substance is inserted into your vein. You shouldn't feel anything during the actual PET scan.
Why the test is performed:
A PET scan can reveal the size, shape, position, and some function of organs. This test can be used to: Check brain function Diagnose cancer, heart problems, and brain disorders See how far cancer has spread Show areas in which there is poor blood flow to the heart
Several PET scans may be taken over time to determine how well you are responding to treatment for cancer or another illness.
References:
Beller GA, Kramer CM. Nuclear cardiology and computed tomography. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 54. Ettinger DS. Lung cancer and other pulmonary neoplasms. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 201. Hackney D. Radiologic imaging procedures. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 419.
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