by Chwistek M

Positron Emission Tomography

(PET)

Definition

This test makes images that show activity in body tissues. A substance that gives off a tiny amount of radiation is put into your body. This substance goes to the part of your body that is most active. A machine can then detect where that substance is. PET can be done for many body parts, including:
  • Whole body
  • Brain
  • Lungs
  • Breast
  • Heart
PET Scans of the Brain
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Reasons for Test

A PET scan may be done for a number of reasons, including:
  • Looking for tumors or assessing tumor level of activity after treatment
  • Assessing causes of memory disorders
  • Finding the cause of seizures and helping to find treatments
  • Assessing brain metabolism in patients with chronic fatigue syndrome
  • Looking for heart disease

Possible Complications

Complications are rare. If you are planning to have a PET scan, your doctor will review a list of possible complications.
Some people have a bad reaction to the contrast dye. The contrast is the chemical that improves the details in the pictures. In some people, the contrast can cause allergic reactions or kidney problems.
A PET scan does use radiation. You and your doctor will weigh the harms and benefits of this test. A PET scan may not be advised if you are pregnant.
Be sure to discuss these risks with your doctor before the test. Let your doctor know about any allergies or unrelated illnesses you may have.

What to Expect

Prior to Test

  • Wear comfortable clothes.
  • Do not eat or drink anything, except water, for at least four hours before the scan.
  • Check with your doctor about taking your regular medications.
  • If you have diabetes , ask the doctor for specific diet recommendations for the test day, since this can affect your results.
  • Tell your doctor if you are or might be pregnant.

Description of Test

You will be given a radioactive substance. This may be done through an injection, or in some cases, you will be asked to breathe in a gas. It will travel through your blood to the area of the body being studied. It takes 30-90 minutes for the substance to be absorbed by the tissue. When the substance has been absorbed, the scan can take place.
You will lie on a table and be moved into a machine that looks like a large, square doughnut. This machine detects and records the energy levels from the substance that was injected earlier. The images are viewed on a computer monitor. The scan lasts about 30-45 minutes. You may be asked to perform specific tasks before or during the test. For example, during a heart PET scan, you may be asked to walk on a treadmill.

After Test

Drink plenty of fluids to help the radioactive substance pass from your body.

How Long Will It Take?

At least two hours

Will It Hurt?

Except for the pinprick from the injection, a PET scan is a painless procedure. People who are uncomfortable in closed or tight spaces may have some anxiety .

Results

The images will show activity levels as different colors or degrees of brightness. A radiologist will review the images and send the results to your doctor. It may take a few days for your doctor to receive the report.

Call Your Doctor

Call your doctor if you have any unusual symptoms such as a rash, itching, or difficulty breathing. These symptoms may mean that you are having an allergic reaction to the radioactive substance.

RESOURCES

RadiologyInfo http://www.radiologyinfo.org

Society of Nuclear Medicine http://interactive.snm.org

CANADIAN RESOURCES

The College of Family Physicians of Canada http://www.cfpc.ca

Health Canada http://www.hc-sc.gc.ca

References

PET scan. NHS Choices website. Available at: http://www.nhs.uk/Conditions/PET-scan/Pages/Introduction.aspx. Updated July 3, 2013. Accessed September 5, 2014.

Positron emission tomography—computed tomography (PET/CT). Radiology Info—Radiological Society of North America website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=pet. Updated March 28, 2013. Accessed September 5, 2014.

Positron emission tomography (PET scan). Cleveland Clinic website. Available at: http://my.clevelandclinic.org/imaging-institute/imaging-services/hic-pet-scan.aspx. Updated February 23, 2009. Accessed September 5, 2014.

Positron emission tomography (PET scan). Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/test%5Fprocedures/neurological/positron%5Femission%5Ftomography%5Fpet%5Fscan%5F92,P07654/. Accessed September 5, 2014.

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