PET/CT
PET/CT is an imaging technique which assists
in the diagnosis of many diseases. PET/CT allows the
physician to examine the whole patient at once, by producing
pictures of the functions of the human body unobtainable
by other imaging techniques. These images show body
metabolism and other functions rather than simply the
gross anatomy and structure revealed by conventional
x-rays, CT or MRI scans. The combination of the PET/CT
and the CT allows both metabolic and anatomic images
to be fused to combine the power of both modalities.
Whole body PET/CT scanning is frequently
used to survey the body for possible sites of cancer.
A small amount of radioactive tracer is attached to
ordinary sugar. Although all cells in the body use sugar,
more sugar is used by cells with increased metabolism.
Because cancer cells are highly metabolic and use more
sugar than neighboring cells, they are identified on
the PET/CT scan.
Prior to having a scan, you will have
a small needle placed in one of the veins of your right
or left arm. First, a small blood sample will be taken
to check your blood sugar levels to assure that the
test can be performed. To begin the exam, you receive
an injection of a small amount of a radioactive sugar
through the same needle. It is not a dye. This should
not have any chemical effect on you or cause you to
feel any differently; it is safe to use with diabetic
patients. After the injection, you will need to wait
approximately 40 to 60 minutes for the radioactive tracer
to move from your bloodstream into your cells. At the
appropriate time, you will lie on the scanner table,
which moves slowly through a large ring shaped opening.
The scanner is not enclosed and does not completely
cover your face. We ask you to lie very still, because
even small movements can interfere with the results.
The imaging procedure will take approximately one hour.
Unless you've received special instructions,
you can resume your normal medication and diet
immediately after the study. Drinking a lot of fluids
will help you excrete any of the radioactive tracers
that may still be in your system. The radioactive tracers
are gone within the first 4 to 8 hours after injection
and have no known side effects.
PET/CT can determine if a mass/lesion is malignant
or benign
PET/CT can characterize enlarged lymph nodes as malignant
or benign
PET/CT can detect malignancy in normal-size lymph nodes
or normal-appearing tissue
PET/CT can evaluate early tumor treatment response
PET/CT has been widely investigated in the assessment
of dementia. Alzheimer's Disease and Multi-Infarct dementia
are readily diagnosed and differentiated.
PET/CT scans can also be used to measure the
brain’s metabolism. Studies have shown
that it is possible to spot Alzheimer’s through
metabolism patterns on PET/CT scans and may detect Alzheimer’s
even before significant symptoms emerge. This study
can be used in combination with other tests to distinguish
memory loss, behavioral changes and other early symptoms
from those of other conditions. Detecting Alzheimer’s
early is important because new treatment options have
recently emerged which have been found to slow the progression
of disease in some patients. Click
here to learn more
PREPARATION:
You should not eat
or drink (except water) for at least 6 hours
before your test and no caffeine, nicotine, or alcohol
for at least 12 hours before. Avoid strenuous exercise
for at least one day prior to the PET/CT exam. Try to drink
at least 32 ounces of water the day before the exam.
Please inform us
of any medications you are taking. It would be a good
idea to bring a list of your current medications. Some
medications can interfere with the exam. If your particular
medication should not be taken on the day of your exam,
we will let you know. If you've been advised not to
take your medications on an empty stomach, eat nothing
more than a few soda crackers within 6 hours of your
exam.
If you are an insulin
dependent diabetic, you may eat toast with
a small amount of juice and take your insulin at least
two hours before your exam.
Patients must have
a written physician requisition which states
their medical and surgical history and the reason for
the PET/CT scan. Please inform us if you are diabetic,
pregnant or nursing.
A CD/DVD player
is available, please feel free to bring your
own selections.
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