What is a PET CT scan?
This
advanced nuclear imaging technique combines positron emission tomography (PET)
and computed tomography (CT) into one machine. A PET/CT scan
reveals information about both the structure and function of cells and tissues
in the body during a single imaging session.
A
PET CT scan can identify changes in functioning of organs at a very early
stage, often before structural changes take place. The study utilizes small
amounts of radioactive tracers, which when injected into the body, give
information about different body functions.
How is it different from CT or MRI?
CT,
MRI and other radiological modalities like X ray, ultrasonography are
structural imaging modalities, which means, they look at the size and shape of
organs and other body structures.
PET
imaging on the other hand, looks at functions within the body.
Hence
when combined with CT, they give more information than a CT or MRI alone and
pick up altered function due to disease process at a much earlier stage, before
structural changes happen.
Why have I been recommended a PET CT scan?
The
commonest use of this scan is in cancers, where it is used to detect and
identify the areas of spread of the cancer, monitor response to treatment or
plan for radiotherapy, or to guide biopsy.
PET
CT scanning can also be used to evaluate certain heart diseases or neurological
conditions.
Is PET safe ?
The
risks associated with PET scan are very low. PET scan involves a very small
amount of radioactive tracer injected into your body which decays by itself
with time and is also excreted out by the body continuously through urine. The
total radiation exposure during a PET CT scan roughly equals two CT scans of
abdomen and pelvis.
The
injected contrast material used for the CT part of the study may cause some
allergy rarely, in a few patients.
Family
members of the patient undergoing the scan are not at risk due to radiation
because most of the radioactive medicine injected decays by the time the scan
is over.
However,
this radioactive exposure carries a risk for a pregnant woman carrying an
unborn child and any radioactive tests should not be performed during
pregnancy. Please inform your doctor before the procedure if you suspect to be
pregnant.
A
PET CT scanner machine is quite similar to a CT machine and not a closed tunnel
like MRI.
The
patient is asked to come fasting for the test and an intravenous canulla is
placed in one of the peripheral veins (on hands or arms usually). The
radioactive tracer is injected and the patient is asked to rest in an isolation
area for a stipulated time (usually 60-120 minutes) and sip some oral contrast
material. The most commonly used radioactive tracer (Fluorodeoxyglucose) is an
inert substance and does not cause any interaction or side effects in the body.
The scanning procedure
per se is painless and intravenous CT contrast may or may not be used during
the scan, as per the need and physician’s discretion.
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