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Background For decades, positron emission tomography (PET) imaging was largely limited to use in research. The development of dedicated PET cameras, the widespread expansion of cyclotron production facilities, and the approval of new radiopharmaceuticals have all contributed to the dramatic…

Over the years, radiopharmaceuticals and scintigraphic techniques have been developed to assess different aspects of renal function. Using a variety of radiopharmaceuticals, these techniques can answer clinical questions not possible with ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI).…

The use of a radionuclide to measure gastric transit was first described in 1966. Radionuclide gastric emptying scintigraphy has long been the standard methodology for measuring gastric transit. In this section, the recommended standardized gastric emptying protocol is described in…

Liver, biliary, and splenic scintigraphy have played an important diagnostic imaging role in patient management since the 1960s. Today’s radiopharmaceuticals have mechanisms of uptake and localization that take advantage of the complex anatomy and physiology of the liver ( Table…

Thyroid Disease—Radionuclide Diagnosis and Therapy In 1941, the first patient was treated for thyroid cancer with radioiodine. Since then, radioiodine has proven invaluable in the assessment of thyroid disorders and treatment of thyroid cancer, Graves disease, and toxic thyroid nodules.…

Introduction: The Ventilation–Perfusion Lung Scan Particles slightly larger than red blood cells can be radiolabeled and injected into a peripheral vein. After passing through the heart and central pulmonary arteries, they finally lodge in the peripheral lung capillaries, creating a…

Made up of inorganic calcium hydroxyapatite (Ca 10 [PO 4 ] 6 [OH] 2) crystal and an organic matrix of collagen and blood vessels, the skeleton is constantly changing and remodeling. This physiological activity can be imaged with radioactive analogs…

Molecular imaging (MI) allows noninvasive visualization and quantification of functions occurring at the cellular or molecular level. This can involve several different techniques ( Table 5.1 ), but tagging a targeted probe with a radioactive molecule is one of the…

An unstable atom that undergoes radioactive decay in order to achieve stability is known as a radionuclide. The radiation these atoms emit can sometimes be used in medical imaging and therapy. Agents approved for such uses in humans that incorporate…

Data Acquisition of Emission Tomographyn Conventional or planar radionuclide imaging suffers a major limitation in the loss of object contrast as a result of background radioactivity. In the planar image, radioactivity underlying and overlying the object of interest is superimposed…