Positron Emission Tomography (PET)
Positron emission tomography (PET) is a test that uses a special type of camera and a tracer (radioactive chemical) to look at organs in the body. The tracer usually is a special form of a substance (such as glucose) that collects in cells that are using a lot of energy, such as cancer cells.
During the test, the tracer liquid is put into a vein (intravenous, or IV) in your arm. The tracer moves through your body, where much of it collects in the specific organ or tissue. The tracer gives off tiny positively charged particles (positrons). The camera records the positrons and turns the recording into pictures on a computer.
PET scan pictures do not show as much detail as computed tomography (CT) scans or magnetic resonance imaging (MRI) because the pictures show only the location of the tracer. The PET picture may be matched with those from a CT scan to get more detailed information about where the tracer is located.
A PET scan is often used to evaluate cancer, check blood flow, or see how organs are working.
Why It Is Done
A positron emission tomography (PET) scan is done to:
How To Prepare
Tell your doctor if you have diabetes. If you take medicine to control diabetes, you may need to take less than your normal dose. Talk with your doctor about how much medicine you should take.
Tell your doctor about any medicines and herbal remedies you take. You may need to stop taking some medicines or change your dose before this test.
Do not smoke or drink caffeine or alcohol for 24 hours before this test.
Do not eat or drink for at least 6 hours before this test.
Tell your doctor if you are or might be pregnant or if you are breast-feeding. If you are breast-feeding, you will need to use formula for 1 to 2 days after the PET scan so you won't pass the tracer to your baby. This generally takes 24 hours.
Tell your doctor if you have a fear of enclosed spaces or have ever had a panic attack.
You may be asked to sign a consent form.
Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done or what the results mean. To help you understand the importance of this test, fill out the medical test information form(What is a PDF document?).
How It Is Done
A positron emission tomography (PET) scan is done in a hospital nuclear medicine department or at a special PET center by a radiologist or nuclear medicine specialist and a technologist. You will be asked to lie on a table that is hooked to a large scanner, camera, and computer.
During the test
The radioactive tracer is usually given in a vein (IV). You may need to wait 30 to 60 minutes for the tracer to move through your body. During this time, you may need to avoid moving and talking.
The PET scanner, which is shaped like a doughnut, moves around you. The scanned pictures are sent to a computer screen so your doctor can see them. Many scans are done to make a series of pictures. It is very important to lie still while each scan is being done. At some medical centers, a CT scan will be done at the same time.
For a PET scan of the brain, you will lie on a bed. You may be asked to read, name letters, or tell a story, depending on whether speech, reasoning, or memory is being tested. During the scan, you may be given earplugs and a blindfold (if you do not need to read during the test) to wear for your comfort.
If you are having a PET scan of your heart, electrodes for an electrocardiogram (EKG, ECG) will be put on your body.
During the test, you will be alone in the scanner room. The technologist will watch you through a window and you will be able talk to him or her through a two-way intercom at all times.
The test takes 1 to 3 hours.
After the test
After the test, drink lots of fluids for the next 24 hours to help flush the tracer out of your body.
How It Feels
You will not feel pain during the test. The table you lie on may be hard and the room may be cool. It may be difficult to lie still during the test.
You may feel a quick sting or pinch when the IV is put in your arm. The tracer may make you feel warm and flushed. Some people feel sick to their stomach or have a headache. Tell your doctor how you are feeling.
You may feel nervous inside the PET scanner.
There is always a slight chance of damage to cells or tissue from radiation, including the low levels of radiation used for this test. But the chance of damage is usually very low compared with the benefits of the test.
Most of the tracer will be flushed from your body within 6 to 24 hours. Allergic reactions to the tracer are very rare.
In rare cases, some soreness or swelling may develop at the IV site where the radioactive tracer was put in. Apply a moist, warm compress to your arm.
Positron emission tomography (PET) is a test that uses a special type of camera and a tracer (radioactive chemical) to look at organs in the body.
The radiologist may discuss preliminary results of the PET scan with you right after the test. Complete results are usually available in 1 to 2 days.
What Affects the Test
Reasons you may not be able to have the test or why the results may not be helpful include:
What To Think About
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