PET and SPECT imaging of the brain: a review on the current status of nuclear medicine in Japan.

Radiolabeled tracers allow visualization of not only perfusion, but receptors, function, and metabolism as well. Although spatial resolution is lower than that of computed tomography and magnetic resonance imaging, positron emission tomography (PET) and single photon emission computed tomography (SP...

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Publicado en:Japanese Journal of Radiology Vol. 38; no. 4; pp. 343 - 358
Autor principal: Kaneta, Tomohiro
Formato: review Journal Article
Publicado: Springer Nature Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: PET and SPECT imaging of the brain: a review on the current status of nuclear medicine in Japan.
      aug:
        au: Kaneta, Tomohiro
        affil: Department of Advanced Molecular Imaging, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, 305-8575, Tsukuba, Ibaraki, Japan
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          Tomography, Emission-Computed, Single-Photon Methods
          Nuclear Medicine Methods
          Brain
          Cerebrovascular Circulation
          Tomography, Emission-Computed, Single-Photon Equipment and Supplies
          Elements Pharmacokinetics
          Brain Blood Supply
          Radioisotopes
          Zinc Pharmacokinetics
          Cadmium Pharmacokinetics
          Japan
      ab: Radiolabeled tracers allow visualization of not only perfusion, but receptors, function, and metabolism as well. Although spatial resolution is lower than that of computed tomography and magnetic resonance imaging, positron emission tomography (PET) and single photon emission computed tomography (SPECT) have great potential for target-specific imaging. In this review, we discuss several SPECT and PET tracers used in brain imaging, specifically focusing on tracers currently available, or developed, in Japan. Several important and sophisticated methods exist for analysis of brain PET and SPECT images. Two of them, quantitative cerebral blood flow measurement and voxel-based statistical analysis are discussed in this review. The former method, which employs acetazolamide loading, is useful for evaluation of the brain perfusion reserve for ischemic brain diseases. The latter is useful in diagnosing dementing diseases. Additionally, great strides have been made in the development of the technology used in the scanners. New SPECT systems based on cadmium-zinc-telluride, PET/MRI, and semiconductor PET/CT may provide higher spatial resolution with an acquisition time shorter than ever before. Such developments of both tracers and scanners can be integrated for unprecedented imagery of the brain, providing valuable insight into underlying causes of some fatal brain disorders.
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    language: English
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