Molecular Imaging

Molecular imaging (also called nuclear medicine or nuclear imaging) can image the function of cells inside the body at the molecular level. This includes the imaging modalities of positron emission computed tomography (PET) and single photon emission computed tomography (SPECT) imaging. How does PET and SPECT imaging work? Small amounts of radioactive material (radiopharmaceuticals) injected into a patient. These can use sugars or chemical traits to bond to specific cells. The radioactive material is taken up by cells that consume the sugars. The radiation emitted from inside the body is detected by photon detectors outside the body. Computers take the data to assemble images of the radiation emissions. Nuclear images may appear fuzzy or ghostly rather than the sharper resolution from MRI and CT.  But, it provides metabolic information at a cellular level, showing if there are defects in the function of the heart, areas of very high metabolic activity associated with cancer cells, or areas of inflammation, data not available from other modalities. These noninvasive imaging exams are used to diagnose cancer, heart disease, Alzheimer’s and Parkinson’s disease, bone disorders and other disorders. 

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Alzheimer’s Imaging Agents: The Regulatory Horizon

“Alzheimer’s disease is probably the most underfunded disease in the U.S.,” charges Dean M. Hartley, PhD, director of science initiatives, medical and scientific relations, for the Alzheimer’s Association.

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High-tech Modeling: Computer Mockups Hone in on Human Physiology

An exploration of recent projects at Argonne National Laboratory and Johns Hopkins University traverse the numerical and graphical landscape of cerebral blood flow, the pathology of malaria, brain aneurysm, sickle cell anemia and even cancer.

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Brilliant Signs: Advancements in Brain & Neuroendocrine Imaging

The past year has been a groundbreaking one for neurology. 

The Logical Next Step

When I began my PhD research almost 40 years ago, nuclear medicine research was almost entirely focused on diagnosis. 

AAA acquires 100% share of UK nuclear medicine company

Advanced Accelerator Applications (AAA), a major molecular medicine company based in Bourg en Bresse, France, announced Mar. 4 that the firm had acquired 100 percent of shares of the privately held U.K.-based Imaging Equipment, a distributor of nuclear medicine technologies and radiopharmaceuticals across the U.K. and Ireland.

Popular media may be kicking up inappropriate PET use

The question of appropriate use of advanced nuclear medicine procedures is more salient than it has ever been, with overall health cost under government scrutiny and imaging eyed in particular due to increasing procedure numbers. Some experts are pointing to non-medical news sites and other media as a culprit in patient demand for potentially inappropriate PET use, according to a study published Feb. 18 in Cancer Epidemiology, Biomarkers & Prevention.

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Hurdles for PET/MR

PET/MR has been poised on the cutting edge of imaging for a few years, but the hybrid modality still faces a number of challenges keeping it from widespread use in clinical practice.

PET/MR: still struggling to solidify clinical practice

There are two main questions that remain on the minds of those evaluating PET/MR for clinical practice: Is PET/CT just as good? If yes, isn’t PET/CT cheaper? These questions are answered with a resounding ‘sometimes,’ according to a review published Feb. 20 in the Journal of Nuclear Medicine.

Around the web

Positron, a New York-based nuclear imaging company, will now provide Upbeat Cardiology Solutions with advanced PET/CT systems and services. 

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.