Nuclear medicine imaging

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Presentation Transcript

SEMINAR : NUCLEAR MEDICINE IMAGING IN DIAGNOSIS & TREATMENT BY: SHANTA MOHAPATRA BRANCH-BME ROLL NO.-02

INTRODUCTION : 

INTRODUCTION The practice of making patients radioactive for diagnostic & therapeutic puposes- Nuclear Medicine The technique to obtain information of anatomic & physiologic status of body without direct visualisation.

GENERAL DIAGNOSIS PROCEDURE : 

GENERAL DIAGNOSIS PROCEDURE Tracer element is administered in body. Radiatian detectors examine amount of radioactivity. Images show the biochemical processes. Two types-static & dynamic

FORMS OF RADIOACTIVE EMISSIONS : 

FORMS OF RADIOACTIVE EMISSIONS ALPHA RAYS BETA RAYS GAMMA RAYS TYPES OF RADIOACTIVE DECAY POSITRON DECAY NEGATRON DECAY ELECTRON CAPTURE ISOMERIC TRANSITION HALF LIFE Time required for half of initial amounts of atoms to decay.

RADIATION DETECTOR : 

RADIATION DETECTOR Scintillation detector among other types of detector is used in nuclear medicine imaging. Components- Thalium doped Sodium Iodide crystals PhotoMultiplier Tubes Principle- Gamma rays are detected by the crystals. PMTs convert these to light rays.

GAMMA CAMERA : 

GAMMA CAMERA First developed by Hal Anger in 1958. Consists of Collimator:-Made of lead & contains many tiny holes which allow gamma rays to travel in particular direction. Detector:-consists of NaI(TI) crystal & PMTs. Electronic circuit:consists of pulse height analyser,digitizer,preamplifier etc.

GAMMA CAMERA : 

GAMMA CAMERA Diagrammatic cross section of gamma camera detector

Continued……… : 

Continued……… Details of cross section of gamma camera

TYPES OF GAMMA CAMERA : 

TYPES OF GAMMA CAMERA SINGLE HEAD GAMMA CAMERA

CONTINUED….. : 

CONTINUED….. DUAL HEAD GAMMA CAMERA

CONTINUED…………. : 

CONTINUED…………. TRIPLE HEAD GAMMA CAMERA:

POSITRON EMISSION TOMOGRAPHY : 

POSITRON EMISSION TOMOGRAPHY Imaging technique for obtaining in vivo cross sectional images of positron emitting isotopes for demonstrating physiological functions. OPERATION: Cyclotron produces radio-isotopes. Tracer element administered into body. Positron annihilates with electron producing 2 gamma photons which travel in opposite direction Detected by radiation detector. Mathematical algorithm applied by computer reconstructs & displays the images.

RADIOISOTOPES : 

RADIOISOTOPES Carbon-11 Nitrogen-13 Oxygen-15 Flourine-18 ADVANTAGES: Detect diseases much earlier. Gives staging of diseases,progression,metastasis Monitors effectiveness of treatment. LIMITATIONS: High cost due to use of cyclotron. Dataset poor in quality than CT Image reconstruction technique difficult.

APPLICATIONS : 

APPLICATIONS CLINICAL ONCOLOGY CLINICAL DIAGNOSIS OF CERTAIN BRAIN DISEASES. IMAGING OF ARTHEROSCLEROSIS. DETECTS EFFECTS OF HEART ATTACK,MYOCARDIAL INFARCTION ON HEART.

SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY : 

SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY Technique where images are 2D view of 3D distribution of radionuclides. OPERATION: Gamma cameras take images at multiple angles Images taken every 3-6 degress. Each projection takes 15-20 seconds & total scan time becomes 15-20 minutes Full 360 degree rotation done for good tomographic reconstruction by computer to give 3D dataset.

Applications & radioisotopes used : 

Applications & radioisotopes used APPLICATIONS RADIOISOTOPE USED BONE SCAN Tc-99m myocardial perfusion scan Tc-99m Brain scan Tc-99m Tumour scan I-123 white cell scan In-111,Tc-99m

Advantages : 

Advantages Accurate & reliable Cheaper than PET/fMRI Helpful for stress echocardiography Disadvantages: Poor spatial resolution. 2.Poor sensitivity. 3.Prone to noise.

ADVANCES IN NUCLEAR MEDICINE IMAGING : 

ADVANCES IN NUCLEAR MEDICINE IMAGING COMBINATION OF SPECT/PET IMAGING Acquires conventional SPECT scan as well as coincidence 511-keV events from a positron emitting agent for PET imaging. SPECT/CT SCANNER Gives high anatomic resolution of CT scan and functional images of SPECT scan. Device cost higher than SPECT alone.

SPECT/CT SCANNER : 

SPECT/CT SCANNER

Continued…… : 

Continued…… WHOLE BODY PET SYSTEM WITH MRI Whole body kinetic studies showing the underlying anatomy of particular organ. Provides higher resolution of soft tissue images. DUAL MODALITY PET/CT SCANNER: Provides higher resolution anatomical information from CT & functional images from PET. Has better sensitivity,specificity & accuracy than PET alone

PET/CT SCANNER : 

PET/CT SCANNER

CONCLUSION : 

CONCLUSION Nuclear medicine is poised to advance the application of molecular diagnosis in oncology,neurology,cardiology,infectious diseases & other types of diseases.

REFERENCES : 

REFERENCES R S Khandpur,Handbook of Biomedical Instrumentation,2nd edition. http://en.wikipedia.org/wiki/gamma_camera http://en.wikipedia.org/wiki/positron_emission_tomography http://en.wikipedia.org/wiki/single_photon_emission_computed_tomography THANK YOU

ANY QUESTIONS : 

ANY QUESTIONS