Research Involving PET
Brain Mechanisms in Classical Conditioning
Here PET imaging has been
used to study the brain mechanisms that underlie human classical conditioning.
This was done was by measuring the blood flow distribution in the brain. The
experiment consisted of three phases, pre- conditioning, conditioning, and
postconditioning. PET scanning was performed during the first and third phases.
The conditioning phase was used to send slight electrical shocks to the
subjects. Thru viewing the first and third stage it was seen that the
conditioning stage resulted in increased activation in frontal and temporal
regions of the brain especially in the right cerebral hemisphere. [16]
Brain Mechanisms in Memory Retrieval
Retrieval of information from a
person's memory involves not only the successful retrieval of stored information
(cephory), but also the processes invoked by the attempt to remember. Recent PET
studies of human memory retrieval show that retrieval of stored information
engages a network of brain regions. These regions include the right prefrontal
cortex together with posterior cortical regions. This study was able to show
that the activation of these regions is associated with the attempt to retrieve
this information, not necessarily to their successful retrieval. [17]
Brain Mechanisms and the Perceptual Maze Test
PET was used in this
situation to examine the cerebral activation pattern elicited by the perceptual
maze test (PTM). The PTM is a neuropsychological test used to evaluate organic
brain injury. This test examines general intelligence, visuospatial skill,
visually guided motor planning, and the ability to obey rules. [18]
The Evolution of Abnormal Metabolic Networks in the Brain
To visualize
the complex information provided by PET data, we have combined standard PET
methods with statistical modeling approaches and visualization techniques to
best demonstrate the results of analysis. Topographic profiles represent
underlying functional networks of metabolically covarying regions that are not
discernible by conventional image processing and statistical techniques because
of their small magnitude compared to global effects. By quantifying,
identifying, and illustrating the existence of such underlying functional
networks, independent neuroimaging markers are provided for differentiating
between clinically similar neurogenerative disorders as well as insights into
the physiological mechanisms of these diseases. [20]
PET Imaging of Malignant Melanoma
PET imaging with Carbon-11-methionine
has proven an effective method for visualizing melanoma, and may also be useful
in measuring tumor metabolic activity in vivo. [21]
Estrogen Receptors in Breast Cancer
PET has been used to study several
aspects of breast cancer pathophysiology. FDG has been broadly applied in PET
studies of cancer because of observations that nearly all malignant tumors
exhibit increased uptake of FDG, presumably reflecting an increased rate of
glycolysis in tumor tissue. FDG-PET has shown in clinical studies to be a
reliable means for distinguishing benign from malignant breast masses and for
evaluating the locoregional extent of tumor. [22]
Presurgical Visualization of Primary Breast Carcinoma
Reconstructed PET
images are provided as a series of two-dimensional transaxial cuts. PET's
ability to indicate the locoregional extent of a malignant tumor has proven to
be a useful presurgical aid. However, these images are often difficult to
evaluate because abnormalities are normally scattered across a large volume with
quite variable intensities. [23]
Attenuation Correction in Whole-Body PET
Attenuation correction is a
routine procedure in PET by use of attenuation factors derived from a
transmission scan or by assuming constant tissue density. Whole-body PET imaging
is however, a notable exception to this. Whole-body imaging extends the axial
field of view of the PET scanner by moving the bed in steps through the
tomograph. Data are acquired for typically 4 to 10 minute periods at each
position. Because of this, accurate quantification is not possible and
reconstructed images include artifacts, such as an apparent decrease in tracer
accumulation towards the center of the body. [24]
PET Imaging in Renal Disease
The kidneys are distinguished by high
levels of metabolism and high blood flow. This study proves that excellent
images of the kidneys can be obtained with Carbon-11-acetate and PET imaging.
Because of the high blood flow in the kidneys a high target-to-background ratio
is almost expected. Even when there is greatly reduced blood flow due to renal
disease, the corresponding reduction in tracer accumulation does not preclude
visualization of the kidneys or sufficient tissue tracer activity for tracer
kinetic analysis. Excellent images of the kidneys in human subjects can be
obtained when using PET with the tracer Carbon-11-acetate. [25]
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