von Schulthess G K, Westera G, Schubiger P A
Departement Medizinische Radiologie, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1993 Aug 24;82(34):901-4.
A PET installation is a technically complex system composed essentially of two parts. The first consists in isotope production and synthesis of labeled biochemical compounds, the second in measuring the distribution of radioactivity in the body with the PET camera and the generation of image data. The specific advantage of PET lies on one hand in the use of positron emitters that are isotopes of ubiquitous elements in biologic matter, i.e. exact analogs of biomolecules can be produced and utilized and on the other hand quantification is possible. (= enable quantitative...?) Theoretically there are no limits for the synthesis of radioactive compounds and the method therefore provides unlimited test designs. The short half-life of the employed isotopes is advantageous for radioprotection reasons but the production of labeled compounds necessitates a cyclotron accelerator and a special laboratory for the handling of radioactive compounds rendering the production of the test substances relatively expensive. Measurements take place in a PET camera with a large number of coincidence detectors. The best available cameras have a spatial resolution of 5 mm in all three axes with an axial window of about 15 cm diameter. Evaluation of PET images is done in a qualitative way by superposition on anatomic images (CT, MRI) by image fusion. Quantitative determinations require elaborate computer modeling.
正电子发射断层扫描(PET)设备是一个技术复杂的系统,主要由两部分组成。第一部分包括同位素生产和标记生化化合物的合成,第二部分是用PET相机测量体内放射性分布并生成图像数据。PET的独特优势一方面在于使用正电子发射体,这些正电子发射体是生物物质中普遍存在元素的同位素,也就是说,可以生产和利用生物分子的精确类似物;另一方面在于能够进行定量分析。理论上,放射性化合物的合成没有限制,因此该方法提供了无限的测试设计。所用同位素的半衰期短,出于辐射防护的原因这是有利的,但标记化合物的生产需要回旋加速器和一个处理放射性化合物的特殊实验室,这使得测试物质的生产相对昂贵。测量在配备大量符合探测器的PET相机中进行。现有最好的相机在所有三个轴向上的空间分辨率为5毫米,轴向窗口直径约为15厘米。PET图像的评估是通过图像融合将其叠加在解剖图像(CT、MRI)上以定性方式完成的。定量测定需要复杂的计算机建模。