The Journal of Bone and Joint Surgery (American). 2004;86:98-104
© 2004 The Journal of Bone and Joint Surgery, Inc.
Fluorodeoxyglucose Positron Emission Tomography Scanning: Basic Principles and Imaging of Adult Soft-Tissue Sarcomas
Ernest U. Conrad, III, MD,
Hannah D. Morgan, MD,
Cheryl Vernon, BSMT,
Scott M. Schuetze, MD and
Janet F. Eary, MD
Corresponding author: Ernest U. Conrad III, MD Department of
Orthopaedics and Sports Medicine, University of Washington, Box 356500,
Seattle, WA 98195-6500. E-mail
address: chappiec@u.washington.edu
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Basic Principles of Positron Emission Tomography Scanning
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Positron emission tomography (PET) has become a powerful tool to evaluate
various biological processes involving the musculoskeletal system. The
positron-emitting radioisotopes commonly used in positron emission tomography
in clinical practice (F-18, C-11, and O-15) can be incorporated into a number
of physiologic tracers and substrates, with the synthesis of these
radiopharmaceuticals taking place in association with a radioisotope-producing
cyclotron. The ability of radiopharmaceuticals to function as indicators of
specific physiologic processes provides an important measure of an aspect of a
disease or repair that might not be apparent on the basis of structural
changes alone. The use of positron emission tomography imaging and specific
radiopharmaceuticals to measure biological activity of tissue quantitatively
and to relate it to structure is unique in the diagnostic imaging process.
Radioactive decay involves the emission of a positron (a positive electron)
from a proton excess in a radioactive nucleus. The positron travels only a few
. . . [Full Text of this Article]

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