Interactive Transcript
0:00
In this video, we're gonna talk about
0:03
how we acquire the imaging
0:05
and what are some aspects of quality control
0:08
that are important before placing the patient under the
0:12
camera, we're gonna interview the patient
0:14
and ask several questions.
0:15
And this will be important depending on each tracer.
0:19
So it will always start with an interview.
0:21
For FDG in particular, we're gonna check the glucose levels.
0:26
We'll go through the specific preparation
0:28
for this tracer later on.
0:30
But I wanted to lay out how a PET CT
0:36
scan is done from the beginning to the end.
0:39
So when patient comes
0:40
and we interview the patient, we check the glucose
0:42
and if everything is okay, we will inject the tracer
0:48
and then we'll have to wait.
0:51
And depending on the different tracers,
0:53
we'll wait more or less.
0:55
And I have detailed the timings here below.
0:58
Some are not as specific and it can be done within a range.
1:03
For example, PSMA, some places do 60 minutes,
1:06
some places do 110 minutes
1:09
and these won't change, won't affect too much the,
1:13
the quality of the images based on, on preference
1:17
after the injection and the specific time that we have
1:21
to wait, we'll scan
1:23
and we're gonna start with the CT portion,
1:25
and then we'll move on to the pet.
1:28
So we acquire the CT and it takes one
1:32
or two minutes to go through the entire body.
1:35
And then we will start the acquisition of pet.
1:40
The ring of the PET scanner
1:44
will cover between 15 and 20 centimeters at a time,
1:49
and every time, uh, the table will move on.
1:54
So we end up scanning the entire body
1:56
and there will be a little bit of overlap to make sure
1:59
that we don't lose information between the rings
2:02
and each ring and each field of view will be called
2:07
bed position.
2:09
A bed position will cover 15 to 20 centimeters,
2:13
but this is the, uh, appearance of the road data.
2:17
And then after that, the
2:20
software will correct the pit imaging that we have acquired
2:26
based on the attenuation map of the C
2:30
and will provide us with
2:31
what is called an attenuation corrected PET imaging.
2:36
Later on, we confuse these images to, uh, review the case,
2:41
most importantly for an anatomical correlation.
2:46
The other thing that the system provides, it's
2:48
what is called maximum intensity projection,
2:51
which I'm showing here.
2:53
It needs a volume rendering of the PET imaging.
2:56
And this is a really nice
2:58
Way to look at the distribution of the tracer,
3:02
and, uh, it gives you a very good understanding of,
3:06
of the disease or of the process.
3:09
In just one glance, this is the common way
3:13
to look at the pet.
3:15
And obviously based on preference,
3:17
you can change the display.
3:18
But in general, uh, PET viewers will always show you
3:23
the pet, only the ct, and then the fsed images.
3:28
You can review your case in axial
3:31
and then you can change them to sad or coronal
3:36
and they should be, uh, linked.
3:39
So you can localize the area of
3:43
abnormality in all the scanners at the same time.
3:47
And vice versa, from the MIP into the other imaging tiles,
3:52
I.