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CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications...

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Page 1: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

CNS Radiopharmaceuticals

Clinical Indications for Cerebral Scintigraphy

Blood Brain Barrier

Brain SPECT and PET Radiopharmaceuticals Used Clinically

Brain Perfusion ScanTc-99m HMPAO

FDA-Approved Radiopharmaceuticals

Radiopharmaceutical Approved Indications

Fluorine-18 fluorodeoxyglucose PET abnormal glucose metabolism in oncology and foci of epileptic seizures

Florbetapir florbetaben Flutemetamol Estimate β-amyloid neuritic plaque density

Indium-111 pentetate Cisternography

Iodine-123 ioflupane (DaTscan) Striatal dopamine transporter visualization

Iodine-123 human serum albumin Localization of cerebral neoplasms

Technetium 99m bicisate (Neurolite) Localization of stroke

Technetium 99m exametazine (Ceretec) Localization of stroke

Xenon-133 gas Cerebral flow

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 2: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Clinical Indications for Cerebral Scintigraphy

Blood Brain Barrier

Brain SPECT and PET Radiopharmaceuticals Used Clinically

Brain Perfusion ScanTc-99m HMPAO

FDA-Approved Radiopharmaceuticals

Radiopharmaceutical Approved Indications

Fluorine-18 fluorodeoxyglucose PET abnormal glucose metabolism in oncology and foci of epileptic seizures

Florbetapir florbetaben Flutemetamol Estimate β-amyloid neuritic plaque density

Indium-111 pentetate Cisternography

Iodine-123 ioflupane (DaTscan) Striatal dopamine transporter visualization

Iodine-123 human serum albumin Localization of cerebral neoplasms

Technetium 99m bicisate (Neurolite) Localization of stroke

Technetium 99m exametazine (Ceretec) Localization of stroke

Xenon-133 gas Cerebral flow

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 3: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Blood Brain Barrier

Brain SPECT and PET Radiopharmaceuticals Used Clinically

Brain Perfusion ScanTc-99m HMPAO

FDA-Approved Radiopharmaceuticals

Radiopharmaceutical Approved Indications

Fluorine-18 fluorodeoxyglucose PET abnormal glucose metabolism in oncology and foci of epileptic seizures

Florbetapir florbetaben Flutemetamol Estimate β-amyloid neuritic plaque density

Indium-111 pentetate Cisternography

Iodine-123 ioflupane (DaTscan) Striatal dopamine transporter visualization

Iodine-123 human serum albumin Localization of cerebral neoplasms

Technetium 99m bicisate (Neurolite) Localization of stroke

Technetium 99m exametazine (Ceretec) Localization of stroke

Xenon-133 gas Cerebral flow

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 4: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Brain SPECT and PET Radiopharmaceuticals Used Clinically

Brain Perfusion ScanTc-99m HMPAO

FDA-Approved Radiopharmaceuticals

Radiopharmaceutical Approved Indications

Fluorine-18 fluorodeoxyglucose PET abnormal glucose metabolism in oncology and foci of epileptic seizures

Florbetapir florbetaben Flutemetamol Estimate β-amyloid neuritic plaque density

Indium-111 pentetate Cisternography

Iodine-123 ioflupane (DaTscan) Striatal dopamine transporter visualization

Iodine-123 human serum albumin Localization of cerebral neoplasms

Technetium 99m bicisate (Neurolite) Localization of stroke

Technetium 99m exametazine (Ceretec) Localization of stroke

Xenon-133 gas Cerebral flow

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 5: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Brain Perfusion ScanTc-99m HMPAO

FDA-Approved Radiopharmaceuticals

Radiopharmaceutical Approved Indications

Fluorine-18 fluorodeoxyglucose PET abnormal glucose metabolism in oncology and foci of epileptic seizures

Florbetapir florbetaben Flutemetamol Estimate β-amyloid neuritic plaque density

Indium-111 pentetate Cisternography

Iodine-123 ioflupane (DaTscan) Striatal dopamine transporter visualization

Iodine-123 human serum albumin Localization of cerebral neoplasms

Technetium 99m bicisate (Neurolite) Localization of stroke

Technetium 99m exametazine (Ceretec) Localization of stroke

Xenon-133 gas Cerebral flow

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 6: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

FDA-Approved Radiopharmaceuticals

Radiopharmaceutical Approved Indications

Fluorine-18 fluorodeoxyglucose PET abnormal glucose metabolism in oncology and foci of epileptic seizures

Florbetapir florbetaben Flutemetamol Estimate β-amyloid neuritic plaque density

Indium-111 pentetate Cisternography

Iodine-123 ioflupane (DaTscan) Striatal dopamine transporter visualization

Iodine-123 human serum albumin Localization of cerebral neoplasms

Technetium 99m bicisate (Neurolite) Localization of stroke

Technetium 99m exametazine (Ceretec) Localization of stroke

Xenon-133 gas Cerebral flow

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 7: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

SPECT Agents

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 8: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Tracer Uptake Patterns

Tracer Uptake Pattern Cause

COLD (no uptake) CSFEdemaNecrosisSpace-occupying lesions (hemorrhage tumors cysts AVM postsurgery)

HYPOACTIVE (decreased uptake) IschemiaHypometabolism (hypofunction) degeneration deafferentationAtrophy

HYPERACTIVE (increased uptake) Luxury perfusionEncephalitisAcetazolamide-induced vasodilationHyperfunction (epilepsy [ictal] neuroactivation etc)Tumors

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 9: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Acetazolamide

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 10: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

18F-Fluorodeoxyglucose

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 11: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Iodine-123 ioflupane (DaTscan)

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 12: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

NORMAL ABNORMAL

DaTscan

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 13: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Cisternography

httpwwwcontroltfeumuseIanCSFCSF_diagramjpg

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 14: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

CSF leak study In-III DTPA- SPECT imaging of the head shows a small area of radiotracer extravasation in the left anterior skull base just lateral to the midline- SPECT and pledget counting indicate small CSF leak in the region slightly left to the midline in the left superior nasal cavity

Pledgetsserum counts ratioRt superior pledget 21Rt inferior pledget 16Lt superior pledget 40Lt inferior pledget 21

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

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4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 15: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

Glance at PET Radiopharmaceuticals

Compound Application

O-15 H2O Blood flow

O-15 O2 Oxygen metabolismflow

O-15 or C-11 carboxyhemoglobin Blood volume

C-11 methionine Amino acid metabolism

C-11 methylpiperone Dopamine receptor activity

C-11 carfentanil Opiate receptor activity

C-11 flunitrazepam Benzodiazepine receptor activity

C-11 scopolamine Muscarinic cholinergic receptors

C-11 ephedrine Adrenergic terminals

F-18 fluorodeoxyglucose (FDG) Glucose metabolism

F-18 fluoro-L-dopa Presynaptic dopamine system

F-18 fluorothymidine (FLT) DNA synthesis

Suggested Articles

4 Booth TC The role of functional dopamine-transporter SPECT imaging in parkinsonian syndromes part 1 AJNR Am J Neuroradiol 2015 Feb36(2)229-35 doi 103174ajnrA3970 Epub 2014 Jun 5

Page 16: CNS Radiopharmaceuticals · Radiopharmaceuticals Radiopharmaceutical Approved Indications Fluorine-18 fluorodeoxyglucose PET: abnormal glucose metabolism in oncology and foci of epileptic

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