Computed tomography

Classification

• X-ray computed tomography. This is defined as "tomography using x-ray transmission and a computer algorithm to reconstruct the image."
• Emission Computed Tomography This is defined as "tomography using radioactive emissions from injected radionuclides and computer algorithms to reconstruct an image".
  • Positron-Emission Computed Tomography (PET Scan) is defined as "an imaging technique using compounds labeled with short-lived positron-emitting radionuclides (such as carbon-11, nitrogen-13, oxygen-15 and fluorine-18) to measure cell metabolism. It has been useful in study of soft tissues such as cancer; cardiovascular system; and brain. SPECT is closely related to pet, but uses isotopes with longer half-lives and resolution is lower." An example is 18-Fluorodeoxyglucose (FDG) positron emission tomography for localizing some cancers.
  • Single-Photon Emission-Computed Tomography (SPECT) is defined as "A method of computed tomography that uses radionuclides which emit a single photon of a given energy. The camera is rotated 180 or 360 degrees around the patient to capture images at multiple positions along the arc. The computer is then used to reconstruct the transaxial, sagittal, and coronal images from the 3-dimensional distribution of radionuclides in the organ. The advantages of SPECT are that it can be used to observe biochemical and physiological processes as well as size and volume of the organ. The disadvantage is that, unlike positron-emission tomography where the positron-electron annihilation results in the emission of 2 photons at 180 degrees from each other, SPECT requires physical collimation to line up the photons, which results in the loss of many available photons and hence degrades the image".