Heart PET scan
A heart positron emission tomography (PET) scan is an imaging test that uses a radioactive substance called a tracer to look for disease or poor blood flow in the heart.
Unlike magnetic resonance imaging (MRI) and computed tomography (CT), which reveal the structure of and blood flow to and from organs, a PET scan shows how organs and tissues are working.
A heart PET scan can tell your doctor whether areas of your heart muscle are receiving enough blood, if there is heart damage, or scar tissue in the heart.
Heart nuclear medicine scan; Heart positron emission tomography; Myocardial PET scan
How the Test is Performed
A PET scan requires a small amount of radioactive material (tracer). This tracer is given through a vein (IV), usually on the inside of your elbow. It travels through your blood and collects in organs and tissues, including your heart. The tracer helps the radiologist see certain areas or diseases more clearly.
You will need to wait nearby as the tracer is absorbed by your body. This usually takes about 1 hour.
Then, you will lie on a narrow table, which slides into a large tunnel-shaped scanner. Electrodes for an electrocardiogram (ECG) will be placed on your chest. The PET scanner detects signals from the tracer. A computer changes the results into 3-D pictures. The images are displayed on a monitor for your doctor to read.
You must lie still during the PET scan so that the machine can produce clear images of your heart.
The test takes about 90 minutes.
How to Prepare for the Test
You may be asked not to eat anything for 4 - 6 hours before the scan. You will be able to drink water.
Tell your health care provider if:
- You are afraid of close spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious.
- You are pregnant or think you might be pregnant.
- You have any allergies to injected dye (contrast).
- You have take insulin for diabetes. You will need special preparation.
Always tell your health care provider about the medicines you are taking, including those bought without a prescription. Sometimes, medications may interfere with the test results.
How the Test Will Feel
You may feel a sharp sting when the needle containing the tracer is placed into your vein.
A PET scan causes no pain. The table may be hard or cold, but you can request a blanket or pillow.
An intercom in the room allows you to speak to someone at any time.
There is no recovery time, unless you were given a medicine to relax.
Why the Test is Performed
A heart PET scan can reveal the size, shape, position, and some function of the heart.
It is most often used when other tests, such as echocardiogram (ECG) and cardiac stress tests do not provide enough information.
This test can be used to diagnose heart problems and show areas in which there is poor blood flow to the heart.
Several PET scans may be taken over time to determine how well you are responding to treatment for heart disease.
There are no problems detected in the size, shape, or function of the heart. There are no areas in which the radiotracer has abnormally collected.
What Abnormal Results Mean
Abnormal results may be due to:
The amount of radiation used in a PET scan is low. It is about the same amount of radiation as in most CT scans. Also, the radiation doesn't last for very long in your body.
Women who are pregnant or are breastfeeding should let their doctor know before having this test. Infants and babies developing in the womb are more sensitive to the effects of radiation because their organs are still growing.
It is possible, although very unlikely, to have an allergic reaction to the radioactive substance. Some people have pain, redness, or swelling at the injection site.
It is possible to have false results on a PET scan. Blood sugar or insulin levels may affect the test results in people with diabetes.
Most PET scans are now performed along with a CT scan. This combination scan is called a PET/CT.
Lalonde L, Ziadi MC, Beanlands R. Cardiac positron emission tomography: current clinical practice. Cardiol Clin. 2009 May;27(2):237-55.
Udelson JE, Dilsizian V, Bonow RO. Nuclear cardiology. In: Libby P, Bonow RO, Mann DL, Zipes DP. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 16.
David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington.
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