Seminars in Nuclear Medicine
Volume 39, Issue 4 , Pages 264-275, July 2009

Hybrid Imaging (SPECT/CT and PET/CT)—Improving the Diagnostic Accuracy of Functional/Metabolic and Anatomic Imaging

  • Einat Even-Sapir, MD, PhD

      Affiliations

    • Department of Nuclear Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
    • Corresponding Author InformationAddress reprint requests to Einat Even-Sapir, MD, PhD, Department of Nuclear Medicine, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv 64239, Israel
  • ,
  • Zohar Keidar, MD, DSc

      Affiliations

    • Department of Nuclear Medicine, Rambam Health Care Campus, Haifa, Israel
  • ,
  • Rachel Bar-Shalom, MD

      Affiliations

    • Department of Nuclear Medicine, Rambam Health Care Campus, Haifa, Israel

In-line combined systems, single-photon emission computed tomography (SPECT)/computed tomography (CT) and positron emission tomography (PET)/CT, allow an instant generation of fused images of scintigraphy and CT data. The accumulated clinical data on the use of these systems in various clinical scenarios indicate that this hybrid technology improves the diagnostic accuracy as compared to scintigraphy and CT alone and even to side-by-side interpretation of scintigraphy and CT, which were acquired separately. The improved diagnostic accuracy is reflected by improving image quality of SPECT and PET, detection of more clinically relevant lesions, better localization of disease and differentiation between physiologic and pathologic uptake, characterization of disease by its functional and morphologic appearance before and after therapy and accurate delineation of disease, optimizing biopsy and therapy planning.

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PII: S0001-2998(09)00017-8

doi:10.1053/j.semnuclmed.2009.03.004

Seminars in Nuclear Medicine
Volume 39, Issue 4 , Pages 264-275, July 2009