PET principles
Annihilation + coincidence.
Step 1 — Tracer. Short-half-life emitter (F-18 in fluorodeoxyglucose, min) injected. Accumulates where metabolism is high (e.g. tumour, active brain).
Step 2 — Decay. Nucleus emits POSITRON. Positron travels few mm, slows, annihilates with nearby ELECTRON.
Step 3 — Annihilation. . Each photon has MeV. By momentum conservation (initial system at rest), photons emitted at 180° (back-to-back).
Step 4 — Detection. Ring of detectors around patient. Pairs of detectors in COINCIDENCE — both photons arriving within a few ns → annihilation happened on the line connecting them.
Step 5 — Reconstruction. Many lines of response → 3D image of tracer concentration.
Functional imaging. Unlike CAT (structure), PET shows METABOLIC ACTIVITY → tumours, brain activity.
Cambridge tip. Always include 'coincidence' AND '0.511 MeV' AND '180°' in your description.
- Tracer → → annihilation.
- Each photon 0.511 MeV.
- Coincidence pairs → image.