X-ray, CT, MRI, PET -- when you need to get imaging done, it can start to sound like an alphabet soup. They all give pictures of the inside of your body, but each type of imaging has its own strengths. A PET scan doesn’t give you just images -- it also shows how your body’s working.
When you get a PET scan, your doctor first gives you a radioactive substance called a radiotracer (or just “tracer”). The tracer gives off radiation, which the PET scan machine picks up on. The images you get show where in your body the tracer goes. If it builds up in certain areas, that could be a sign of disease.
Why Would I Need a PET Scan?
A PET scan can help doctors test for disease, prepare for surgery, and see how well treatments are working. You might get one for several reasons, but they’re most often used with cancer, heart disease, and brain conditions.
Your doctor may use a PET scan to:
- Find cancer
- See if cancer has spread
- Check if cancer treatment is working
- Determine if cancer came back after treatment
With heart disease, your doctor might use a PET scan to:
- Check blood flow to your heart muscles
- Help decide the best treatment for clogged arteries
- Look at the effects of a heart attack
Your doctor may also use it to check for brain conditions, such as:
How Do PET Scans Differ from CT and MRI Scans?
Doctors use different types of imaging for different reasons. Often, you start with an X-ray because it’s a quick way to get basic information. But if you need finer detail, you might then get a CT scan or MRI.
Many doctors use MRI/PET and CT/PET hybrid scanners, which combines the two tools into a single scan. This allows doctors to do either a CT or MRI scan in combination with a PET scan all at once.
A PET scan can show what’s actually happening in your cells. One reason that’s important is because early on, some diseases don’t cause changes you can see with an MRI or CT scan. But they do cause changes in how your cells are working. That means a PET scan might help your doctor find a disease that other types of imaging can’t.
How Do I Get Ready for a PET Scan?
First, you’ll need to tell your doctor about any of the following:
- Allergies, especially to contrast dye, iodine, or seafood
- Health conditions, like diabetes, or any illnesses you’ve had recently
- Medicines, herbs, and supplements you take
If you’re a woman, tell your doctor if you’re:
- Breastfeeding -- you may need to pump milk because you can’t breastfeed until the tracer is out of your body. Check with your doctor to see how long you should wait.
- Pregnant or think you might be -- the tracer can harm your baby, so talk to your doctor about the best options for you.
Your doctor will give you specific directions to prepare for your scan. Be sure to follow them closely. Often you’ll need to:
What’s Getting a PET Scan Like?
It depends where and why you get the scan, but typically, you:
- Change into a hospital gown
- Go to the bathroom
- Get the tracer -- depending on the type, you’ll either swallow it, breathe it in, or get it through a needle
- Wait 30 minutes to an hour for your body to absorb the tracer
- Lie very still on your back while images are taken. It’s important not to move or talk during the scan, which may last up to an hour.
The PET scan machine is a big, open circle -- like a standing donut -- with a table that moves in and out of it. If you have a fear of tight, closed spaces, you may get a drug to help keep you calm. You’ll hear the machine buzz and click as it takes images.
The scan itself is painless. For some people, staying still for so long is the hardest part and may cause some aches or discomfort.
After the scan, drink plenty of fluids to help flush the tracer out of your body. Your doctor may suggest you avoid close contact with pregnant women, kids, or babies for a few hours since you’ll be radioactive for a short time.
What Do the Results Mean?
A PET scan shows bright areas where there’s heavy activity in your cells, which may be a sign of disease. To get a more complete picture of what’s going on, your doctor may compare your PET scan with results from other imaging you’ve had. You can get results within 24 hours, but it depends on where you have the scan done.