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P E T in URO-ONCOLOGY


Dr.V.SIVASUBRAMANIYAN
 Dept. of Nuclear Medicine
       SSSIHMS,PSN
URO-ONCOLOGY
 Ca.   Prostate

 Ca.   Bladder

 Ca.Testis


   Carcinoma Kidney
Ca Prostate
 PRIMARY
 FDG PET x C-11 Acetate PET
 METASTATIC
 FDG PET Vs C-11 Acetate PET
 RECURRENCE
 FDG PET = C-11 Acetate PET
 RESPONSE
 FDG
Ca Bladder
 PRIMARY
 No Role
 METASTATIC
 FDG PET Vs C-11 Acetate PET
 RECURRENCE
 FDG PET = C-11 Acetate PET
 RESPONSE
 FDG
MOLECULAR
     IMAGING
     WHAT?
      WHY?
     HOW?
       WHEN?
WHAT            I S .. D E F I N I T I
                   ON
 Molecular   Imaging defined as IN-VIVO
    characterisation and imaging of

 BIOLOGICAL       PROCESSES at the
    Cellular and Molecular

   with TARGETTED IMAING
    TECHNIQUES.
HOW IS IT DIFFERE
        NT
 CONVENTIONAL   IMAGING-
 EFFECT OF A PATHOLOGICAL
 PROCESS IS DEPICTED

 MOLECULAR  IMAGING – DEPICTS OR
 DELINEATE S THE PATHOLOICAL
 PROCESS CAUSING THE DISEASE
B A S I C T O O L ..
M   OLECULAR PROBES

H   IGH AFFINITY–2TYPES

 L.M.W– RECEPTOR LIGANDS
        ENZYME SUBSTRATES
 H.M.W- MONOCLONAL Ab
        RECOMBINENT PROTEINS
CRITICAL ISSUES
   CELL INTERNALISATION

A      DE Q U A T E C O N C E N T R A T I O
    N

R      ETENTION FOR LONGER
METHODS OFIMAGI
         NG
   NUCLEAR IMAGING

   MAGNETIC RESONANCE

   OPTICAL IMAGING
NUCLEAR STUDIES
   Na I SYMPORTER TRAPPING – I 131

 THYROID   / LACTATING BREAST/
    GASTRIC MUCOSA

 FDG   PET

 HSV1-   THYMIDINE KINASE
M. R . I
 MONOCRYSTALLINE   IRON OXIDE
 NANO-PARTICLES

 SECOND   REPORTER SYSTEM

 ENZYMATIC   HYDROLYSIS
OPTICAL IMAGING
 NEARINFRA RED FLUROSCENCE
 IMAGING


 BIO-LUMINESCENT   PROTEINS
SAISAHAVEERYAM
                   •N.M

    Clinics                  N.P



                                   •Bio-Tech
 Comput.


           Histopath   •Bio-chem
P e t  in uro oncology-2

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P e t in uro oncology-2

  • 1.
  • 2. P E T in URO-ONCOLOGY Dr.V.SIVASUBRAMANIYAN Dept. of Nuclear Medicine SSSIHMS,PSN
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
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  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. URO-ONCOLOGY  Ca. Prostate  Ca. Bladder  Ca.Testis  Carcinoma Kidney
  • 31. Ca Prostate  PRIMARY  FDG PET x C-11 Acetate PET  METASTATIC  FDG PET Vs C-11 Acetate PET  RECURRENCE  FDG PET = C-11 Acetate PET  RESPONSE  FDG
  • 32. Ca Bladder  PRIMARY  No Role  METASTATIC  FDG PET Vs C-11 Acetate PET  RECURRENCE  FDG PET = C-11 Acetate PET  RESPONSE  FDG
  • 33.
  • 34.
  • 35.
  • 36.
  • 37. MOLECULAR IMAGING WHAT? WHY? HOW? WHEN?
  • 38. WHAT I S .. D E F I N I T I ON  Molecular Imaging defined as IN-VIVO characterisation and imaging of  BIOLOGICAL PROCESSES at the Cellular and Molecular  with TARGETTED IMAING TECHNIQUES.
  • 39. HOW IS IT DIFFERE NT  CONVENTIONAL IMAGING- EFFECT OF A PATHOLOGICAL PROCESS IS DEPICTED  MOLECULAR IMAGING – DEPICTS OR DELINEATE S THE PATHOLOICAL PROCESS CAUSING THE DISEASE
  • 40. B A S I C T O O L .. M OLECULAR PROBES H IGH AFFINITY–2TYPES  L.M.W– RECEPTOR LIGANDS  ENZYME SUBSTRATES  H.M.W- MONOCLONAL Ab  RECOMBINENT PROTEINS
  • 41.
  • 42.
  • 43. CRITICAL ISSUES  CELL INTERNALISATION A DE Q U A T E C O N C E N T R A T I O N R ETENTION FOR LONGER
  • 44. METHODS OFIMAGI NG  NUCLEAR IMAGING  MAGNETIC RESONANCE  OPTICAL IMAGING
  • 45. NUCLEAR STUDIES  Na I SYMPORTER TRAPPING – I 131  THYROID / LACTATING BREAST/ GASTRIC MUCOSA  FDG PET  HSV1- THYMIDINE KINASE
  • 46. M. R . I  MONOCRYSTALLINE IRON OXIDE NANO-PARTICLES  SECOND REPORTER SYSTEM  ENZYMATIC HYDROLYSIS
  • 47.
  • 48. OPTICAL IMAGING  NEARINFRA RED FLUROSCENCE IMAGING  BIO-LUMINESCENT PROTEINS
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55. SAISAHAVEERYAM •N.M Clinics N.P •Bio-Tech Comput. Histopath •Bio-chem