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TUTORIAL: Clinical PET - Neurology

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Contents:
Topics:
  • Neurological Scan Evaluation
  • PET and Brain Function
  • Metabolic Development of the Brain
  • Alzheimer's Disease
  • Brain Tumors
  • Developmental Errors
  • Infantile Spasms
  • Parkinson's Disease
  • Trauma

  • PET and Brain Function


    We begin by looking at the mapping of cerebral function. We will perform a variety of stimulations on the normal subject and then examine the corresponding PET images.


    Click on image above to view full-size image.

    Shown above are a series of four slices from the resting brain.

    We will now examine the effects of various external stimuli on the PET scan image. The first stimulation is auditory, i.e. the subject will listen to some music.


    Click on image above to view full-size image.

    Notice the increased activity in the PET image containing the auditory cortex. Note that nonverbal stimuli (music) predominantly activates the nondominant (right) hemisphere. Simultaneous stimulation with language and music would cause a more bilateral activation of the auditory cortex.

    Next, we will expose the subject to visual stimulation consisting of both pattern and color.


    Click on image above to view full-size image.

    Notice the increased activity in the stimulated brain PET image (arrowhead). This region of increased activity corresponds to the primary visual cortex.

    The subject now must perform a "thinking" task.


    Click on image above to view full-size image.

    Notice the increased activity in the stimulated brain PET image (arrowhead). This region of increased activity corresponds to the frontal cortex.

    Our next stimulation requires the subject to remember an image for later recall.


    Click on image above to view full-size image.

    Notice the increased activity in the stimulated brain PET image (arrowhead). This region of increased activity corresponds to the hippocampal formation, a region of the brain implicated in learning and memory.

    We will now examine motor stimulation of the brain by asking the subject to hop up and down on his right foot.


    Click on image above to view full-size image.

    The motor task of a movement of the right foot caused cortical metabolic activation of the left motor strip (horizontal arrowhead) and supplementary motor cortex (vertical arrow, top).

    Credits

    Material for this section was kindly provided by:

    Michael E. Phelps, Ph.D.
    Dept. of Molecular and Medical Pharmacology
    UCLA School of Medicine

    John Mazziotta, M.D., Ph.D.
    Dept. of Molecular and Medical Pharmacology and
    Dept. of Neurology
    UCLA School of Medicine

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