Brain PET-CT Scan

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05 Jul, 2025

Dr. Nikunj Jain

Dr. Nikunj Jain

Co-Founder and HOD - Nuclear Medicine ,

MBBS, DRM, DNB, FEBNM, FANMB, Dip. CBNC

Brain PET-CT is an advanced diagnostic imaging technique that combines Positron Emission Tomography (PET) and Computed Tomography (CT) to assess various brain conditions with high precision. This dual-modality scan provides both functional and structural insights, making it highly effective in diagnosing neurological disorders. PET imaging detects abnormalities at the cellular level using a radioactive tracer—typically fluorodeoxyglucose (FDG)—which highlights areas of altered metabolic activity in the brain. Meanwhile, the CT component captures detailed anatomical images, allowing clinicians to identify structural changes, tumors, or lesions. Brain PET-CT is widely used to evaluate conditions such as brain tumors, Alzheimer's disease, epilepsy, blood flow irregularities, and other neurological abnormalities. It plays a crucial role in detecting brain cancer at an early stage, significantly improving treatment outcomes and helping prevent the spread of the disease. By combining metabolic and anatomical imaging, Brain PET-CT enables accurate diagnosis, staging, and treatment planning based on the severity and location of the condition. This non-invasive procedure is considered one of the most advanced tools in neuroimaging and contributes greatly to personalize and timely medical care.

Brain Cancer

Brain cancer is the condition when cells divide in the uncontrolled manner leading to the formation of tumors. Brain tumors can be malignant or benign and based on this we can predict the severity of the disease. There is not any single exact cause of the brain cancer known. Researchers believe that there is change in the chromosomes in the cells or in DNA which signals the cells for the uncontrolled growth.  Brain cancer can also involve spinal cord which leads to the malfunctioning of central nervous system. Different symptoms related to brain cancer are headache, blurred vision, seizures, weakness, paralysis, numbness on face etc. Early detection of cancer can be effective in diagnosis and treatment of the cancer. PET CT is one of the advanced diagnostic tools which give both cellular and anatomical view of the brain cancer. Better diagnosis help for better and effective treatment of the condition.

When is PET CT Brain performed?

A healthcare expert can suggest the brain PET CT to the patient if he suspects any brain abnormality. These conditions are shown by brain PET CT scan:

  • To detect the Alzheimer’s disease
  • To detect the Parkinson’s syndrome
  • To detect different types of brain tumors
  • To detect epilepsy
  • To detect the extent of brain damage due to stroke or trauma
  • To assess the treatment effectiveness
  • To assess the condition of the brain before going for any surgical procedure
  • To monitor cancer recurrence.

What are the causes of Brain Cancer?

Research suggested that there is no single known cause of brain cancer; several risk factors have been closely linked to its development are:

  • Genetic mutation to brain cells
  • Environmental factors
  • Long exposure to certain radiations
  • Cancer spread from other parts of the body
  • Few inherited genes like
  • NF1 gene
  • NF2 gene
  • APC gene
  • PTHC gene
  • TP53 gene

Which type of brain cancers can be detected by PET CT scan?

Researchers have identified more than 150 types of brain tumors and various types of brain cancers which can be detected by the PET CT scan. This diagnostic tool can also detect non cancerous tumors, different types of brain conditions detected by PET CT scan are:

  • Astrocytoma
  • Ependymomas
  • Glioblastoma
  • Oligodendroglioma
  • Chordomas
  • Craniopharyngiomas
  • Gangliocytomas
  • Meningiomas

What is Brain PET CT scan used to show?

PET CT scan can show different types of brain cancers, its spread, and status and also helps to design a treatment for a particular type of brain cancer. Brain PET can show various conditions like:

  • Used to show the type of brain cancer
  • Used to show the spread of brain cancer
  • Used to show primary source of brain cancer
  • Detection of recurrence of brain cancer
  • Cellular changes in the brain cells.
  • Any abnormal activity of the brain cells.
  • Reveal the functioning of the brain cells. 
  • Monitoring treatment responses on brain cancer

How to Prepare for Brain PET-CT Scan?

A Brain PET-CT scan is a specialized imaging procedure that requires prior consultation with a radiologist to ensure safety and accuracy. Before undergoing the scan, patients must provide a complete medical history, including any current symptoms, ongoing medications, and known allergies—particularly to drugs or contrast agents. This is crucial because the procedure involves the use of a radioactive tracer, most commonly fluorodeoxyglucose (FDG), which may interact with certain medications or trigger allergic reactions, potentially compromising the scan results. Patients are often instructed to temporarily discontinue specific medications before the procedure, based on the radiologist’s guidance. On the day of the scan, the radioactive tracer is injected, and the patient is asked to rest quietly for about an hour to allow the tracer to distribute throughout the body and concentrate in areas of high metabolic activity. Following this uptake period, the patient is taken to the scanning room and positioned on a motorized table that moves slowly through the PET-CT scanner. The imaging itself typically lasts between 30 to 60 minutes, while the entire appointment—including preparation and waiting time—may take up to 2 hours. Throughout the scan, patients must remain still to ensure clear, high-quality images. This detailed process helps radiologists and physicians gain critical insights into brain function, structure, and potential abnormalities, aiding in accurate diagnosis and treatment planning.

Conclusion

In conclusion, PET-CT is an effective diagnostic tool for the detection of brain cancers. Early identification of brain cancer can be game changer in the treatment of the brain cancer.  Brain cancer is uncontrolled division of cells which can form tumors, these cells can also spread to other parts of the body if not treated early. The main canuse of brain cancer is not known but researchers believe that DNA mutation in the cells can lead to this condition. DNA guides the cells about the division but when DNA gets mutated it lose its ability to control cell division. Brain cancer can also involve spinal cord which is an important part of central nervous system. There are various symptoms of brain cancer like numbness, paralysis, headache, seizures, blurred vision etc. Doctor can suggest PET CT scan for the brain if he suspects a serious abnormal condition related to brain. PET CT scan can show various diseases like Alzheimer’s disease, epilepsy, Parkinson’s disease etc.  PET CT is an effective tool in diagnosing the condition early thus helps in effective treatment.

 

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