A breast positron emission tomography (PET) scan is an imaging test that uses a radioactive substance (called a tracer) to look for breast cancer. This tracer can help identify areas of cancer that an MRI or CT scan may miss.
Breast positron emission tomography; PET - breast; PET - tumor imaging - breast
How the test is performed
A PET scan requires a small amount of radioactive material (tracer). This tracer is given through a vein (IV), usually on the inside of your elbow. It travels through your blood and collects in organs and tissues. The tracer helps the radiologist see certain areas or diseases more clearly.
You will need to wait nearby as the tracer is absorbed by your body. This usually takes about 1 hour.
Then, you will lie on a narrow table, which slides into a large tunnel-shaped scanner. The PET scanner detects signals from the tracer. A computer changes the results into 3-D pictures. The images are displayed on a monitor for your doctor to read.
You must lie still during test. Too much movement can blur images and cause errors.
How long the test takes depends on what part of the body is being scanned.
The test takes about 90 minutes.
How to prepare for the test
You may be asked not to eat anything for 4 - 6 hours before the scan. You will be able to drink water.
Tell your health care provider if:
You are afraid of close spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious.
You are pregnant or think you might be pregnant.
You have any allergies to injected dye (contrast).
You have take insulin for diabetes. You will need special preparation.
Always tell your health care provider about the medicines you are taking, including those bought without a prescription. Sometimes, medications may interfere with the test results.
How the test will feel
You may feel a sharp sting when the needle containing the tracer is placed into your vein.
A PET scan causes no pain. The table may be hard or cold, but you can request a blanket or pillow.
An intercom in the room allows you to speak to someone at any time.
There is no recovery time, unless you were given a medicine to relax.
Why the test is performed
A PET scan is most often used when other tests, such as MRI scan or CT scan, do not provide enough information.
A breast PET scan is used only after a woman has been diagnosed with breast cancer. It is done to see if the cancer has spread to other parts of the body such as lymph nodes, liver, lung or bones.
If you have breast cancer, your doctor may order this scan:
Soon after your diagnosis to see if the cancer has spread
After treatment if there is concern that the cancer has come back
During treatment to see if the cancer is responding to treatment
A PET scan is not used to screen for, or diagnose, breast cancer.
A normal result means there are no areas outside the breast in which the radiotracer has abnormally collected. This result most likely means the breast cancer has not spread to other parts of the body.
Very small areas of breast cancer may not show up on a PET scan.
What abnormal results mean
Abnormal results may mean that breast cancer that has spread.
What the risks are
The amount of radiation used in a PET scan is low. It is about the same amount of radiation as in most CT scans. Also, the radiation doesn't last for very long in your body.
Women who are pregnant or are breastfeeding should let their doctor know before having this test. Infants and babies developing in the womb are more sensitive to the effects of radiation because their organs are still growing.
It is possible, although very unlikely, to have an allergic reaction to the radioactive substance. Some people have pain, redness, or swelling at the injection site.
It is possible to have false results on a PET scan. Blood sugar or insulin levels may affect the test results in people with diabetes.
Most PET scans are now performed along with a CT scan. This combination scan is called a PET/CT.
Pennant M, Takwoingi Y, Pennant L, et al. A systematic review of positron emission tomography (PET) and positron emission tomography/computed tomography (PET/CT) for the diagnosis of breast cancer recurrence. Health Technol Assess. 2010 Oct;14(50):1-103.
Escalona S, Blasco JA, Reza MM, Andradas E, Gómez N. A systematic review of FDG-PET in breast cancer. Med Oncol. 2010 Mar;27(1):114-29.Epub 2009 Mar 11.
David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc. Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital.