July 10, 2025

Navigating the Complexities of PET, PET/CT, and PET/MRI Scanners

Welcome to a deep dive into the fascinating world of Positron Emission Tomography (PET), PET/CT, and PET/MRI scanners. These powerful imaging technologies play a critical role in modern medicine, enabling doctors to diagnose and monitor a wide range of conditions, from cancer to neurological disorders. In this post, we'll break down the intricacies of each scanner type, exploring their principles, applications, and the challenges they present. We'll also showcase how MultiFunctional Imaging is revolutionizing PET imaging software, enhancing scanner functionality, improving efficiency, and ultimately, impacting patient care. This discussion complements our latest podcast episode featuring Dave Dolan, Co-Founder & Executive Chairman at MultiFunctional Imaging, where we explore his vision for the future of medical imaging. You can listen to the full episode here.

Introduction to PET, PET/CT, and PET/MRI Scanners

Medical imaging has revolutionized healthcare, providing clinicians with unparalleled insights into the human body. Among the various imaging modalities, PET scans stand out for their ability to visualize metabolic processes at the cellular level. This unique capability allows for early detection and accurate monitoring of diseases, particularly cancer. However, PET scans alone provide limited anatomical information. This is where PET/CT and PET/MRI come into play, combining the functional capabilities of PET with the anatomical detail of CT and MRI, respectively.

PET, PET/CT, and PET/MRI scanners are sophisticated tools used to diagnose and monitor a wide range of conditions. They work by detecting radioactive tracers that are injected into the patient. These tracers, also known as radiopharmaceuticals, accumulate in specific tissues or organs, allowing doctors to visualize metabolic activity and identify abnormalities. Each scanner type offers distinct advantages and is suited for different clinical applications.

Understanding PET Scans: Principles and Applications

At its core, a PET scan is a nuclear medicine imaging technique that produces a three-dimensional image of functional processes in the body. It involves injecting a short-lived radioactive tracer, typically a glucose analog like fluorodeoxyglucose (FDG), into the patient. FDG is similar to glucose and is absorbed by cells that require energy. Because cancer cells are often highly metabolically active, they tend to accumulate FDG at a higher rate than normal cells, making them visible on a PET scan.

As the radioactive tracer decays, it emits positrons, which interact with electrons in the body, resulting in the production of two gamma rays that travel in opposite directions. These gamma rays are detected by sensors in the PET scanner, which reconstructs the data to create an image showing the distribution of the tracer within the body. The intensity of the signal corresponds to the metabolic activity of the tissue, allowing doctors to identify areas of increased or decreased activity.

PET scans are primarily used in oncology to detect, stage, and monitor cancer. They can also be used to diagnose and monitor neurological disorders, such as Alzheimer's disease and Parkinson's disease, as well as cardiovascular conditions. The ability to visualize metabolic activity makes PET scans invaluable for detecting diseases at an early stage, before structural changes are apparent on other imaging modalities.

The Synergy of PET/CT: Combining Functional and Anatomical Imaging

While PET scans provide valuable information about metabolic activity, they lack precise anatomical detail. To overcome this limitation, PET is often combined with computed tomography (CT) in a single imaging session, creating a PET/CT scan. CT uses X-rays to create detailed images of the body's internal structures, including bones, organs, and blood vessels.

By combining PET and CT images, doctors can precisely correlate metabolic activity with anatomical structures. This allows for more accurate localization of abnormalities and improved diagnostic accuracy. For example, a PET/CT scan can help determine whether a suspicious area of increased metabolic activity seen on a PET scan is located within a tumor or in an adjacent normal tissue.

PET/CT is widely used in oncology for staging cancer, assessing treatment response, and detecting recurrent disease. It is also used in cardiology to assess myocardial perfusion and viability, and in neurology to evaluate brain function and detect seizure foci. The combination of functional and anatomical information provided by PET/CT scans has significantly improved the management of many diseases.

The Advantages of PET/MRI: A Comprehensive Imaging Approach

Similar to PET/CT, PET/MRI combines the functional information of PET with the anatomical detail of another imaging modality, in this case, magnetic resonance imaging (MRI). MRI uses strong magnetic fields and radio waves to create detailed images of the body's soft tissues, including the brain, spinal cord, and internal organs. MRI offers superior soft tissue contrast compared to CT, making it particularly useful for imaging the brain, musculoskeletal system, and abdomen.

PET/MRI offers several advantages over PET/CT. First, MRI does not use ionizing radiation, making it a safer option for patients, especially children and pregnant women. Second, MRI provides superior soft tissue contrast, allowing for better visualization of tumors and other abnormalities. Third, PET/MRI can be used to simultaneously assess multiple parameters, such as metabolic activity, blood flow, and tissue perfusion.

PET/MRI is increasingly being used in oncology, particularly for imaging the brain, breast, and prostate. It is also used in neurology to evaluate brain function and detect neurological disorders, and in cardiology to assess myocardial perfusion and viability. While PET/MRI is still a relatively new technology, its potential for improving diagnostic accuracy and patient care is significant.

Challenges in PET Imaging and the Need for Innovation

Despite their many advantages, PET, PET/CT, and PET/MRI scanners face several challenges. One of the biggest challenges is the cost and availability of radioactive tracers. These tracers are expensive to produce and have a short shelf life, limiting their availability. Another challenge is the radiation exposure associated with PET scans, although the dose is generally considered to be low.

Image quality can also be a challenge in PET imaging. Factors such as patient motion, attenuation of gamma rays by body tissues, and scatter of gamma rays can degrade image quality and reduce diagnostic accuracy. In addition, the interpretation of PET images can be complex and requires specialized training and expertise.

To address these challenges, there is a need for innovation in PET imaging technology and software. This includes developing new and more affordable radioactive tracers, improving image reconstruction algorithms, and developing tools to automate image analysis and interpretation. MultiFunctional Imaging is at the forefront of this innovation, developing software solutions that enhance the functionality and efficiency of PET scanners.

MultiFunctional Imaging: Revolutionizing PET Imaging Software

MultiFunctional Imaging is a University of Utah startup company focused on improving the efficiency and accessibility of multi-tracer imaging with PET, PET/CT, and PET/MRI scanners. The company develops software solutions that address some of the key challenges in PET imaging, including the cost and complexity of multi-tracer studies.

MultiFunctional Imaging's software platform enables researchers and clinicians to perform complex multi-tracer studies more efficiently and cost-effectively. The software automates many of the manual tasks involved in image processing and analysis, reducing the time and effort required to conduct these studies. This allows for more frequent and comprehensive imaging, ultimately leading to improved patient care.

According to the related podcast episode, Dave Dolan's career has been built on successes centering around the commercialization and customer adoption of innovative MedTech products/services. With successes in both Fortune 500 corporations and startups, businesses have benefitted from his track record of success in turning medical device innovation into record growth, high market share, and attractive market valuations.

How MultiFunctional Imaging Enhances Scanner Functionality

MultiFunctional Imaging's software enhances scanner functionality in several ways. First, it provides advanced image processing and analysis tools that improve image quality and diagnostic accuracy. These tools include algorithms for correcting for patient motion, attenuation, and scatter, as well as tools for automated image segmentation and quantification.

Second, the software streamlines the workflow for multi-tracer studies, reducing the time and effort required to conduct these studies. The software automates many of the manual tasks involved in image processing and analysis, such as image registration, co-registration, and normalization. This allows researchers and clinicians to focus on the scientific and clinical questions at hand, rather than spending time on tedious manual tasks.

Third, MultiFunctional Imaging's software provides a user-friendly interface that makes it easy to use and learn. The software is designed to be intuitive and easy to navigate, even for users with limited experience in PET imaging. This makes it accessible to a wider range of researchers and clinicians, ultimately leading to increased adoption of multi-tracer imaging.

Improving Efficiency and Accessibility of Multi-Tracer Imaging

Multi-tracer imaging involves the use of multiple radioactive tracers to simultaneously assess different metabolic processes. This technique can provide a more comprehensive understanding of disease pathophysiology and treatment response. However, multi-tracer imaging is often complex and time-consuming, limiting its widespread adoption.

MultiFunctional Imaging's software improves the efficiency and accessibility of multi-tracer imaging by automating many of the manual tasks involved in image processing and analysis. This reduces the time and effort required to conduct these studies, making them more feasible for routine clinical use. The software also provides tools for visualizing and analyzing multi-tracer data, making it easier for researchers and clinicians to interpret the results.

By improving the efficiency and accessibility of multi-tracer imaging, MultiFunctional Imaging is helping to unlock the full potential of this powerful technique. This will lead to a better understanding of disease mechanisms, improved diagnostic accuracy, and more effective treatments.

Dave Dolan's Vision: Pushing the Boundaries of Medical Imaging

Dave Dolan, Co-Founder & Executive Chairman at MultiFunctional Imaging, has a clear vision for the future of medical imaging. He believes that software solutions like those developed by MultiFunctional Imaging will play a critical role in improving the efficiency, accessibility, and accuracy of PET imaging. According to the show notes from the related episode, Dolan's is a trusted business leader who draws upon an analytical and data-driven approach with KOLs, advising boards of directors, investors, C-level executives, and other stakeholders in identifying and capitalizing on opportunities to advance each organization’s strategic vision.

Dolan envisions a future where multi-tracer imaging is routinely used in clinical practice to guide treatment decisions and monitor treatment response. He believes that this will lead to more personalized and effective treatments for a wide range of diseases. MultiFunctional Imaging is committed to making this vision a reality by developing innovative software solutions that push the boundaries of medical imaging.

Real-World Impact: Enhanced Patient Care and Outcomes

The ultimate goal of MultiFunctional Imaging is to improve patient care and outcomes. By enhancing the functionality and efficiency of PET scanners, the company is helping to make this powerful imaging technology more accessible and affordable. This will lead to earlier detection of diseases, more accurate diagnoses, and more effective treatments.

MultiFunctional Imaging's software is already being used in clinical trials to evaluate new cancer therapies and monitor treatment response. The results of these trials are demonstrating the potential of multi-tracer imaging to improve patient outcomes. As the technology continues to evolve, it is expected to have an even greater impact on patient care.

The Future of PET Imaging: MultiFunctional Imaging's Role

The future of PET imaging is bright. With ongoing advances in technology and software, PET scanners are becoming more powerful, more accurate, and more accessible. MultiFunctional Imaging is playing a key role in this evolution, developing innovative software solutions that are transforming the way PET imaging is used in clinical practice.

As new radioactive tracers are developed and multi-tracer imaging becomes more widely adopted, the potential for PET imaging to improve patient care will only continue to grow. MultiFunctional Imaging is committed to staying at the forefront of this innovation, developing software solutions that meet the evolving needs of researchers and clinicians.

Conclusion: Navigating the Future of PET Technology

PET, PET/CT, and PET/MRI scanners are essential tools in modern medicine, offering unique insights into metabolic processes and anatomical structures. While these technologies present challenges, companies like MultiFunctional Imaging are actively innovating to improve their functionality, efficiency, and accessibility. As Dave Dolan discusses in our podcast episode, the future of medical imaging lies in leveraging software solutions to unlock the full potential of these scanners, ultimately leading to enhanced patient care and outcomes. Listen to the full episode here to delve deeper into Dave's vision and the groundbreaking work being done at MultiFunctional Imaging.