Explaining PET scans and how they work

Understand more about what they are and why you’d have one

Key points

  • A PET scan creates detailed 3D pictures of the inside of your body.
  • It’s commonly used to identify cancer in the body, to see if and how far it’s spread, and if it’s responding the treatment.
  • It can also be used to help plan for surgery, identify brain conditions and reveal reduced blood flow in the heart.

What is PET scan?

A positron emission tomography (PET) scan produces three-dimensional images of the inside of your body. You’d usually have one during an outpatient visit to hospital. Footnote [1] PET scans are different to other scans because they can show how well certain functions of your body are working rather than simply showing what they look like.

The scan detects low levels of radiation given off by radiotracer - a low level radioactive drug injected in to a vein in your arm - as it collects in different areas of your body and shows areas of high metabolic activity.

Let's say you've been referred for a PET scan to check for cancerous cells. Your radiographer will administer a small amount of a radiotracer. This substance is very similar to naturally occurring glucose—a type of sugar—and is processed by your body in much the same way. Cancer cells tend to absorb glucose at a faster rate than normal cells due to their increased metabolic activity. As a result, areas with cancerous cells will take up more of the radiotracer. The PET scanner detects this uptake, highlighting regions of abnormal activity and helping clinicians identify potential areas of concern.

The PET scan helps study how active your cells are – known as typical and atypical metabolic activity. Atypical cell hotspots indicate something isn’t as it should be, and the doctors can investigate this further.

What’s the purpose of a PET scan?

There's a number of reasons why you might have a PET scan. Footnote [1] These include:

  • identifying cancer within the body
  • checking if and how far cancer has spread
  • assessing whether cancer is responding to treatment
  • helping locate surgical sites and plan operations
  • investigating conditions that affect the brain
  • revealing reduced blood flow in the heart.

Medical professionals often use PET scans alongside other types of imaging such as computed tomography (CT) or magnetic resonance imaging (MRI) to produce more detailed images of your body.

Preparing for a PET scan

Hospitals typically provide detailed instructions on preparing for a PET scan.

You may be advised not to eat anything for at least six hours before your scan and to avoid strenuous exercise for about 24 hours before your appointment.

It's normally an outpatient investigation, so you're likely to be in hospital only a few hours.

You may need to remove anything metal, so avoid wearing jewellery, belts with metal buckles or any items of clothing with metal parts, such as zips.

If you have a fear of enclosed spaces, your medical practitioner may give you a mild sedative before the scan to help you relax. Contact your doctor or the hospital beforehand and tell the radiographer when you arrive for your PET scan appointment. 

Having a PET scan

You’ll probably be asked to arrive for your appointment about an hour before your scan as the radiographer has to inject the radiotracer into a vein in your arm and give it time to collect in areas of your body. Footnote [2]  

When you’re in the department, you may be asked to go to the toilet and empty your bladder before your scan.

During the scan

The radiographer will position you in the scanner. Once the scan has started, the scanner will move slowly, taking images of the body area being scanned. You’ll need to lie really still and avoid speaking if possible so the images produced are nice and clear.

The whole process is usually pain-free and takes between thirty minutes and an hour.

 

After the scan

It’s rare to experience side effects after a PET scan, and you’ll be able to go home the same day.

Your results probably won’t be available straight away. Instead, the hospital will send them to your doctor for you to discuss at your next appointment.

What are the risks of a PET scan?

PET and PET CT scanning involve some exposure to radiation. Your radiographer will be able to explain what's involved and answer any questions you may have. Footnote [3]  

The word ‘radiotracer’ might sound a bit scary, but the drug only carries a small amount of radioactive fluid, which becomes less radioactive as time passes. Drinking plenty of fluids can help you flush it out of system quickly and naturally.

As a precaution, you may be advised to avoid contact with pregnant women, young children and babies for a few hours afterwards.

 

Alternatives to PET scans

You may be offered alternative imaging tests instead of a PET scan. Your doctor is best placed to decide which one is best for you and your particular heath concern.

  • MRI scan – An MRI scan uses strong magnets and radio waves to take detailed pictures of the inside of your body. It doesn't use X-rays or radiation. Instead, it works by detecting how water molecules in your tissues respond to the magnetic field, which helps create clear images of organs, muscles and other soft tissues.
  • CT scan – uses X-rays to take detailed pictures of the inside of your body. Instead of just one image like a regular X-ray, the CT scanner takes many images from different angles. A computer then puts these together to create clear, cross-sectional views (like slices).
  • Ultrasound scan – use high frequency sound waves to create images. It is useful for visualising soft tissues and fluid-filled structures.

Use your cover to pay for your PET scan

If a specialist recommends a PET scan for the condition you have, it may be covered by your policy. You can make a claim on your health insurance through MyAviva, over the phone, or online.

Once we’ve confirmed your claim meets the terms of your policy, we’ll pay for the scan directly.

It’s good to have one less thing to worry about. It’s time for you to focus on your treatment and recovery without worrying about the fees. 

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If you’d like a quote, we’ll ask you to provide us with a few personal details and the date you want cover to start. We’ll also ask you about customisable cover options, like if you want anyone else added to the cover, and about any medical history you may have.

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