TABLE 1

Selected Operational Parameters, Advantages, and Disadvantages of Modalities Used in Molecular Imaging

ModalityProbesSpatial resolution (mm)Sensitivity (mol/L)AdvantagesDisadvantages
PETPositron emitters (18F, 15O, 13N, 11C, 64Cu, 76Br)1–210−11−10−12Superior sensitivity; tracer chemically identical to parent compound; established attenuation correction algorithmsShort–half-life tracers; expensive equipment; requirement for on-site cyclotron; advanced radiochemistry
SPECTPhoton emitters (201Tl, 99mTc, 111In, 125I)0.5–210−10−10−11Superior sensitivity; multiple-isotope imaging; emission proportional to concentration of probeExposure to ionizing radiation; accuracy limited by attenuation of low-energy photons
UltrasoundMicrobubbles0.05–0.5To be determinedWidely available; relatively inexpensive; no ionizing radiationLimited penetration depth; lack of molecular probes
CTIodinated contrast agents0.05–0.210−3−10−5Absorption proportional to concentration of contrast agent; superior spatial resolutionExposure to ionizing radiation; contrast agent nephrotoxicity; low sensitivity
MRIGadolinium chelates, iron oxides0.02–0.110−3−10−5No ionizing radiation; superior spatial resolution; available instrumentationLow sensitivity; susceptibility to motion artifacts; lack of molecular probes