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Zusammenfassung

Nuklearmedizinische Verfahren erlauben es, bei Patienten physiologische und biochemische Prozesse zu messen. Dazu werden verschiedene Testsubstanzen (Marker, Tracer) eingesetzt, deren Verteilung im Organismus durch die Markierung mit einem radioaktiven Nuklid mit Hilfe eines externen Detektorsystems bestimmt wird. Da aufgrund der hohen Empfindlichkeit nur sehr geringe Mengen dieser Marker (Spürdosis) eingesetzt werden, wird der zu untersuchende Prozess nicht beeinflusst und es können keine pharmakologischen oder toxischen Wirkungen auftreten. Nuklearmedizinische Verfahren ermöglichen es, Tumorgewebe spezifisch z. B. durch den Nachweis von Stoffwechselprozessen, Rezeptoren oder Antigenen bildlich darzustellen und zu quantifizieren (molekulare Bildgebung). Bei der molekularen Bildgebung liegt dem gemessenen Bildsignal eine spezifische biologische Eigenschaft des Tumors zugrunde — im Gegensatz zu morphologisch bildgebenden Verfahren, die die Dichte des Gewebes und seine Gefäßpermeabilität darstellen.

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Krause, B.J., Herrmann, K., Ott, K., Meyer zum Büschenfelde, C., Schwaiger, M. (2010). Nuklearmedizinische Diagnostik. In: Siewert, J.R., Rothmund, M., Schumpelick, V. (eds) Praxis der Viszeralchirurgie Onkologische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03808-2_13

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  • DOI: https://doi.org/10.1007/978-3-642-03808-2_13

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