Quantitative imaging of coronary blood flow

Adam M. Alessio received his PhD in Electrical Engineering from the University of Notre Dame in 2003. During his graduate studies he developed tomographic reconstruction methods for correlated data and helped construct a high-resolution PET system. He is currently a Research Assistant Professor in Radiology at the University of Washington. His research interests focus on improved data processing and reconstruction algorithms for PET/CT systems with an emphasis on quantitative imaging. Erik Butterworth recieved the BA degree in Mathematics from the University of Chicago in 1977. Between 1977 and 1987 he worked as a computer programmer/analyst for several small commercial software firms. Since 1988, he has worked as a software engineer on various research projects at the University of Washington. Between 1988 and 1993 he developed a real-time data aquisition for the analysis of estuarine sediment transport in the department of Geophysics. Between 1988 and 2002 he developed I4, a system for the display and analysis of cardic PET images in the department of Cardiology. Since 1993 he has worked on physiological simulation systems (XSIM from 1993 to 1999, JSim since 1999) at the National Simulation Resource Facility in Cirulatory Mass Transport and Exchange, in the Department of Bioengineering. His research interests include simulation systems and medical imaging. James H. Caldwell, MD, University of Missouri-Columbia 1970, is Professor of Medicine (Cardiology) and Radiology and Adjunct Professor of Bioengineering at the University of Washington School of Medicine and Acting Head, Division of Cardiology and Director of Nuclear Cardiology for the University of Washington Hospitals, Seattle WA, USA. James B. Bassingthwaighte, MD, Toronto 1955, PhD Mayo Grad Sch Med 1964, was Professor of Physiology and of Medicine at Mayo Clinic until 1975 when he moved to the University of Washington to chair Bioengineering. He is Professor of Bioengineering and Radiology. In 1979, he established a National Simulation Resource Facility in Circulatory Mass Transport and Exchange and in 1997, he initiated the Human Physiome Projects. He is a member of the US National Academy of Engineering. His research is on quantitative integration of cellular and cardiovascular systems. Positron emission tomography (PET) is a nuclear medicine imaging modality based on the administration of a positron-emitting radiotracer, the imaging of the distribution and kinetics of the tracer, and the interpretation of the physiological events and their meaning with respect to health and disease. PET imaging was introduced in the 1970s and numerous advances in radiotracers and detection systems have enabled this modality to address a wide variety of clinical tasks, such as the detection of cancer, staging of Alzheimer's disease, and assessment of coronary artery disease (CAD). This review provides a description of the logic and the logistics of the processes required for PET imaging and a discussion of its use in guiding the treatment of CAD. Finally, we outline prospects and limitations of nanoparticles as agents for PET imaging.