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The International Symposium on Positron Emission Tomography of the Brain was held at Schloss Auel in Lohmar, near Cologne, FRG, on May 3rd to 8th, 1982. This isolated place was chosen to bring together and keep together people active in research employing PET. The partic- ipants were asked to report their ongoing work, to discuss upcoming problems, and to indicate future developments. In contrast to the large international meetings which suffer from lack of time for discussion and are affected by the distractions of major cities, our symposium provided ample opportunity for discussion during the scientific sessions and guaranteed a free exchange of ideas during the leisure time spent to- gether. It also gave us the chance to celebrate the founding of a new Max Planck Institute for Neurological Research, whose two depart- ments are headed by Dr. K. -A. Hossmann and myself, and to mark the start of positron emission tomography in our laboratory. The book contains the invited papers presented at the meeting and the formal minipapers given at the final general discussion, moderated su- perbly by Dr. L. Sokoloff. In order to accelerate publication, the discus- sions of the individual papers and the final discussion have been omit- ted. However, every participant will remember the atmosphere and the highlights of the discussions, which gave a special character to the whole event.
It is the purpose and business of the pharmaceutical industry to dis cover, develop, and make available drugs for the care of the sick. The purpose of universities and national laboratories is to provide people and scientific knowledge that can help in the process. This book presents the combined efforts of scientists from the drug in dustry, academic laboratories and national laboratories to describe advances in radiotracer technology in studies on experimental ani mals and living human beings. The authors believe that the technol ogy is now ready for widespread application in the pharmaceutical industry. The goal of this book is to help bring this about. The field of Nuclear Medicine is based on the concept that, if treatment of disease is chemical, the patient's diagnosis should be chemical. Anatomy and histopathology have been the principle ba sis for making a diagnosis. Histopathologic data suffer from being descriptive, subjective, not quantifiable, and based on the study of dead tissue. The era of histopathology as the dominant concept in medical practice is coming to an end. Histopathologic findings are often heterogeneous and a single biopsy will at times not reveal the true nature of the disease, such as the grading of malignancy. Far greater accuracy of staging of disease and in the planning of treat ment is possible through chemistry, as well as by making possible a more suitable selection of a histological biopsy site.
It is the mark of an instructed mind to rest satisfied with the degree of precision which the nature of the subject admits, and not to seek exactness where only an approximation of the truth is possible. Aristotle With the development of imaging techniques, the in vivo study of human anatomy and physiology has become possible with increasing "approximation of the truth. " Advances have been made not only in data acquisition, but also in processing as well as visualization of functional and morphological data. Following the successful application of planar two-dimensional imaging approaches, more recently three-dimensional data acquisition and correspond ing tomographic image reconstruction has become possible. With the rapid growth of computer support, advanced processing allows for user-friendly interaction with complex data sets. Classical x-ray imaging techniques have matured to excellent spatial resolution and contrast, which provide specific delineation of anatomical changes occurring in cardiovascular disease. In parallel, the use of tracer principles supported the successful introduction of nuclear medicine procedures for the functional characterization of physiology and pathophysiology. The application of such techniques were initially limited by relatively poor spatial resolution, but excelled in high sensitivity 30 years, scintigraphic imaging emerged from and specificity. In the last rectilinear scanning to planar gamma camera imaging and single-photon xvi Preface emISSIOn tomography (SPECT). Based on these advances and the experi mental success of autoradiography, the potential of scintigraphy as a clinical and research tool has been well appreciated.
Here is an up-to-date work that offers a full review of the relatively exclusive diagnostic tool--positron emission tomography--for studying dementing diseases. It describes, in easy-to-understand language, exactly how PET works, how to use it and analyze data, and what interpretations and conclusions can be drawn from this information. Includes comprehensive discussions on the application of PET for studying Alzheimer's Disease, Huntington's Disease, neuroreceptor changes in dementia, multi-infarct dementia and affinity and neurotransmitter concentrations.