
Systems in Nuclear Medicine 387
7.2 Tracer Kinetics Modeling
7.2.1 Introduction
NM methodologies have progressively achieved a central role in the research
of physiological and pathological processes, in the discovery or assessment
of drugs, and in the diagnosis and treatment of a variety of medical condi-
tions. Recent developments in human physiology have been firmly based on
the molecular approach of metabolic processes and on the use of radiotracer
kinetic methods to study the associated functions, inspired by paradigms of
biological and pharmaceutical sciences.
Radiotracers are distributed and located in the body as a result of physical–
chemical interactions with living tissues in the course of specific physiological
processes,and they can be used to convey information. However, the complex
chain of events of various kinds that involves the dynamics of radiotracers is
a sequence of processes governed by laws, which are generally well known.
These processes may consist of mechanisms such as ionic exchange, diffusion,
metabolic incorporation, binding to receptors, immunological reactions, etc.
The PET and SPECT are imaging techniques that use minimal amounts
of radiolabeled molecules as tracers to study molecular pathways and
molecular interactions, in vivo, without interfering with the processes being
studied.
The detection of changes in the tracer distribution and concentration in bio-
logical tissues is the directaim of the NM experimental method. By processing
series of maps of tracer concentrations in a particular region of interest, with
reasonable spatiotemporal resolution (millimeters and seconds), the charac-
teristic biochemical and physiological dynamic parameters can be ascertained
with good approximation.
Important characteristics of a good tracer are affinity, selectivity, ade-
quate distribution in physiological compartments, and low participation in
nonspecific bonds.
Quantitative approaches to the function of human organs and tissues based
on modeling or data analysis are the goal in most of the studies on molecu-
lar functional imaging. The role of modeling is to apply appropriate analysis
paths to data in order to evaluate the physiological and kinetic behavior of
tracers.
Although the models used in NM involve different analysis of the sys-
tems, they generally lead to differential or integral equations or to differential
equation systems. The solutions of these equations yield expressions that are
supposed to recreate the experimental data and the behavior of the system in
relation to the tracer used.
Broadly speaking, every methodology in NM is a systems theory exer-
cise, that is, an input function is used to study a system through an induced
response.