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Updated: May 30, 2026

Fluorescence-mediated Tomography for the Detection and Quantification of Macrophage-related Murine Intestinal Inflammation
Published on: December 15, 2017
The molecular imaging approach to image infections and inflammation by nuclear medicine techniques
Alberto Signore1, Andor W J M Glaudemans
1Medicina Nucleare, 2nd Faculty of Medicine, Ospedale S. Andrea, University of Rome "Sapienza", Via di Grottarossa 1035, 00189 Rome, Italy. alberto.signore@uniroma1.it
Abstract:
Inflammatory and infectious diseases are a heterogeneous class of diseases that may be divided into infections, acute inflammation and chronic inflammation. Radiological imaging techniques have, with the exception of functional MRI, high sensitivity but lack in specificity. Nuclear medicine techniques, by contrast, allow the in vivo detection in humans of different physiologic and pathologic phenomena and offer noninvasive tools to detect early pathophysiological changes before anatomical changes occur. In this review, we highlight the role of nuclear medicine in inflammation/infection with emphasis on molecular imaging for in vivo histological characterization of affected tissues for diagnostic purposes and follow-up of therapies. We also describe the clinical indications of all available radiopharmaceuticals in the light of the newly available guidelines.
Insights
Nuclear medicine imaging offers precise, noninvasive detection of inflammatory and infectious diseases by visualizing early pathophysiological changes. This review emphasizes molecular imaging for diagnosing and monitoring treatment response in inflammation and infection.
Area of Science:
- Medical Imaging
- Nuclear Medicine
- Pathophysiology
Background:
- Inflammatory and infectious diseases encompass infections, acute, and chronic inflammation.
- Radiological imaging offers high sensitivity but limited specificity for these conditions.
- Nuclear medicine provides in vivo detection of physiologic and pathologic phenomena, identifying early changes before anatomical alterations.
Purpose of the Study:
- To review the role of nuclear medicine in diagnosing and managing inflammatory and infectious diseases.
- To highlight molecular imaging techniques for in vivo histological characterization of affected tissues.
- To describe clinical indications for radiopharmaceuticals based on current guidelines.
Main Methods:
- Review of current literature on nuclear medicine applications in inflammation and infection.
- Emphasis on molecular imaging techniques for diagnostic and therapeutic follow-up.
- Discussion of radiopharmaceutical clinical indications and updated guidelines.
Main Results:
- Nuclear medicine excels in detecting early pathophysiological changes in inflammation and infection.
- Molecular imaging enables in vivo histological characterization of affected tissues.
- Comprehensive overview of available radiopharmaceuticals and their clinical utility.
Conclusions:
- Nuclear medicine, particularly molecular imaging, is crucial for the diagnosis and management of inflammatory and infectious diseases.
- It offers superior specificity and early detection capabilities compared to conventional radiology.
- Updated guidelines support the expanded clinical use of radiopharmaceuticals for these conditions.
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