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NEUROSCIENCE OF PSYCHOACTIVE SUBSTANCE USE AND DEPENDENCE





                     advantages of having the highest spatial resolution among imaging techniques,
                     and does not require the use of ionizing radiation, thus it provides increased
                     experimental safety and the ability to retest subjects multiple times. Magnetic
                     resonance spectroscopy is used to gather information on the chemical composition
                     of a discrete brain region.
                     Positron emission tomography
                     Positron emission tomography (PET) is a technique for viewing the activity in different
                     regions in the brain. PET scans provide information about the metabolic activity in
                     a certain brain region. Most commonly, the person is injected with a radioactive
                     compound that can be followed through the bloodstream in the brain. This is usually
                     labelled 2-deoxyglucose (2-DG), which is taken up by active neurons due to its
                     similarity in structure to glucose. Thus, areas that are more metabolically active
                     will take up more glucose and 2-DG. Unlike glucose, 2-DG is not metabolized, and
                     therefore accumulates in the neurons. This can be visualized as two- or three-
                     dimensional images, with different colours on a PET scan indicating different levels
                     of radioactivity (blues and greens indicating areas of lower activity, and yellows
                     and reds indicating areas of higher activity). Using different compounds, PET scans
                     can be used to show blood flow, oxygen and glucose metabolism, and drug
                     concentrations in the tissues of the living brain. Regional cerebral blood flow can
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                     be measured using PET imaging using a “flow tracer” such as [  O] water to look
                     at blood flow in a given area. Selective labelling of radiotracers allows highly selective
                     biochemical specificities at low concentrations of tracers.
                     Single photon emission computed tomography
                     Similar to PET, single photon emission computed tomography (SPECT) uses
                     radioactive tracers and a scanner to record data that a computer uses to construct
                     two- or three-dimensional images of active brain regions. However, SPECT tracers
                     are more limited than PET tracers in the kinds of brain activity they can monitor,
                     and the SPECT tracers also deteriorate more slowly than many PET tracers, which
                     means that SPECT studies require longer test and retest periods than PET studies.
                     However, because SPECT tracers are longer lasting, they do not require an onsite
                     cyclotron to produce them. SPECT studies also require less technical and medical
                     staff support than PET studies do. While PET is more versatile than SPECT and
                     produces more detailed images with a higher degree of resolution, particularly of
                     deeper brain structures, SPECT is considerably less expensive than PET and can
                     address many of the same drug dependence research questions that PET can.
                     Electroencephalography
                     Electroencephalography (EEG) uses electrodes placed on the scalp to detect
                     and measure patterns of electrical activity emanating from the brain due to the
                     communication between neurons. EEG can determine the relative strengths and
                     positions of electrical activity in different brain regions within fractions of a second
                     after a stimulus has been administered. However, the spatial resolution of EEG is
                     not as good as with other imaging techniques. As a result, EEG images of brain
                     electrical activity are often used in combination with other techniques such as
                     MRI scans to better pinpoint the location of the activity within the brain.
                     Sources: Aine CJ, 1995; National Institute on Drug Abuse , 1996; Volkow et al., 1997;
                     Gatley & Volkow, 1998.



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          Chapter_2                40                              19.1.2004, 11:29
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