Physica

03 Nuclear

Standardized uptake value

SUV from activity concentration, injected dose, and body weight.

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Simulation

Standardized uptake value — Change the numbers; the scene follows.

Where it works

PET/CT

PET/CT

Patient / uptake

In the patient on the PET couch — activity concentration, SUV, and internal dose.

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Formula

SUV=CA/m\mathrm{SUV} = \frac{C}{A/m}

Variables

Results

  • SUV

    Standardized uptake value

    2.8g/ml

Explanation

SUV=CA/m\mathrm{SUV} = \frac{C}{A/m}

What it means

SUV is activity concentration in a voxel divided by injected activity per body mass. A uniform distribution would give SUV = 1 g/ml. Tumours, brain and myocardium run higher; lung and fat run lower. SUV_max is the usual PET reporting figure. This is a working relation in Nuclear medicine.

Where it is used

Clinically it sits on the PET/CT — Patient / uptake. In the patient on the PET couch — activity concentration, SUV, and internal dose. Nuclear-medicine relations sit in the hot lab, on the camera, and in the voxel: decay, SUV, TOF, and counting statistics. They decide whether an uptake is real or a clock error.

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How to use it

C in kBq/ml (from the PET DICOM), A decay-corrected to scan start in MBq, m in kg. SUV_bw uses body weight; lean-body-mass and BSA variants exist. Change one input and watch the curve and the simulation follow.

Symbols

  • CActivity concentration12 kBq/ml
  • AInjected activity (decay-corrected)300 MBq
  • mBody weight70 kg

Worked example

A typical case from the default values: C = 12 kBq/ml (Activity concentration); A = 300 MBq (Injected activity (decay-corrected)); m = 70 kg (Body weight). Substituting into the relation gives SUV = 2.8 g/ml. These are teaching numbers — align them with your machine.

Typical values give

  • SUV = 2.8g/ml

Where it comes from

The displayed formula is the working relation. SUV from activity concentration, injected dose, and body weight. Usual reference: PET physics / Cherry. Derive it in the specialty lesson, then return here to pin the numbers.

Reference: PET physics / Cherry

Assumptions & limits

Assumes 1 ml ≈ 1 g. Does not correct residual syringe activity, extravasation, or uptake time. Different reconstructions change SUV_max.

Pitfalls

Activity is not counts. SUV needs the true injected activity, the residual, and the correct decay time — a clock off by 10 min on ¹⁸F is a several-percent error. Do not compare SUVs across reconstructions. Assumes 1 ml ≈ 1 g. Does not correct residual syringe activity, extravasation, or uptake time. Different reconstructions change SUV_max.

Keep this

C in kBq/ml, A in MBq, m in kg. Soft tissue ≈ 1 g/ml.

In this specialty

Nuclear medicine