In vivo imaging technologies have a vital role to play in the pharmaceutica
l development process. Gamma scintigraphy, comprising two-dimensional 'plan
ar' imaging, is used widely to visualize and to quantify drug delivery, par
ticularly by the oral and pulmonary routes. However, three-dimensional imag
ing modalities - single photon emission computed tomography (SPECT), positr
on emission tomography (PET) and magnetic resonance imaging (MRI) - may als
o have applications within this area. Single photon emission computed tomog
raphy and PET offer potential advantages over gamma scintigraphy in the ass
essment of regional lung deposition from aerosol inhalers, but these advant
ages are greatly outweighed by the practical problems associated with condu
cting SPECT and PET studies. It is concluded that, for the foreseeable futu
re, gamma scintigraphy is the imaging modality of choice in assessing the d
elivery of new oral and pulmonary drug products.