EJNMMI PhysicsPub Date : 2024-11-22DOI: 10.1186/s40658-024-00699-z
Elif Hindié, Ulli Köster, Christophe Champion, Paolo Zanotti-Fregonara, Clément Morgat
{"title":"Comparative analysis of positron emitters for theranostic applications based on small bioconjugates highlighting <sup>43</sup>Sc, <sup>61</sup>Cu and <sup>45</sup>Ti.","authors":"Elif Hindié, Ulli Köster, Christophe Champion, Paolo Zanotti-Fregonara, Clément Morgat","doi":"10.1186/s40658-024-00699-z","DOIUrl":"10.1186/s40658-024-00699-z","url":null,"abstract":"<p><strong>Background: </strong>Targeted radionuclide therapy with <sup>177</sup>Lu-labelled small conjugates is expanding rapidly, and its success is linked to appropriate patient selection. Companion diagnostic conjugates are usually labelled with <sup>68</sup>Ga, offering good imaging up to ≈2 h post-injection. However, the optimal tumor-to-background ratio is often reached later. This study examined promising positron-emitting radiometals with half-lives between 3 h and 24 h and β<sup>+</sup> intensity (I<sub>β+</sub>) ≥ 15% and compared them to <sup>68</sup>Ga. The radiometals included: <sup>43</sup>Sc, <sup>44</sup>Sc, <sup>45</sup>Ti, <sup>55</sup>Co, <sup>61</sup>Cu, <sup>64</sup>Cu, <sup>66</sup>Ga, <sup>85m</sup>Y, <sup>86</sup>Y, <sup>90</sup>Nb, <sup>132</sup>La, <sup>150</sup>Tb and <sup>152</sup>Tb. <sup>133</sup>La (7.2% I<sub>β+</sub>) was also examined because it was recently discussed, in combination with <sup>132</sup>La, as a possible diagnostic match for <sup>225</sup>Ac.</p><p><strong>Methods: </strong>Total electron and photon doses per decay and per positron; possibly interfering γ-ray emissions; typical activities to be injected for same-day imaging; positron range; and available production routes were examined.</p><p><strong>Results: </strong>For each annihilation process useful for PET imaging, the total energy released (MeV) is: <sup>45</sup>Ti (1.5), <sup>43</sup>Sc (1.6), <sup>61</sup>Cu and <sup>64</sup>Cu (1.8), <sup>68</sup>Ga (1.9), <sup>44</sup>Sc and <sup>133</sup>La (2.9), <sup>55</sup>Co (3.2), <sup>85m</sup>Y (3.3), <sup>132</sup>La (4.8), <sup>152</sup>Tb (6.5), <sup>150</sup>Tb (7.1), <sup>90</sup>Nb (8.6), and <sup>86</sup>Y (13.6). Significant amounts (≥ 10%) of ≈0.5 MeV photons that may fall into the acceptance window of PET scanners are emitted by <sup>55</sup>Co, <sup>66</sup>Ga, <sup>85m</sup>Y, <sup>86</sup>Y, <sup>132</sup>La, and <sup>152</sup>Tb. Compton background from more energetic photons would be expected for <sup>44</sup>Sc, <sup>55</sup>Co, <sup>66</sup>Ga, <sup>86</sup>Y, <sup>90</sup>Nb, <sup>132</sup>La,<sup>150</sup>Tb, and <sup>152</sup>Tb. The mean positron ranges (mm) of <sup>64</sup>Cu (0.6), <sup>85m</sup>Y (1.0), <sup>45</sup>Ti (1.5), <sup>133</sup>La (1.6), <sup>43</sup>Sc and <sup>61</sup>Cu (1.7), <sup>55</sup>Co (2.1), <sup>44</sup>Sc and <sup>86</sup>Y (2.5), and <sup>90</sup>Nb (2.6) were lower than that of <sup>68</sup>Ga (3.6). DOTA chelation is applicable for most of the radiometals, though not ideal for <sup>61</sup>Cu/<sup>64</sup>Cu. Recent data showed that chelation of <sup>45</sup>Ti with DOTA is feasible. <sup>90</sup>Nb requires different complexing agents (e.g., DFO). Finally, they could be economically produced by proton-induced reactions at medical cyclotrons.</p><p><strong>Conclusion: </strong>In particular, <sup>43</sup>Sc, <sup>45</sup>Ti, and <sup>61</sup>Cu have overall excellent β<sup>+</sup> decay-characteristics for theranostic applications complementi","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"98"},"PeriodicalIF":3.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-11-21DOI: 10.1186/s40658-024-00700-9
Cassandra Miller, Ivan Klyuzhin, Guillaume Chaussé, Julia Brosch-Lenz, Helena Koniar, Kuangyu Shi, Arman Rahmim, Carlos Uribe
{"title":"Impact of cell geometry, cellular uptake region, and tumour morphology on <sup>225</sup>Ac and <sup>177</sup>Lu dose distributions in prostate cancer.","authors":"Cassandra Miller, Ivan Klyuzhin, Guillaume Chaussé, Julia Brosch-Lenz, Helena Koniar, Kuangyu Shi, Arman Rahmim, Carlos Uribe","doi":"10.1186/s40658-024-00700-9","DOIUrl":"10.1186/s40658-024-00700-9","url":null,"abstract":"<p><strong>Background: </strong>Radiopharmaceutical therapy with <sup>225</sup>Ac- and <sup>177</sup>Lu-PSMA has shown promising results for the treatment of prostate cancer. However, the distinct physical properties of alpha and beta radiation elicit varying cellular responses, which could be influenced by factors such as tumour morphology. In this study, we use simulations to examine how cell geometry, region of pharmaceutical uptake within the cell to model different internalization fractions, and the presence of tumour hypoxia and necrosis impact nucleus absorbed doses and dose heterogeneity with <sup>225</sup>Ac and <sup>177</sup>Lu. We also develop nucleus absorbed dose kernels for application to autoradiography images.</p><p><strong>Methods: </strong>We used the GATE Monte Carlo software to simulate three geometries of LNCaP prostate cancer cells (spherical, cubic, and ovoid) with activity of <sup>225</sup>Ac or <sup>177</sup>Lu internalized in the cytoplasm or bound to the extracellular membrane. Nucleus S-values were calculated for each geometry, source region, and isotope. The cell models were used to create nucleus absorbed dose kernels for each source region describing the dose to each nucleus in a cell layer, which were applied to simulated tumours composed of normoxic, hypoxic, or necrotic cancer cells to obtain dose rate maps. Absorbed doses within the tumours and dose heterogeneity were analyzed for each tumour morphology and isotope. Cell geometry made a minimal impact on S-values to the nucleus, however internalization resulted in higher nucleus doses. Applying the kernels to the simulated tumour maps showed that doses to each cell type varied between <sup>225</sup>Ac and <sup>177</sup>Lu depending on tumour morphology. Dose heterogeneity within tumours was slightly higher with <sup>225</sup>Ac, however the tumour morphology made a larger impact on dose heterogeneity compared to the choice of isotope, with hypoxic and necrotic tumours having very heterogeneous dose distributions.</p><p><strong>Conclusions: </strong>Cell geometry simplifications may still allow robust results in simulation studies. Furthermore, the morphology of the tumour itself may make a larger impact on treatment response compared to other variables such as ratio of internalization. Finally, nucleus absorbed dose kernels were created that could enable microdosimetric studies with autoradiography.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"97"},"PeriodicalIF":3.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimization and application of renal depth measurement method in the cadmium-zinc-telluride‑based SPECT/CT renal dynamic imaging.","authors":"Hongyuan Zheng, Xiangxiang Li, Shen Wang, Shasha Hou, Chunling Shi, Xue Li, Qiang Jia, Wei Zheng","doi":"10.1186/s40658-024-00702-7","DOIUrl":"10.1186/s40658-024-00702-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the accuracy of four kidney depth measurement methods-nuclear medicine tomography, nuclear medicine lateral scanning, ultrasound, and Tonnesen's formula-based estimation-using CT measurements as the reference standard. Additionally, it investigates the feasibility of utilizing nuclear medicine tomography and lateral scanning for measuring kidney depth in <sup>99m</sup>Tc-DTPA renal dynamic imaging.</p><p><strong>Methods: </strong>Hollow kidney phantoms mimicking the shape and volume of adult kidneys were 3D printed and filled with <sup>99m</sup>TcO<sub>4</sub><sup>-</sup> solution. These phantoms were then subjected to lateral scanning and nuclear medicine tomography using CZT (cadmium-zinc-telluride) SPECT/CT to determine the optimal post-processing method. Forty patients who underwent renal dynamic imaging were recruited for the study. Renal depths were derived from ultrasound, lateral imaging, nuclear medicine tomography, formula-based estimation, and CT measurements. The renal depths obtained through these four methods were for correlation with CT-measured renal depths. Additionally, the absolute differences between renal depths obtained by each method and the CT standard were analyzed and compared across groups.</p><p><strong>Results: </strong>Using kidney phantoms, nuclear medicine tomography images were processed with a Butterworth filter (cutoff frequency = 0.6), and renal outlines in lateral images was manually delineated. In the clinical validation phase, correlation coefficients indicated strong associations between renal depths measured by nuclear medicine tomography (left kidney: R = 0.885, P < 0.05; right kidney: R = 0.927, P < 0.05) and lateral scanning (left kidney: R = 0.933, P < 0.05; right kidney: R = 0.956, P < 0.05) compared to CT measurements. The difference in kidney depth between nuclear medicine tomography and CT measurements were the smallest and statistically significant (left kidney: 0.69 ± 0.51; right kidney: 0.58 ± 0.41, P < 0.05).</p><p><strong>Conclusion: </strong>Using ordered subset expectation maximization (OSEM) in conjunction with a Butterworth filter (fc = 0.6) as the post-processing method, nuclear medicine tomography enables more accurate renal depth measurements without increasing the radiation dose to patients.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"96"},"PeriodicalIF":3.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-11-14DOI: 10.1186/s40658-024-00695-3
L Struelens, E Aalbersberg, L Beels, N Cherbuin, Y D'Asseler, F De Monte, A Lopez Medina, M Del Carmen Riveira Martin, W Schoonjans, C Terwinghe, S Van den Block, F Vanhavere, H Zaidi, V Schelfhout
{"title":"How much do <sup>68</sup>Ga-, <sup>177</sup>Lu- and <sup>131</sup>I-based radiopharmaceuticals contribute to the global radiation exposure of nuclear medicine staff?","authors":"L Struelens, E Aalbersberg, L Beels, N Cherbuin, Y D'Asseler, F De Monte, A Lopez Medina, M Del Carmen Riveira Martin, W Schoonjans, C Terwinghe, S Van den Block, F Vanhavere, H Zaidi, V Schelfhout","doi":"10.1186/s40658-024-00695-3","DOIUrl":"10.1186/s40658-024-00695-3","url":null,"abstract":"<p><strong>Background: </strong>The radiation exposure of nuclear medicine personnel, especially concerning extremity doses, has been a significant focus over the past two decades. This study addresses the evolving practice of NM, particularly with the rise of radionuclide therapy and theranostic procedures, which involve a variety of radionuclides such as <sup>68</sup>Ga, <sup>177</sup>Lu, and <sup>131</sup>I. Traditional studies have concentrated on common radioisotopes like <sup>99m</sup>Tc, <sup>18</sup>F, and <sup>90</sup>Y, but there is limited data on these radionuclides, which are more and more frequently used. This study, part of the European SINFONIA project, aims to fill this gap by providing new dosimetry data through a multicenter approach. The research monitors extremity doses to hands, eye lens doses, and whole-body doses in nuclear medicine staff handling <sup>68</sup>Ga, <sup>177</sup>Lu, and <sup>131</sup>I. It examines the type of activities performed and the protective measures used. The study extrapolates measured doses to annual doses, comparing them with annual dose limits, and assesses the contribution of these specific procedures to the overall occupational dose of nuclear medicine personnel.</p><p><strong>Results: </strong>Measurements were conducted from November 2020 to August 2023 across nine hospitals. The highest whole-body, eye lens and extremity doses were observed for <sup>68</sup>Ga. Average maximum extremity doses, normalized per manipulated activity, were found of 6200 µSv/GBq, 30 µSv/GBq and 260 µSV/GBq for <sup>68</sup>Ga, <sup>177</sup>Lu and <sup>131</sup>I, respectively. Average whole-body doses stayed below 60 µSv/GBq for all 3 isotopes and below 200 µSv/GBq for the eye lens dose. The variation in doses also depends on the task performed. For <sup>68</sup>Ga there is a risk of reaching the annual dose limit for skin dose during synthesis and dispensing.</p><p><strong>Conclusions: </strong>This study's measurement campaigns across various European countries have provided new and extensive occupational dosimetry data for nuclear medicine staff handling <sup>68</sup>Ga, <sup>177</sup>Lu and <sup>131</sup>I radiopharmaceuticals. The results indicate that <sup>68</sup>Ga contributes significantly to the global occupational dose, despite its relatively low usage compared to other isotopes. Staff working in radiopharmacy hot labs, labeling and dispensing <sup>177</sup>Lu contribute less to the finger dose compared to other isotopes.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"95"},"PeriodicalIF":3.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-11-13DOI: 10.1186/s40658-024-00696-2
Laura De Nardo, Sara Santi, Anna Dalla Pietà, Guillermina Ferro-Flores, Erika Azorín-Vega, Emma Nascimbene, Vito Barbieri, Alessandra Zorz, Antonio Rosato, Laura Meléndez-Alafort
{"title":"Comparison of the dosimetry and cell survival effect of <sup>177</sup>Lu and <sup>161</sup>Tb somatostatin analog radiopharmaceuticals in cancer cell clusters and micrometastases.","authors":"Laura De Nardo, Sara Santi, Anna Dalla Pietà, Guillermina Ferro-Flores, Erika Azorín-Vega, Emma Nascimbene, Vito Barbieri, Alessandra Zorz, Antonio Rosato, Laura Meléndez-Alafort","doi":"10.1186/s40658-024-00696-2","DOIUrl":"10.1186/s40658-024-00696-2","url":null,"abstract":"<p><strong>Background: </strong><sup>177</sup>Lu-based radiopharmaceuticals (RPs) are the most used for targeted radionuclide therapy (TRT) due to their good response rates. However, the worldwide availability of <sup>177</sup>Lu is limited. <sup>161</sup>Tb represents a potential alternative for TRT, as it emits photons for SPECT imaging, β<sup>-</sup>-particles for therapy, and also releases a significant yield of internal conversion (IE) and Auger electrons (AE). This research aimed to evaluate cell dosimetry with the MIRDcell code considering a realistic localization of three <sup>161</sup>Tb- and <sup>177</sup>Lu-somatostatin (SST) analogs in different subcellular regions as reported in the literature, various cell cluster sizes (25-1000 µm of radius) and percentage of labeled cells. Experimental values of the α- and β-survival coefficients determined by external beam photon irradiation were used to estimate the survival fraction (SF) of AR42J pancreatic cell clusters and micrometastases.</p><p><strong>Results: </strong>The different localization of RPs labeled with the same radionuclide within the cells, resulted in only slight variations in the dose absorbed by the nuclei (AD<sub>N</sub>) of the labeled cells with no differences observed in either the unlabeled cells or the SF. AD<sub>N</sub> of labeled cells (MDLC) produced by <sup>161</sup>Tb-RPs were from 2.8-3.7 times higher than those delivered by <sup>177</sup>Lu-RPs in cell clusters with a radius lower than 0.1 mm and 10% of labeled cells, due to the higher amount of energy emitted by <sup>161</sup>Tb-disintegration in form of IE and AE. However, the <sup>161</sup>Tb-RPs/<sup>177</sup>Lu-RPs MDLC ratio decreased below 1.6 in larger cell clusters (0.5-1 mm) with > 40% labeled cells, due to the significantly higher <sup>177</sup>Lu-RPs cross-irradiation contribution. Using a fixed number of disintegrations, SFs of <sup>161</sup>Tb-RPs in clusters with > 40% labeled cells were lower than those of <sup>177</sup>Lu-RPs, but when the same amount of emitted energy was used no significant differences in SF were observed between <sup>177</sup>Lu- and <sup>161</sup>Tb-RPs, except for the smallest cluster sizes.</p><p><strong>Conclusions: </strong>Despite the emissions of IE and AE from <sup>161</sup>Tb-RPs, their localization within different subcellular regions exerted a negligible influence on the AD<sub>N</sub>. The same cell damage produced by <sup>177</sup>Lu-RPs could be achieved using smaller quantities of <sup>161</sup>Tb-RPs, thus making <sup>161</sup>Tb a suitable alternative for TRT.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"94"},"PeriodicalIF":3.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-11-12DOI: 10.1186/s40658-024-00697-1
Yibin Liu, Zhonglin Lu, Gefei Chen, Kuangyu Shi, Greta S P Mok
{"title":"Partial volume correction for Lu-177-PSMA SPECT.","authors":"Yibin Liu, Zhonglin Lu, Gefei Chen, Kuangyu Shi, Greta S P Mok","doi":"10.1186/s40658-024-00697-1","DOIUrl":"10.1186/s40658-024-00697-1","url":null,"abstract":"<p><strong>Background: </strong>The limited spatial resolution in SPECT images leads to partial volume effect (PVE), degrading the subsequent dosimetric accuracy. We aim to quantitatively evaluate PVE and partial volume corrections (PVC), i.e., recovery coefficient (RC)-PVC (RC-PVC), reblurred Van-Cittert (RVC) and iterative Yang (IY), in <sup>177</sup>Lu-PSMA-617 SPECT images.</p><p><strong>Methods: </strong>We employed a geometrical cylindrical phantom containing five spheres (diameters ranging from 20 to 40 mm) and 40 XCAT phantoms with various anatomical variations and activity distributions. SIMIND Monte Carlo code was used to generate realistic noisy projections. In the clinical study, sequential quantitative SPECT/CT imaging at 4 time-points post <sup>177</sup>Lu-PSMA-617 injections were analyzed for 10 patients. Iterative statistical reconstruction methods were used for reconstruction with attenuation, scatter and geometrical collimator detector response corrections, followed by post-filters. The RC-curves were fit based on the geometrical phantom study and applied for XCAT phantom and clinical study in RC-PVC. Matched and 0.5-2.0 voxels (2.54-10.16 mm) mismatched sphere masks were deployed in IY. The coefficient of variation (CoV) was measured on a uniform background on the geometrical phantom. RCs of spheres and mean absolute activity error (MAE) of kidneys and tumors were evaluated in simulation data, while the activity difference was evaluated in clinical data before and after PVC.</p><p><strong>Results: </strong>In the simulation study, the spheres experienced significant PVE, i.e., 0.26 RC and 0.70 RC for the 20 mm and 40 mm spheres, respectively. RVC and IY improved the RC of the 20 mm sphere to 0.37 and 0.75 and RC of the 40 mm sphere to 0.96 and 1.04. Mismatch in mask increased the activity error for all spheres in IY. RVC increased noise and caused Gibbs ringing artifacts. For XCAT phantoms, both RVC and IY performed comparably and were superior to RC-PVC in reducing the MAE of the kidneys. However, IY and RC-PVC outperformed RVC for tumors. The XCAT phantom study and clinical study showed a similar trend in the kidney and tumor activity differences between non-PVC and PVC.</p><p><strong>Conclusions: </strong>PVE greatly impacts activity quantification, especially for small objects. All PVC methods improve the quantification accuracy in <sup>177</sup>Lu-PSMA SPECT.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"93"},"PeriodicalIF":3.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bidirectional dynamic frame prediction network for total-body [<sup>68</sup>Ga]Ga-PSMA-11 and [<sup>68</sup>Ga]Ga-FAPI-04 PET images.","authors":"Qianyi Yang, Wenbo Li, Zhenxing Huang, Zixiang Chen, Wenjie Zhao, Yunlong Gao, Xinlan Yang, Yongfeng Yang, Hairong Zheng, Dong Liang, Jianjun Liu, Ruohua Chen, Zhanli Hu","doi":"10.1186/s40658-024-00698-0","DOIUrl":"10.1186/s40658-024-00698-0","url":null,"abstract":"<p><strong>Purpose: </strong>Total-body dynamic positron emission tomography (PET) imaging with total-body coverage and ultrahigh sensitivity has played an important role in accurate tracer kinetic analyses in physiology, biochemistry, and pharmacology. However, dynamic PET scans typically entail prolonged durations ([Formula: see text]60 minutes), potentially causing patient discomfort and resulting in artifacts in the final images. Therefore, we propose a dynamic frame prediction method for total-body PET imaging via deep learning technology to reduce the required scanning time.</p><p><strong>Methods: </strong>On the basis of total-body dynamic PET data acquired from 13 subjects who received [<sup>68</sup>Ga]Ga-FAPI-04 (<sup>68</sup>Ga-FAPI) and 24 subjects who received [<sup>68</sup>Ga]Ga-PSMA-11 (<sup>68</sup>Ga-PSMA), we propose a bidirectional dynamic frame prediction network that uses the initial and final 10 min of PET imaging data (frames 1-6 and frames 25-30, respectively) as inputs. The peak signal-to-noise ratio (PSNR) and structural similarity index measure (SSIM) were employed as evaluation metrics for an image quality assessment. Moreover, we calculated parametric images (<sup>68</sup>Ga-FAPI: [Formula: see text], <sup>68</sup>Ga-PSMA: [Formula: see text]) based on the supplemented sequence data to observe the quantitative accuracy of our approach. Regions of interest (ROIs) and statistical analyses were utilized to evaluate the performance of the model.</p><p><strong>Results: </strong>Both the visual and quantitative results illustrate the effectiveness of our approach. The generated dynamic PET images yielded PSNRs of 36.056 ± 0.709 dB for the <sup>68</sup>Ga-PSMA group and 33.779 ± 0.760 dB for the <sup>68</sup>Ga-FAPI group. Additionally, the SSIM reached 0.935 ± 0.006 for the <sup>68</sup>Ga-FAPI group and 0.922 ± 0.009 for the <sup>68</sup>Ga-PSMA group. By conducting a quantitative analysis on the parametric images, we obtained PSNRs of 36.155 ± 4.813 dB (<sup>68</sup>Ga-PSMA, [Formula: see text]) and 43.150 ± 4.102 dB (<sup>68</sup>Ga-FAPI, [Formula: see text]). The obtained SSIM values were 0.932 ± 0.041 (<sup>68</sup>Ga-PSMA) and 0.980 ± 0.011 (<sup>68</sup>Ga-FAPI). The ROI analysis conducted on our generated dynamic PET sequences also revealed that our method can accurately predict temporal voxel intensity changes, maintaining overall visual consistency with the ground truth.</p><p><strong>Conclusion: </strong>In this work, we propose a bidirectional dynamic frame prediction network for total-body <sup>68</sup>Ga-PSMA and <sup>68</sup>Ga-FAPI PET imaging with a reduced scan duration. Visual and quantitative analyses demonstrated that our approach performed well when it was used to predict one-hour dynamic PET images. https://github.com/OPMZZZ/BDF-NET .</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"92"},"PeriodicalIF":3.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-11-04DOI: 10.1186/s40658-024-00694-4
Zacharias Chalampalakis, Markus Ortner, Masar Almuttairi, Martin Bauer, Ernesto Gomez Tamm, Albrecht Ingo Schmidt, Barbara Katharina Geist, Marcus Hacker, Oliver Langer, Roberta Frass-Kriegl, Ivo Rausch
{"title":"Development of quantitative PET/MR imaging for measurements of hepatic portal vein input function: a phantom study.","authors":"Zacharias Chalampalakis, Markus Ortner, Masar Almuttairi, Martin Bauer, Ernesto Gomez Tamm, Albrecht Ingo Schmidt, Barbara Katharina Geist, Marcus Hacker, Oliver Langer, Roberta Frass-Kriegl, Ivo Rausch","doi":"10.1186/s40658-024-00694-4","DOIUrl":"10.1186/s40658-024-00694-4","url":null,"abstract":"<p><strong>Background: </strong>Accurate pharmacokinetic modelling in PET necessitates measurements of an input function, which ideally is acquired non-invasively from image data. For hepatic pharmacokinetic modelling two input functions need to be considered, to account for the blood supply from the hepatic artery and portal vein. Image-derived measurements at the portal vein are challenging due to its small size and image artifacts caused by respiratory motion. In this work we seek to demonstrate, using phantom experiments, how a dedicated PET/MR protocol can tackle these challenges and potentially provide input function measurements of the portal vein in a clinical setup.</p><p><strong>Methods: </strong>A custom 3D printed PET/MR phantom was constructed to mimic the liver and portal vein. PET/MR acquisitions were made with emulated respiratory motion. The PET/MR imaging protocol consisted of high-resolution anatomical MR imaging of the portal vein, followed by a PET acquisition in parallel to a dedicated motion-tracking MR sequence. Motion tracking and deformation information were extracted from PET data and subsequently used in PET reconstruction to produce dynamic series of motion-free PET images. Anatomical MR images were used post PET reconstruction for partial volume correction of the input function measurements.</p><p><strong>Results: </strong>Reconstruction of dynamic PET data with motion-compensation provided nearly motion-free series of PET frame data, suitable for image derived input function measurements of the portal vein. After partial volume correction, the individual input function measurements were within a 16.1% error range from the true activity in the portal vein compartment at the time of PET acquisition.</p><p><strong>Conclusion: </strong>The proposed protocol demonstrates clinically feasible PET/MR imaging of the liver for pharmacokinetic studies with accurate quantification of the portal vein input function, including correction for respiratory motion and partial volume effects.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"90"},"PeriodicalIF":3.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-11-04DOI: 10.1186/s40658-024-00693-5
Anna Stenvall, Irma Ceric Andelius, Elias Nilsson, Albin Lindvall, Erik Larsson, Johan Gustafsson
{"title":"Bias and precision of SPECT-based <sup>177</sup>Lu activity-concentration estimation using a ring-configured solid-state versus a dual-headed anger system.","authors":"Anna Stenvall, Irma Ceric Andelius, Elias Nilsson, Albin Lindvall, Erik Larsson, Johan Gustafsson","doi":"10.1186/s40658-024-00693-5","DOIUrl":"10.1186/s40658-024-00693-5","url":null,"abstract":"<p><strong>Background: </strong>The aim was to compare bias and precision for <sup>177</sup>Lu-SPECT activity-concentration estimation using a dual-headed Anger SPECT system and a ring-configured CZT SPECT system. This was investigated for imaging at 208 keV and 113 keV, respectively.</p><p><strong>Methods: </strong>Phantom experiments were performed on a GE Discovery 670 system with 5/8'' NaI(Tl) crystal (dual-headed Anger system) and a GE StarGuide (ring-configured CZT system). Six spheres (1.2 mL to 113 mL) in a NEMA PET body phantom were filled with <sup>99m</sup>Tc and <sup>177</sup>Lu, separately. Mean relative errors and coefficients of variation (CV) in estimated sphere activity concentration were studied over six timeframes of 10 min each for the two systems. For <sup>177</sup>Lu, similar acquisitions were also performed for an anthropomorphic phantom with two spheres (10 mL and 25 mL) in a liver with non-radioactive background and a sphere-to-background ratio of 15:1. Tomographic reconstruction was performed using OS-EM with 10 subsets with compensation for attenuation, scatter, and distance-dependent spatial resolution. For the Anger system, up to 40 iterations were used and for the ring-configured CZT system up to 30 iterations were used.</p><p><strong>Results: </strong>The two systems showed similar mean relative errors and CVs for <sup>177</sup>Lu when using an energy window around 208 keV, while the ring-configured system demonstrated a lower bias for a similar CV compared to the Anger system for <sup>99m</sup>Tc and for <sup>177</sup>Lu when using an energy window around 113 keV. However, total activity in the phantom tended to be overestimated in both systems for these cases.</p><p><strong>Conclusions: </strong>The ring-configured CZT system is a viable alternative to the dual-headed Anger system equipped with medium-energy collimators for <sup>177</sup>Lu-SPECT and shows a potential advantage for activity-concentration estimation when operated at 113 keV. However, further consideration of the preservation of total activity is warranted.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"91"},"PeriodicalIF":3.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EJNMMI PhysicsPub Date : 2024-10-24DOI: 10.1186/s40658-024-00684-6
Christopher Hoog, Pierre-Malick Koulibaly, Nicolas Sas, Laetitia Imbert, Gilles Le Rouzic, Romain Popoff, Jean-Noël Badel, Ludovic Ferrer
{"title":"360° CZT-SPECT/CT cameras: <sup>99m</sup>Tc- and <sup>177</sup>Lu-phantom-based evaluation under clinical conditions.","authors":"Christopher Hoog, Pierre-Malick Koulibaly, Nicolas Sas, Laetitia Imbert, Gilles Le Rouzic, Romain Popoff, Jean-Noël Badel, Ludovic Ferrer","doi":"10.1186/s40658-024-00684-6","DOIUrl":"https://doi.org/10.1186/s40658-024-00684-6","url":null,"abstract":"<p><strong>Purpose: </strong>For the first time, three currently available 360° CZT-SPECT/CT cameras were compared under clinical conditions using phantom-based measurements.</p><p><strong>Methods: </strong>A <sup>99m</sup>Tc- and a <sup>177</sup>Lu-customized NEMA IEC body phantom were imaged with three different cameras, StarGuide (GE Healthcare), VERITON-CT versions 200 (V200) and 400 (V400) (Spectrum Dynamics Medical) under the same clinical conditions. Energy resolution and volumetric sensitivity were evaluated from energy spectra. Vendors provided the best reconstruction parameters dedicated to visualization and/or quantification, based on their respective software developments. For both <sup>99m</sup>Tc- and <sup>177</sup>Lu-phantoms, noise level, quantification accuracy, and recovery coefficient (RC) were performed with 3DSlicer. Image quality metrics from an approach called \"task-based\" were computed with iQMetrix-CT on <sup>99m</sup>Tc visual reconstructions to assess, through spatial frequencies, noise texture in the background (NPS) and contrast restitution of a hot insert (TTF). Spatial resolution indices were calculated from frequencies corresponding to TTF<sub>10%</sub> and TTF<sub>50%</sub>.</p><p><strong>Results: </strong>Despite the higher sensitivity of VERITON cameras and the enhanced energy resolution of the V400 (3.2% at 140 keV, 5.2% at 113 keV, and 3.6% at 208 keV), StarGuide presents comparable image quality. This highlights the need to differentiate sensitivity from count quality, which is influenced by hardware design (collimator, detector block) and conditions image quality as well as the reconstruction process (algorithms, scatter correction, noise regulation). For <sup>99m</sup>Tc imaging, the quantitative image optimization approach based on RC<sub>mean</sub> for StarGuide versus RC<sub>max</sub> for V200 and V400 systems (RC<sub>mean</sub>/RC<sub>max</sub>: 0.9/1.8; 0.5/0.9; 0.5/0.9 respectively-Ø37 mm). SR<sub>TB10/50</sub> showed nearly equivalent spatial resolution performances across the different reconstructed images. For <sup>177</sup>Lu imaging, the 113 keV imaging of the V200 and V400 systems demonstrated strong performances in both image quality and quantification, while StarGuide and V400 systems offer even better potential due to their ability to exploit signals from both the 113 and 208 keV peaks. <sup>177</sup>Lu quantification was optimized according to RC<sub>max</sub> for all cameras and reconstructions (1.07 ± 0.09-Ø37 mm).</p><p><strong>Conclusions: </strong>The three cameras have equivalent potential for <sup>99m</sup>Tc imaging, while StarGuide and V400 have demonstrated higher potential for <sup>177</sup>Lu. Dedicated visual or quantitative reconstructions offer better specific performances compared to the unified visual/quantitative reconstruction. The task-based approach appears to be promising for in-depth comparison of images in the context of system characterization/comparison and protocol","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"89"},"PeriodicalIF":3.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}