EJNMMI Physics最新文献

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Pareto optimization of SPECT acquisition and reconstruction settings for 177Lu activity quantification. 用于 177Lu 活性定量的 SPECT 采集和重建设置的帕累托优化。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-15 DOI: 10.1186/s40658-024-00667-7
Johan Gustafsson, Erik Larsson, Michael Ljungberg, Katarina Sjögreen Gleisner
{"title":"Pareto optimization of SPECT acquisition and reconstruction settings for <sup>177</sup>Lu activity quantification.","authors":"Johan Gustafsson, Erik Larsson, Michael Ljungberg, Katarina Sjögreen Gleisner","doi":"10.1186/s40658-024-00667-7","DOIUrl":"10.1186/s40658-024-00667-7","url":null,"abstract":"<p><strong>Background: </strong>The aim was to investigate the noise and bias properties of quantitative <sup>177</sup>Lu-SPECT with respect to the number of projection angles, and the number of subsets and iterations in the OS-EM reconstruction, for different total acquisition times.</p><p><strong>Methods: </strong>Experimental SPECT acquisition of six spheres in a NEMA body phantom filled with <sup>177</sup>Lu was performed, using medium-energy collimators and 120 projections with 180 s per projection. Bootstrapping was applied to generate data sets representing acquisitions with 20 to 120 projections for 10 min, 20 min, and 40 min, with 32 noise realizations per setting. Monte Carlo simulations were performed of <sup>177</sup>Lu-DOTA-TATE in an anthropomorphic computer phantom with three tumours (2.8 mL to 40.0 mL). Projections representing 24 h and 168 h post administration were simulated, each with 32 noise realizations. Images were reconstructed using OS-EM with compensation for attenuation, scatter, and distance-dependent resolution. The number of subsets and iterations were varied within a constrained range of the product number of iterations <math><mo>×</mo></math> number of projections <math><mrow><mo>≤</mo> <mn>2400</mn></mrow> </math> . Volumes-of-interest were defined following the physical size of the spheres and tumours, the mean activity-concentrations estimated, and the absolute mean relative error and coefficient of variation (CV) over noise realizations calculated. Pareto fronts were established by analysis of CV versus mean relative error.</p><p><strong>Results: </strong>Points at the Pareto fronts with low CV and high mean error resulted from using a low number of subsets, whilst points at the Pareto fronts associated with high CV but low mean error resulted from reconstructions with a high number of subsets. The number of projection angles had limited impact.</p><p><strong>Conclusions: </strong>For accurate estimation of the <sup>177</sup>Lu activity-concentration from SPECT images, the number of projection angles has limited importance, whilst the total acquisition time and the number of subsets and iterations are parameters of importance.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"62"},"PeriodicalIF":3.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616124","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}
引用次数: 0
Radiomics incorporating deep features for predicting Parkinson's disease in 123I-Ioflupane SPECT. 结合深度特征的放射组学预测 123I-Ioflupane SPECT 中的帕金森病。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-10 DOI: 10.1186/s40658-024-00651-1
Han Jiang, Yu Du, Zhonglin Lu, Bingjie Wang, Yonghua Zhao, Ruibing Wang, Hong Zhang, Greta S P Mok
{"title":"Radiomics incorporating deep features for predicting Parkinson's disease in <sup>123</sup>I-Ioflupane SPECT.","authors":"Han Jiang, Yu Du, Zhonglin Lu, Bingjie Wang, Yonghua Zhao, Ruibing Wang, Hong Zhang, Greta S P Mok","doi":"10.1186/s40658-024-00651-1","DOIUrl":"10.1186/s40658-024-00651-1","url":null,"abstract":"<p><strong>Purpose: </strong><sup>123</sup>I-Ioflupane SPECT is an effective tool for the diagnosis and progression assessment of Parkinson's disease (PD). Radiomics and deep learning (DL) can be used to track and analyze the underlying image texture and features to predict the Hoehn-Yahr stages (HYS) of PD. In this study, we aim to predict HYS at year 0 and year 4 after the first diagnosis with combined imaging, radiomics and DL-based features using <sup>123</sup>I-Ioflupane SPECT images at year 0.</p><p><strong>Methods: </strong>In this study, 161 subjects from the Parkinson's Progressive Marker Initiative database underwent baseline 3T MRI and <sup>123</sup>I-Ioflupane SPECT, with HYS assessment at years 0 and 4 after first diagnosis. Conventional imaging features (IF) and radiomic features (RaF) for striatum uptakes were extracted from SPECT images using MRI- and SPECT-based (SPECT-V and SPECT-T) segmentations respectively. A 2D DenseNet was used to predict HYS of PD, and simultaneously generate deep features (DF). The random forest algorithm was applied to develop models based on DF, RaF, IF and combined features to predict HYS (stage 0, 1 and 2) at year 0 and (stage 0, 1 and ≥ 2) at year 4, respectively. Model predictive accuracy and receiver operating characteristic (ROC) analysis were assessed for various prediction models.</p><p><strong>Results: </strong>For the diagnostic accuracy at year 0, DL (0.696) outperformed most models, except DF + IF in SPECT-V (0.704), significantly superior based on paired t-test. For year 4, accuracy of DF + RaF model in MRI-based method is the highest (0.835), significantly better than DF + IF, IF + RaF, RaF and IF models. And DL (0.820) surpassed models in both SPECT-based methods. The area under the ROC curve (AUC) highlighted DF + RaF model (0.854) in MRI-based method at year 0 and DF + RaF model (0.869) in SPECT-T method at year 4, outperforming DL models, respectively. And then, there was no significant differences between SPECT-based and MRI-based segmentation methods except for the imaging feature models.</p><p><strong>Conclusion: </strong>The combination of radiomic and deep features enhances the prediction accuracy of PD HYS compared to only radiomics or DL. This suggests the potential for further advancements in predictive model performance for PD HYS at year 0 and year 4 after first diagnosis using <sup>123</sup>I-Ioflupane SPECT images at year 0, thereby facilitating early diagnosis and treatment for PD patients. No significant difference was observed in radiomics results obtained between MRI- and SPECT-based striatum segmentations for radiomic and deep features.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"60"},"PeriodicalIF":3.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141563014","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}
引用次数: 0
Deep learning based bilateral filtering for edge-preserving denoising of respiratory-gated PET. 基于深度学习的双边滤波技术,用于呼吸门控 PET 的边缘保护去噪。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-09 DOI: 10.1186/s40658-024-00661-z
Jens Maus, Pavel Nikulin, Frank Hofheinz, Jan Petr, Anja Braune, Jörg Kotzerke, Jörg van den Hoff
{"title":"Deep learning based bilateral filtering for edge-preserving denoising of respiratory-gated PET.","authors":"Jens Maus, Pavel Nikulin, Frank Hofheinz, Jan Petr, Anja Braune, Jörg Kotzerke, Jörg van den Hoff","doi":"10.1186/s40658-024-00661-z","DOIUrl":"10.1186/s40658-024-00661-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Residual image noise is substantial in positron emission tomography (PET) and one of the factors limiting lesion detection, quantification, and overall image quality. Thus, improving noise reduction remains of considerable interest. This is especially true for respiratory-gated PET investigations. The only broadly used approach for noise reduction in PET imaging has been the application of low-pass filters, usually Gaussians, which however leads to loss of spatial resolution and increased partial volume effects affecting detectability of small lesions and quantitative data evaluation. The bilateral filter (BF) - a locally adaptive image filter - allows to reduce image noise while preserving well defined object edges but manual optimization of the filter parameters for a given PET scan can be tedious and time-consuming, hampering its clinical use. In this work we have investigated to what extent a suitable deep learning based approach can resolve this issue by training a suitable network with the target of reproducing the results of manually adjusted case-specific bilateral filtering.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Altogether, 69 respiratory-gated clinical PET/CT scans with three different tracers ( &lt;math&gt; &lt;mrow&gt;&lt;msup&gt;&lt;mo&gt;[&lt;/mo&gt; &lt;mn&gt;18&lt;/mn&gt;&lt;/msup&gt; &lt;mtext&gt;F&lt;/mtext&gt; &lt;mo&gt;]&lt;/mo&gt;&lt;/mrow&gt; &lt;/math&gt; FDG, &lt;math&gt; &lt;mrow&gt;&lt;msup&gt;&lt;mo&gt;[&lt;/mo&gt; &lt;mn&gt;18&lt;/mn&gt;&lt;/msup&gt; &lt;mtext&gt;F&lt;/mtext&gt; &lt;mo&gt;]&lt;/mo&gt;&lt;/mrow&gt; &lt;/math&gt; L-DOPA, &lt;math&gt; &lt;mrow&gt;&lt;msup&gt;&lt;mo&gt;[&lt;/mo&gt; &lt;mn&gt;68&lt;/mn&gt;&lt;/msup&gt; &lt;mtext&gt;Ga&lt;/mtext&gt; &lt;mo&gt;]&lt;/mo&gt;&lt;/mrow&gt; &lt;/math&gt; DOTATATE) were used for the present investigation. Prior to data processing, the gated data sets were split, resulting in a total of 552 single-gate image volumes. For each of these image volumes, four 3D ROIs were delineated: one ROI for image noise assessment and three ROIs for focal uptake (e.g. tumor lesions) measurements at different target/background contrast levels. An automated procedure was used to perform a brute force search of the two-dimensional BF parameter space for each data set to identify the \"optimal\" filter parameters to generate user-approved ground truth input data consisting of pairs of original and optimally BF filtered images. For reproducing the optimal BF filtering, we employed a modified 3D U-Net CNN incorporating residual learning principle. The network training and evaluation was performed using a 5-fold cross-validation scheme. The influence of filtering on lesion SUV quantification and image noise level was assessed by calculating absolute and fractional differences between the CNN, manual BF, or original (STD) data sets in the previously defined ROIs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The automated procedure used for filter parameter determination chose adequate filter parameters for the majority of the data sets with only 19 patient data sets requiring manual tuning. Evaluation of the focal uptake ROIs revealed that CNN as well as BF based filtering essentially maintain the focal &lt;math&gt;&lt;msub&gt;&lt;mtext&gt;SUV&lt;/","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"58"},"PeriodicalIF":3.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558292","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}
引用次数: 0
Timing limits of ultrafast cross-luminescence emission in CsZnCl-based crystals for TOF-CT and TOF-PET. 用于 TOF-CT 和 TOF-PET 的 CsZnCl 基晶体中超快交叉发光发射的时间限制。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-09 DOI: 10.1186/s40658-024-00663-x
Katrin Herweg, Daniel Rutstrom, Vanessa Nadig, Luis Stand, Charles L Melcher, Mariya Zhuravleva, Volkmar Schulz, Stefan Gundacker
{"title":"Timing limits of ultrafast cross-luminescence emission in CsZnCl-based crystals for TOF-CT and TOF-PET.","authors":"Katrin Herweg, Daniel Rutstrom, Vanessa Nadig, Luis Stand, Charles L Melcher, Mariya Zhuravleva, Volkmar Schulz, Stefan Gundacker","doi":"10.1186/s40658-024-00663-x","DOIUrl":"10.1186/s40658-024-00663-x","url":null,"abstract":"<p><strong>Background: </strong>Good timing resolution in medical imaging applications such as TOF-CT or TOF-PET can boost image quality or patient comfort significantly by reducing the influence of background noise. However, the timing resolution of state-of-the-art detectors in CT and PET are limited by their light emission process. Core-valence cross-luminescence is an alternative, but well-known compounds (e.g. BaF<sub>2</sub>) pose several problems for medical imaging applications, such as their emission wavelength in the deep UV. CsZnCl-based materials show promise to solve this issue, as they provide fast decay times of 1-2 ns and an emission wavelength around 300 nm.</p><p><strong>Results: </strong>In this work, we investigated two CsZnCl-compounds: Cs<sub>2</sub>ZnCl<sub>4</sub> and Cs<sub>3</sub>ZnCl<sub>5</sub>. We validated the previously published decay times on a time-correlated single-photon counting setup with 1.786 ± 0.016 ns for Cs<sub>2</sub>ZnCl<sub>4</sub> and 1.034 ± 0.013 ns for Cs<sub>3</sub>ZnCl<sub>5</sub>. The setup's high resolution enabled the discovery of an additional prompt emission component with a significant abundance of 98 ± 18 (Cs<sub>2</sub>ZnCl<sub>4</sub>) and 86 ± 14 (Cs<sub>3</sub>ZnCl<sub>5</sub>) photons/MeV energy deposit. In a PET coincidence experiment, we measured the best coincidence time resolution (CTR) of 62 ps (FWHM) for Cs<sub>2</sub>ZnCL<sub>4</sub> coupled to FBK VUV SiPMs with silicon oil. To assess the CTR for lower energies, we filtered the energy along the Compton continuum and found a deteriorated CTR that seems to be mainly influenced by photon statistics. Furthermore, this study gave us a rough estimate of e.g. 150 ps (FWHM) CTR at 100 keV energy for Cs<sub>2</sub>ZnCL<sub>4</sub>. From measurements with high activity of 14 MBq to check for pile-up effects we assume that Cs<sub>2</sub>ZnCl<sub>4</sub> is better suited for high-rate time-of-flight applications than lutetium-based oxides. Simulations demonstrated that the stopping power of Cs<sub>2</sub>ZnCl<sub>4</sub> is lower than for LSO:Ce,Ca, meaning that a high amount of material would be needed for TOF-PET applications. However, the stopping power seems acceptable for applications in TOF-CT.</p><p><strong>Conclusions: </strong>The fast decay time, state-of-the-art CTR in benchtop experiments and high-rate suitability make CsZnCl materials a promising candidate for time-of-flight experiments. We consider especially TOF-CT a suitable application due to its relatively low X-ray energies (~ 100 keV) and the thusly acceptable stopping power of Cs<sub>2</sub>ZnCl<sub>4</sub>. Currently, further exploration of the prompt emission and its creation mechanism is planned, as well as investigating the light transport of Cs<sub>2</sub>ZnCl<sub>4</sub> in longer crystals.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"59"},"PeriodicalIF":3.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558293","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}
引用次数: 0
Seracam: characterisation of a new small field of view hybrid gamma camera for nuclear medicine. Seracam:用于核医学的新型小视场混合伽马相机的特性。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-08 DOI: 10.1186/s40658-024-00659-7
Sarah L Bugby, Andrew L Farnworth, William R Brooks, Alan C Perkins
{"title":"Seracam: characterisation of a new small field of view hybrid gamma camera for nuclear medicine.","authors":"Sarah L Bugby, Andrew L Farnworth, William R Brooks, Alan C Perkins","doi":"10.1186/s40658-024-00659-7","DOIUrl":"10.1186/s40658-024-00659-7","url":null,"abstract":"<p><strong>Background: </strong>Portable gamma cameras are being developed for nuclear medicine procedures such as thyroid scintigraphy. This article introduces Seracam® - a new technology that combines small field of view gamma imaging with optical imaging - and reports its performance and suitability for small organ imaging.</p><p><strong>Methods: </strong>The count rate capability, uniformity, spatial resolution, and sensitivity for <sup>99m</sup>Tc are reported for four integrated pinhole collimators of nominal sizes of 1 mm, 2 mm, 3 mm and 5 mm. Characterisation methodology is based on NEMA guidelines, with some adjustments necessitated by camera design. Two diagnostic scenarios - thyroid scintigraphy and gastric emptying - are simulated using clinically relevant activities and geometries to investigate application-specific performance. A qualitative assessment of the potential benefits and disadvantages of Seracam is also provided.</p><p><strong>Results: </strong>Seracam's performance across the measured characteristics is appropriate for small field of view applications in nuclear medicine. At an imaging distance of 50 mm, corresponding to a field of view of 77.6 mm × 77.6 mm, spatial resolution ranged from 4.6 mm to 26 mm and sensitivity from 3.6 cps/MBq to 52.2 cps/MBq, depending on the collimator chosen. Results from the clinical simulations were particularly promising despite the challenging scenarios investigated. The optimal collimator choice was strongly application dependent, with gastric emptying relying on the higher sensitivity of the 5 mm pinhole whereas thyroid imaging benefitted from the enhanced spatial resolution of the 1 mm pinhole. Signal to noise ratio in images was improved by pixel binning. Seracam has lower measured sensitivity when compared to a traditional large field of view gamma camera, for the simulated applications this is balanced by advantages such as high spatial resolution, portability, ease of use and real time gamma-optical image fusion and display.</p><p><strong>Conclusion: </strong>The results show that Seracam has appropriate performance for small organ <sup>99m</sup>Tc imaging. The results also show that the performance of small field of view systems must be considered holistically and in clinically appropriate scenarios.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"57"},"PeriodicalIF":3.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554416","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}
引用次数: 0
A practical method for measuring planar spatial resolution with scatter on a CZT gamma camera. 利用 CZT 伽玛相机的散射测量平面空间分辨率的实用方法。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-01 DOI: 10.1186/s40658-024-00656-w
Corinne Barrau, Perrine Tylski
{"title":"A practical method for measuring planar spatial resolution with scatter on a CZT gamma camera.","authors":"Corinne Barrau, Perrine Tylski","doi":"10.1186/s40658-024-00656-w","DOIUrl":"10.1186/s40658-024-00656-w","url":null,"abstract":"<p><strong>Purpose: </strong>This study proposes a practical method for evaluating 2D spatial resolution with scatter on a CZT planar detector gamma camera, which is simpler and faster than the NEMA method. It is used to characterize the influence of distance on spatial resolution FWHM on a CZT camera equipped with a WEHR collimator.</p><p><strong>Methods: </strong>The practical method uses linear sources tilted with respect to the detector axes. The spatial resolution full width at half maximum (FWHM) with four tilt angles was compared to the FWHM evaluated using the NEMA NU1-2018 method. Spatial resolution FWHM was also assessed with tilted sources acquired at distances of 0 to 20 cm using a single angle, with and without the post-processing image enhancement proposed by the manufacturer.</p><p><strong>Results: </strong>Estimated spatial resolution FWHM with tilted sources was close to the spatial resolution FWHM estimated at 7.63 mm by the NEMA method, with deviations ranging from - 5.62 to 4.59% at 10 cm depending on the angle considered. The study of spatial resolution FWHM dependence on distance indicates that, for distances less than 3 cm, the FWHM no longer decreases with distance. The manufacturer's post-processing reduces the FWHM by an average of 15%.</p><p><strong>Conclusion: </strong>The practical method is quicker to implement and gives comparable results to the NEMA reference method for spatial resolution FWHM. Evaluation of spatial resolution with linear sources at short distances from the collimator is limited by the collimator effect and signal digitization. The tilted source method can be used to measure spatial resolution quickly and easily under clinical conditions for CZT planar cameras.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"55"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476243","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}
引用次数: 0
Preliminary protocol for measuring the reproducibility and accuracy of flow values on digital PET/CT systems in [15O]H2O myocardial perfusion imaging using a flow phantom. 使用血流模型测量数字 PET/CT 系统在[15O]H2O 心肌灌注成像中血流值的可重复性和准确性的初步方案。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-01 DOI: 10.1186/s40658-024-00654-y
Reetta Siekkinen, Heidi Partanen, Linda Kukola, Tuula Tolvanen, Andrew Fenwick, Nadia A S Smith, Mika Teräs, Antti Saraste, Jarmo Teuho
{"title":"Preliminary protocol for measuring the reproducibility and accuracy of flow values on digital PET/CT systems in [<sup>15</sup>O]H<sub>2</sub>O myocardial perfusion imaging using a flow phantom.","authors":"Reetta Siekkinen, Heidi Partanen, Linda Kukola, Tuula Tolvanen, Andrew Fenwick, Nadia A S Smith, Mika Teräs, Antti Saraste, Jarmo Teuho","doi":"10.1186/s40658-024-00654-y","DOIUrl":"10.1186/s40658-024-00654-y","url":null,"abstract":"<p><strong>Background: </strong>Several factors may decrease the accuracy of quantitative PET myocardial perfusion imaging (MPI). It is therefore essential to ensure that myocardial blood flow (MBF) values are reproducible and accurate, and to design systematic protocols to achieve this. Until now, no systematic phantom protocols have been available to assess the technical factors affecting measurement accuracy and reproducibility in MPI.</p><p><strong>Materials and methods: </strong>We implemented a standard measurement protocol, which applies a flow phantom in order to compare image-derived flow values with respect to a ground truth flow value with [<sup>15</sup>O]H<sub>2</sub>O MPI performed on both a Discovery MI (DMI-20, GE Healthcare) and a Biograph Vision 600 (Vision-600, Siemens Healthineers) system. Both systems have automatic [<sup>15</sup>O]H<sub>2</sub>O radio water generators (Hidex Oy) individually installed, allowing us to also study the differences occurring due to two different bolus delivery systems. To investigate the technical factors contributing to the modelled flow values, we extracted the [<sup>15</sup>O]H<sub>2</sub>O bolus profiles, the flow values from the kinetic modeling (Qin and Qout), and finally calculated their differences between test-retest measurements on both systems.</p><p><strong>Results: </strong>The measurements performed on the DMI-20 system produced Qin and Qout values corresponging to each other as well as to the reference flow value across all test-retest measurements. The repeatability differences on DMI-20 were 2.1% ± 2.6% and 3.3% ± 4.1% for Qin and Qout, respectively. On Vision-600 they were 10% ± 8.4% and 11% ± 10% for Qin and Qout, respectively. The measurements performed on the Vision-600 system showed more variation between Qin and Qout values across test-retest measurements and exceeded 15% difference in 7/24 of the measurements.</p><p><strong>Conclusions: </strong>A preliminary protocol for measuring the accuracy and reproducibility of flow values in [<sup>15</sup>O]H<sub>2</sub>O MPI between digital PET/CT systems was assessed. The test-retest reproducibility falls below 15% in majority of the measurements conducted between two individual injector systems and two digital PET/CT systems. This study highlights the importance of implementing a standardized bolus injection and delivery protocol and importance of assessing technical factors affecting flow value reproducibility, which should be carefully investigated in a multi-center setting.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"54"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476245","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}
引用次数: 0
Kinetic model-informed deep learning for multiplexed PET image separation. 用于多路复用 PET 图像分离的动力学模型深度学习。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-07-01 DOI: 10.1186/s40658-024-00660-0
Bolin Pan, Paul K Marsden, Andrew J Reader
{"title":"Kinetic model-informed deep learning for multiplexed PET image separation.","authors":"Bolin Pan, Paul K Marsden, Andrew J Reader","doi":"10.1186/s40658-024-00660-0","DOIUrl":"10.1186/s40658-024-00660-0","url":null,"abstract":"<p><strong>Background: </strong>Multiplexed positron emission tomography (mPET) imaging can measure physiological and pathological information from different tracers simultaneously in a single scan. Separation of the multiplexed PET signals within a single PET scan is challenging due to the fact that each tracer gives rise to indistinguishable 511 keV photon pairs, and thus no unique energy information for differentiating the source of each photon pair.</p><p><strong>Methods: </strong>Recently, many applications of deep learning for mPET image separation have been concentrated on pure data-driven methods, e.g., training a neural network to separate mPET images into single-tracer dynamic/static images. These methods use over-parameterized networks with only a very weak inductive prior. In this work, we improve the inductive prior of the deep network by incorporating a general kinetic model based on spectral analysis. The model is incorporated, along with deep networks, into an unrolled image-space version of an iterative fully 4D PET reconstruction algorithm.</p><p><strong>Results: </strong>The performance of the proposed method was evaluated on a simulated brain image dataset for dual-tracer [ <math><msup><mrow></mrow> <mn>18</mn></msup> </math> F]FDG+[ <math><msup><mrow></mrow> <mn>11</mn></msup> </math> C]MET PET image separation. The results demonstrate that the proposed method can achieve separation performance comparable to that obtained with single-tracer imaging. In addition, the proposed method outperformed the model-based separation methods (the conventional voxel-wise multi-tracer compartment modeling method (v-MTCM) and the image-space dual-tracer version of the fully 4D PET image reconstruction algorithm (IS-F4D)), as well as a pure data-driven separation [using a convolutional encoder-decoder (CED)], with fewer training examples.</p><p><strong>Conclusions: </strong>This work proposes a kinetic model-informed unrolled deep learning method for mPET image separation. In simulation studies, the method proved able to outperform both the conventional v-MTCM method and a pure data-driven CED with less training data.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"56"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476244","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}
引用次数: 0
Improvements of 177Lu SPECT images from sparsely acquired projections by reconstruction with deep-learning-generated synthetic projections. 利用深度学习生成的合成投影进行重建,从稀疏获取的投影中改进 177Lu SPECT 图像。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-06-28 DOI: 10.1186/s40658-024-00655-x
Emma Wikberg, Martijn van Essen, Tobias Rydén, Johanna Svensson, Peter Gjertsson, Peter Bernhardt
{"title":"Improvements of <sup>177</sup>Lu SPECT images from sparsely acquired projections by reconstruction with deep-learning-generated synthetic projections.","authors":"Emma Wikberg, Martijn van Essen, Tobias Rydén, Johanna Svensson, Peter Gjertsson, Peter Bernhardt","doi":"10.1186/s40658-024-00655-x","DOIUrl":"https://doi.org/10.1186/s40658-024-00655-x","url":null,"abstract":"<p><strong>Background: </strong>For dosimetry, the demand for whole-body SPECT/CT imaging, which require long acquisition durations with dual-head Anger cameras, is increasing. Here we evaluated sparsely acquired projections and assessed whether the addition of deep-learning-generated synthetic intermediate projections (SIPs) could improve the image quality while preserving dosimetric accuracy.</p><p><strong>Methods: </strong>This study included 16 patients treated with <sup>177</sup>Lu-DOTATATE with SPECT/CT imaging (120 projections, 120P) at four time points. Deep neural networks (CUSIPs) were designed and trained to compile 90 SIPs from 30 acquired projections (30P). The 120P, 30P, and three different CUSIP sets (30P + 90 SIPs) were reconstructed using Monte Carlo-based OSEM reconstruction (yielding 120P_rec, 30P_rec, and CUSIP_recs). The noise levels were visually compared. Quantitative measures of normalised root mean square error, normalised mean absolute error, peak signal-to-noise ratio, and structural similarity were evaluated, and kidney and bone marrow absorbed doses were estimated for each reconstruction set.</p><p><strong>Results: </strong>The use of SIPs visually improved noise levels. All quantitative measures demonstrated high similarity between CUSIP sets and 120P. Linear regression showed nearly perfect concordance of the kidney and bone marrow absorbed doses for all reconstruction sets, compared to the doses of 120P_rec (R<sup>2</sup> ≥ 0.97). Compared to 120P_rec, the mean relative difference in kidney absorbed dose, for all reconstruction sets, was within 3%. For bone marrow absorbed doses, there was a higher dissipation in relative differences, and CUSIP_recs outperformed 30P_rec in mean relative difference (within 4% compared to 9%). Kidney and bone marrow absorbed doses for 30P_rec were statistically significantly different from those of 120_rec, as opposed to the absorbed doses of the best performing CUSIP_rec, where no statistically significant difference was found.</p><p><strong>Conclusion: </strong>When performing SPECT/CT reconstruction, the use of SIPs can substantially reduce acquisition durations in SPECT/CT imaging, enabling acquisition of multiple fields of view of high image quality with satisfactory dosimetric accuracy.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"53"},"PeriodicalIF":3.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466973","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}
引用次数: 0
Position dependence of recovery coefficients in 177Lu-SPECT/CT reconstructions - phantom simulations and measurements. 177Lu-SPECT/CT 重建中恢复系数的位置依赖性--模型模拟和测量。
IF 3 2区 医学
EJNMMI Physics Pub Date : 2024-06-28 DOI: 10.1186/s40658-024-00662-y
Julian Leube, Wies Claeys, Johan Gustafsson, Maikol Salas-Ramirez, Michael Lassmann, Michel Koole, Johannes Tran-Gia
{"title":"Position dependence of recovery coefficients in <sup>177</sup>Lu-SPECT/CT reconstructions - phantom simulations and measurements.","authors":"Julian Leube, Wies Claeys, Johan Gustafsson, Maikol Salas-Ramirez, Michael Lassmann, Michel Koole, Johannes Tran-Gia","doi":"10.1186/s40658-024-00662-y","DOIUrl":"https://doi.org/10.1186/s40658-024-00662-y","url":null,"abstract":"<p><strong>Background: </strong>Although the importance of quantitative SPECT has increased tremendously due to newly developed therapeutic radiopharmaceuticals, there are still no accreditation programs to harmonize SPECT imaging. Work is currently underway to develop an accreditation for quantitative <sup>177</sup>Lu SPECT/CT. The aim of this study is to verify whether the positioning of the spheres within the phantom has an influence on the recovery and thus needs to be considered in SPECT harmonization. In addition, the effects of these recovery coefficients on a potential partial volume correction as well as absorbed-dose estimates are investigated.</p><p><strong>Methods: </strong>Using a low-dose CT of a SPECT/CT acquisition, a computerized version of the NEMA body phantom was created using a semi-automatic threshold-based method. Based on the mass-density map, the detector orbit, and the sphere centers, realistic SPECT acquisitions of all possible 720 sphere configurations of both the PET and the SPECT versions of the NEMA Body Phantom were generated using Monte Carlo simulations. SPECT reconstructions with different numbers of updates were performed without (CASToR) and with resolution modeling (STIR). Recovery coefficients were calculated for all permutations, reconstruction methods, and phantoms, and their dependence on the sphere positioning was investigated. Finally, the simulation-based findings were validated using SPECT/CT acquisitions of six different sphere configurations.</p><p><strong>Results: </strong>Our analysis shows that sphere positioning has a significant impact on the recovery for both of the reconstruction methods and the phantom type. Although resolution modeling resulted in significantly higher recovery, the relative variation in recovery within the 720 permutations was even larger. When examining the extreme values of the recovery, reconstructions without resolution modeling were influenced primarily by the sphere position, while with resolution modeling the volume of the two adjacent spheres had a larger influence. The SPECT measurements confirmed these observations, and the recovery curves showed good overall agreement with the simulated data.</p><p><strong>Conclusion: </strong>Our study shows that sphere positioning has a significant impact on the recovery obtained in NEMA sphere phantom measurements and should therefore be considered in a future SPECT accreditation. Furthermore, the single-measurement method normally performed for PVC should be reconsidered to account for the position dependency.</p>","PeriodicalId":11559,"journal":{"name":"EJNMMI Physics","volume":"11 1","pages":"52"},"PeriodicalIF":3.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466974","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}
引用次数: 0
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