使用长轴视场 PET/CT 扫描仪对两种不同示踪剂的图像衍生输入功能进行验证。

IF 3 2区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Xavier Palard-Novello, Denise Visser, Nelleke Tolboom, Charlotte L C Smith, Gerben Zwezerijnen, Elsmarieke van de Giessen, Marijke E den Hollander, Frederik Barkhof, Albert D Windhorst, Bart Nm van Berckel, Ronald Boellaard, Maqsood Yaqub
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引用次数: 0

摘要

背景:从高灵敏度的大轴向视野(LAFOV)PET/CT 扫描仪中获得精确的图像衍生输入函数(IDIF),可避免在动力学建模时进行侵入性血液采样。目的是验证 IDIF 在两种示踪剂、3 个不同 IDIF 位置和 9 种不同重建设置下的使用情况:方法:在 Vision Quadra PET/CT 系统上,分别在 70 分钟和 60 分钟内采集了 8 个 [18F]FDG 和 10 个 [18F]DPA-714 扫描。PET 图像采用不同的重建设置进行重建。IDIF 取自升主动脉(AA)、降主动脉(DA)和左心室腔(LV)。在评估 IDIF 的准确度和精确度时,使用了从 IDIF 与作为参考的人工血液样本之间的比较中提取的校准因子(CF)。为了说明各种校准 IDIF 对[18F]FDG 的 Patlak 线性化和[18F]DPA-714 的 Logan 线性化的影响,对每种校准 IDIF 应用了相同的目标时间-活性曲线:对于[18F]FDG,IDIF 的准确度和精确度都很高(平均 CF ≥ 0.82,SD ≤ 0.06)。与使用欧洲核医学研究协会有限公司更新的标准重建(EARL2)校准 AA IDIF 提取的纹状体流入量(Ki)相比,18F]DPA714 的 Ki 平均值差异较大(平均 CF ≥ 0.86),但使用绝对散度校正、DA 和 LV 的情况除外(平均 CF 分别为 0.68、0.47 和 0.44)。然而,AA IDIF 的精度较低(SD ≥ 0.10)。与使用校准的连续动脉采样器输入函数作为参考所获得的额叶区域分布容积(VT)相比,使用校准的 AA IDIF 所获得的 VT 平均值差异较小(例如,使用 EARL2 所获得的 VT 平均值差异 = -5.3%),但使用校准的 DA 和 LV IDIF 所获得的 VT 平均值差异较高(分别为 + 12.5% 和 + 19.1%):结论:对于[18F]FDG,IDIF无需根据人工血样进行校准。对于[18F]DPA-714,AA IDIF可以取代连续动脉采样,进行简化的动力学定量,但必须根据动脉血样本进行校准。LAFOV PET/CT 系统的 IDIF 精确度和准确性取决于示踪剂、重建设置和 IDIF VOI 位置,因此需要仔细优化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validation of image-derived input function using a long axial field of view PET/CT scanner for two different tracers.

Background: Accurate image-derived input function (IDIF) from highly sensitive large axial field of view (LAFOV) PET/CT scanners could avoid the need of invasive blood sampling for kinetic modelling. The aim is to validate the use of IDIF for two kinds of tracers, 3 different IDIF locations and 9 different reconstruction settings.

Methods: Eight [18F]FDG and 10 [18F]DPA-714 scans were acquired respectively during 70 and 60 min on the Vision Quadra PET/CT system. PET images were reconstructed using various reconstruction settings. IDIFs were taken from ascending aorta (AA), descending aorta (DA), and left ventricular cavity (LV). The calibration factor (CF) extracted from the comparison between the IDIFs and the manual blood samples as reference was used for IDIFs accuracy and precision assessment. To illustrate the effect of various calibrated-IDIFs on Patlak linearization for [18F]FDG and Logan linearization for [18F]DPA-714, the same target time-activity curves were applied for each calibrated-IDIF.

Results: For [18F]FDG, the accuracy and precision of the IDIFs were high (mean CF ≥ 0.82, SD ≤ 0.06). Compared to the striatum influx (Ki) extracted using calibrated AA IDIF with the updated European Association of Nuclear Medicine Research Ltd. standard reconstruction (EARL2), Ki mean differences were < 2% using the other calibrated IDIFs. For [18F]DPA714, high accuracy of the IDIFs was observed (mean CF ≥ 0.86) except using absolute scatter correction, DA and LV (respectively mean CF = 0.68, 0.47 and 0.44). However, the precision of the AA IDIFs was low (SD ≥ 0.10). Compared to the distribution volume (VT) in a frontal region obtained using calibrated continuous arterial sampler input function as reference, VT mean differences were small using calibrated AA IDIFs (for example VT mean difference = -5.3% using EARL2), but higher using calibrated DA and LV IDIFs (respectively + 12.5% and + 19.1%).

Conclusions: For [18F]FDG, IDIF do not need calibration against manual blood samples. For [18F]DPA-714, AA IDIF can replace continuous arterial sampling for simplified kinetic quantification but only with calibration against arterial blood samples. The accuracy and precision of IDIF from LAFOV PET/CT system depend on tracer, reconstruction settings and IDIF VOI locations, warranting careful optimization.

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来源期刊
EJNMMI Physics
EJNMMI Physics Physics and Astronomy-Radiation
CiteScore
6.70
自引率
10.00%
发文量
78
审稿时长
13 weeks
期刊介绍: EJNMMI Physics is an international platform for scientists, users and adopters of nuclear medicine with a particular interest in physics matters. As a companion journal to the European Journal of Nuclear Medicine and Molecular Imaging, this journal has a multi-disciplinary approach and welcomes original materials and studies with a focus on applied physics and mathematics as well as imaging systems engineering and prototyping in nuclear medicine. This includes physics-driven approaches or algorithms supported by physics that foster early clinical adoption of nuclear medicine imaging and therapy.
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