2D、3D高剂量、3D低剂量门控心肌82Rb PET显像比较。

Karin Knešaurek, Josef Machac, Jong Ho Kim
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引用次数: 8

摘要

背景:我们比较了16例正常人的2D、3D高剂量(HD)和3D低剂量(LD)门控心肌Rb-82 PET成像。本文的主要目的是评估3D LD研究获得的图像是否仍然具有与2D HD或3D HD研究获得的图像相当的临床质量。方法:采用2220mbq Rb-82进行二维和三维HD研究。使用740 MBq的Rb-82进行3D LD。采用GE Advance PET系统进行采集。在噪声分析中,我们创建了极坐标图,并使用极坐标图来计算片段之间和片段内的噪声。此外,还分析了左室壁与左室腔的对比。采用QGS程序计算13例受试者2D和3D的射血分数(EF)。结果:对于H20重建滤波器,在二维研究中,中心室短轴片的平均对比度为0.33 +/- 0.06。3D HD研究的相同对比为0.38 +/- 0.07,3D LD研究的相同对比为0.34 +/- 0.08。在使用3D高清的6名志愿者中,2D研究的NAS为3.64*10-4,NWS为1.79*10-2,3D高清研究的NAS为3.70*10-4,NWS为1.85*10-2。另外10名使用3D LD的志愿者,2D研究的NAS为3.85*10-4,NWS为1.82*10-2,3D LD研究的NAS为5.58*10-4,NWS为1.91*10-2。对于更清晰的H13滤波器,数据遵循相同的模式,对比度和噪声值略高。二维和三维EF值接近。Pearson相关系数为0.90。13名受试者的平均差异为8.3%。结论:2D和3D HD门控Rb-82 PET心脏研究具有相似的对比、射血分数和噪声水平。3D LD门控成像在对比度、EF和噪声方面与2D或3D HD门控PET成像具有可比性。3D LD PET门控成像可以使Rb-82 PET心脏成像更加经济实惠,同时显著减少患者的辐射暴露。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of 2D, 3D high dose and 3D low dose gated myocardial 82Rb PET imaging.

Comparison of 2D, 3D high dose and 3D low dose gated myocardial 82Rb PET imaging.

Comparison of 2D, 3D high dose and 3D low dose gated myocardial 82Rb PET imaging.

Comparison of 2D, 3D high dose and 3D low dose gated myocardial 82Rb PET imaging.

Background: We compared 2D, 3D high dose (HD) and 3D low dose (LD) gated myocardial Rb-82 PET imaging in 16 normal human studies. The main goal in the paper is to evaluate whether the images obtained by a 3D LD studies are still of comparable clinical quality to the images obtained with the 2D HD or 3D HD studies.

Methods: All 2D and 3D HD studies were performed with 2220 MBq of Rb-82. The 3D LD were performed with 740 MBq of Rb-82. A GE Advance PET system was used for acquisition. Polar maps were created and used to calculate noise among (NAS) and within (NWS) the segments in the noise analysis. In addition, the contrast between left ventricular (LV) wall and LV cavity was also analysed. For 13 subjects, ejection fraction (EF) on 2D and 3D studies was calculated using QGS program.

Results: For the H20 reconstruction filter, the mean contrast in mid-ventricular short-axis slice was 0.33 +/- 0.06 for 2D studies. The same contrast for the 3D HD studies was 0.38 +/- 0.07 and for 3D LD, it was 0.34 +/- 0.08. For the 6 volunteers where 3D HD was used, NAS was 3.64*10-4 and NWS was 1.79*10-2 for 2D studies, and NAS was 3.70*10-4 and NWS was 1.85*10-2 for 3D HD studies, respectively. For the other 10 volunteers where 3D LD was used, NAS was 3.85*10-4 and NWS was 1.82*10-2 for the 2D studies, and NAS was 5.58*10-4 and NWS was 1.91*10-2 for the 3D LD studies, respectively. For the sharper H13 filter, the data followed the same pattern, with slightly higher values of contrast and noise. EF values in 2D and 3D were close. The Pearson's correlation coefficient was 0.90. The average difference from 13 subjects was 8.3%.

Conclusion: 2D and 3D HD gating Rb-82 PET cardiac studies have similar contrast, ejection fractions and noise levels. 3D LD gating imaging, gave comparable results in terms of contrast, EF and noise to either 2D or 3D HD gating PET imaging. 3D LD PET gated imaging can make Rb-82 PET cardiac imaging more affordable with significantly less radiation exposure to the patients.

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