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Related Experiment Videos

PET/CT: artifacts caused by bowel motion.

Yuji Nakamoto1, Bennett B Chin, Christian Cohade

  • 1Division of Nuclear Medicine, Johns Hopkins School of Medicine, Baltimore 21287-0817, USA.

Nuclear Medicine Communications
|April 20, 2004
PubMed
Summary
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Bowel motion in PET/CT scans can cause differences in attenuation correction, leading to inaccurate standardized uptake values (SUVs). Overestimated uptake in CT corrected PET should not be mistaken for disease.

Area of Science:

  • Medical Imaging
  • Nuclear Medicine
  • Radiology

Background:

  • Positron Emission Tomography/Computed Tomography (PET/CT) systems utilize CT for attenuation correction.
  • Differences exist between CT-based and conventional transmission scan corrected PET images.
  • Bowel motion introduces variability in CT-based attenuation correction.

Purpose of the Study:

  • To investigate PET/CT image differences caused by bowel motion-induced attenuation variations.
  • To quantify the impact of bowel motion on standardized uptake values (SUVs).

Main Methods:

  • Twelve patients underwent PET/CT scans with both 68Ge transmission and CT attenuation correction.
  • Emission datasets were generated for CT corrected PET, Ge corrected PET, and difference images.

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  • Mismatch regions and SUV discrepancies were analyzed.
  • Main Results:

    • 123 mismatched areas were identified between CT and Ge corrected PET.
    • 36 regions showed overestimation (Pattern A) and 87 showed underestimation (Pattern B) in CT corrected images.
    • Statistically significant differences in SUV values were observed between over- and underestimated regions.

    Conclusions:

    • Physiological bowel motion can lead to attenuation differences and affect SUV measurements in PET/CT.
    • Overestimation of fluorodeoxyglucose uptake due to motion artifacts should not be misdiagnosed as pathology.