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Related Experiment Video

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Protocol for the Evaluation of MRI Artifacts Caused by Metal Implants to Assess the Suitability of Implants and the Vulnerability of Pulse Sequences
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Multi-modality nuclear medicine imaging: artefacts, pitfalls and recommendations.

Jorn A van Dalen1, Wouter V Vogel, Frans H M Corstens

  • 1Radboud University Medical Centre Nijmegen, Department of Nuclear Medicine, Nijmegen, The Netherlands. j.vandalen@rad.umcn.nl

Cancer Imaging : the Official Publication of the International Cancer Imaging Society
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PubMed
Summary

Multi-modality imaging, like PET/CT, is crucial in oncology but can cause artefacts. This review details common imaging pitfalls and offers solutions for accurate oncological patient management.

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Published on: October 27, 2023

Area of Science:

  • Medical Imaging
  • Oncology
  • Nuclear Medicine

Background:

  • Multi-modality imaging, particularly hybrid PET/CT and SPECT/CT scanners, is increasingly vital in oncology.
  • These advanced imaging techniques, while powerful, are susceptible to artefacts and pitfalls that can impact clinical interpretation.

Purpose of the Study:

  • To review and illustrate common artefacts and pitfalls in multi-modality nuclear medicine imaging.
  • To provide solutions and recommendations for detecting and interpreting these issues for improved oncological patient care.

Main Methods:

  • Review of common artefacts in multi-modality nuclear medicine imaging.
  • Illustration of artefacts arising from CT-based attenuation correction and image fusion mismatches (e.g., respiratory motion).
  • Discussion of interchangeability issues between standalone and hybrid PET systems and visualization challenges with hospital PACS.

Main Results:

  • Identified key artefacts including those from CT attenuation correction and inter-modality mismatches.
  • Highlighted challenges in quantitative accuracy and image visualization in integrated systems.
  • Emphasized the potential for clinical misinterpretation due to these artefacts.

Conclusions:

  • Accurate detection and interpretation of multi-modality imaging artefacts are essential for effective oncological patient management.
  • Addressing issues like attenuation correction artefacts, motion mismatches, and system interchangeability is critical.
  • Recommendations are provided to mitigate these pitfalls and enhance diagnostic accuracy in nuclear medicine.