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Evaluation of an attenuation correction method for PET/MR imaging of the head based on substitute CT images
Anne Larsson1, Adam Johansson, Jan Axelsson
1Department of Radiation Sciences, Umeå University, 90187, Umeå, Sweden, anne.larsson.stromvall@vll.se.
Object:
The aim of this study was to evaluate MR-based attenuation correction of PET emission data of the head, based on a previously described technique that calculates substitute CT (sCT) images from a set of MR images.
Materials And Methods:
Images from eight patients, examined with (18)F-FLT PET/CT and MRI, were included. sCT images were calculated and co-registered to the corresponding CT images, and transferred to the PET/CT scanner for reconstruction. The new reconstructions were then compared with the originals. The effect of replacing bone with soft tissue in the sCT-images was also evaluated.
Results:
The average relative difference between the sCT-corrected PET images and the CT-corrected PET images was 1.6% for the head and 1.9% for the brain. The average standard deviations of the relative differences within the head were relatively high, at 13.2%, primarily because of large differences in the nasal septa region. For the brain, the average standard deviation was lower, 4.1%. The global average difference in the head when replacing bone with soft tissue was 11%.
Conclusion:
The method presented here has a high rate of accuracy, but high-precision quantitative imaging of the nasal septa region is not possible at the moment.
Insights
This study validates MR-based attenuation correction for PET imaging of the head, achieving high accuracy. While effective for brain imaging, precise quantification in the nasal septa region requires further refinement.
Area of Science:
- Medical Imaging
- Nuclear Medicine
- Radiology
Background:
- Accurate attenuation correction is crucial for quantitative PET imaging.
- MR-based techniques offer a non-ionizing alternative to CT for attenuation correction.
- Substitute CT (sCT) from MRI data is a promising approach.
Purpose of the Study:
- To evaluate the accuracy of MR-based attenuation correction for head PET emission data.
- To assess the performance of a novel sCT technique derived from MRI.
- To compare PET/MRI-based attenuation correction with conventional PET/CT.
Main Methods:
- Utilized (18)F-FLT PET/CT and MRI data from eight patients.
- Calculated co-registered sCT images from MR data.
- Reconstructed PET data using sCT and compared with CT-corrected data.
- Evaluated the impact of bone-to-soft-tissue conversion in sCT.
Main Results:
- Average relative differences between sCT- and CT-corrected PET images were 1.6% (head) and 1.9% (brain).
- High standard deviation (13.2%) in the nasal septa region due to bone differences.
- Lower standard deviation (4.1%) for brain regions.
- Global average difference of 11% when bone was replaced by soft tissue in sCT.
Conclusions:
- The MR-based attenuation correction method demonstrates high accuracy for head PET.
- Quantitative imaging of the nasal septa region remains a challenge with the current sCT technique.
- Further development is needed for precise nasal septa quantification.
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