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Whole-body PET/MRI of Pediatric Patients: The Details That Matter
Published on: December 19, 2017
Image artifacts from MR-based attenuation correction in clinical, whole-body PET/MRI
Sune H Keller1, Søren Holm, Adam E Hansen
1Department of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark. sune@pet.rh.dk
Purpose:
Integrated whole-body PET/MRI tomographs have become available. PET/MR imaging has the potential to supplement, or even replace combined PET/CT imaging in selected clinical indications. However, this is true only if methodological pitfalls and image artifacts arising from novel MR-based attenuation correction (MR-AC) are fully understood.
Results:
Here we present PET/MR image artifacts following routine MR-AC, as most frequently observed in clinical operations of an integrated whole-body PET/MRI system.
Conclusion:
A clinical adoption of integrated PET/MRI should entail the joint image display and interpretation of MR data, MR-based attenuation maps and uncorrected plus attenuation-corrected PET images in order to recognize potential pitfalls from MR-AC and to ensure clinically accurate image interpretation.
Insights
Integrated PET/MRI systems offer potential advantages over PET/CT, but understanding image artifacts from MR-based attenuation correction (MR-AC) is crucial for accurate clinical interpretation.
Area of Science:
- Medical Imaging
- Radiology
- Nuclear Medicine
Background:
- Integrated whole-body PET/MRI systems are emerging as alternatives to PET/CT.
- Successful clinical implementation hinges on understanding novel MR-based attenuation correction (MR-AC) methods.
- Potential pitfalls and artifacts associated with MR-AC require thorough investigation.
Purpose of the Study:
- To present and describe common PET/MR image artifacts encountered during routine clinical operations.
- To highlight the importance of understanding MR-AC-related artifacts for accurate PET/MRI interpretation.
- To inform the clinical adoption of integrated PET/MRI technology.
Main Methods:
- Analysis of image artifacts observed in clinical practice using an integrated whole-body PET/MRI system.
- Focus on artifacts specifically arising from MR-based attenuation correction (MR-AC).
- Systematic documentation of frequently encountered artifacts during routine operations.
Main Results:
- Detailed presentation of common PET/MR image artifacts resulting from routine MR-AC.
- Identification of specific artifact patterns observed in clinical PET/MRI scans.
- Demonstration of how MR-AC can introduce image quality issues.
Conclusions:
- Clinical adoption of integrated PET/MRI requires careful interpretation of MR data, MR-AC maps, and PET images.
- Joint display and interpretation of multimodal data are essential for recognizing MR-AC pitfalls.
- Ensuring clinically accurate image interpretation necessitates a comprehensive understanding of MR-AC artifacts.
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