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Whole-body PET/MRI of Pediatric Patients: The Details That Matter
Published on: December 19, 2017
Magnetic resonance-based attenuation correction for PET/MR hybrid imaging using continuous valued attenuation maps.
Bharath K Navalpakkam1, Harald Braun, Torsten Kuwert
1Pattern Recognition Lab, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany. Bharath.Navalpakkam@uk-erlangen.de
Investigative Radiology
|February 28, 2013
Summary
This study introduces a novel method to create CT-like attenuation maps from MRI scans for PET imaging. This approach significantly improves PET quantification accuracy in the head, offering a faster, MR-only solution.
Area of Science:
- Medical Imaging Physics
- Radiological Sciences
- Biomedical Engineering
Background:
- Accurate attenuation correction is crucial for quantitative Positron Emission Tomography (PET) imaging.
- Generating attenuation maps (μ-maps) from Magnetic Resonance (MR) data in hybrid PET/MR systems is challenging due to signal limitations in cortical bone and air.
- Standard MR sequences struggle to differentiate bone and air, hindering precise attenuation correction.
Purpose of the Study:
- To develop and assess a continuous-valued, CT-like attenuation map (μ-map) derived from dedicated MR sequences.
- To compare the PET quantification accuracy of the MR-derived μ-map against CT-based μ-maps and segmentation-based methods for head imaging.
Main Methods:
- Acquisition of 3D Dixon and ultrashort echo time MR sequences on a Siemens 3-T Biograph mMR PET/MR system.
- Utilized an epsilon-insensitive support vector regression (ε-SVR) technique for pseudo-CT training on patient data.
- Compared four μ-maps: scaled CT (μ-map CT), segmented CT without bone (μ-map no bone), segmented CT with bone (μ-map bone), and MR-predicted (μ-map MR).
Main Results:
- The proposed MR-derived μ-map achieved a mean absolute error of 2.40% for the whole brain and 2.16% near cortical bone.
- Segmentation-based methods showed higher errors: 10.15% (no bone) and 3.96% (with bone) for the whole brain.
- The developed model demonstrated potential for predicting pseudo-CTs in other anatomical regions using only MR information.
Conclusions:
- Continuous-valued attenuation maps can be generated from MR sequences, significantly improving PET quantification accuracy for head studies.
- The MR-derived μ-map approach, with a <2-minute acquisition, shows promise for clinical PET/MR applications.
- Further validation is needed for attenuation correction in body regions beyond the head.

