Related Experiment Video
Updated: Apr 30, 2026

A Dual Tracer PET-MRI Protocol for the Quantitative Measure of Regional Brain Energy Substrates Uptake in the Rat
Published on: December 28, 2013
Reliability of semiquantitative ¹⁸F-FDG PET parameters derived from simultaneous brain PET/MRI: a feasibility study
Amarnath Jena1, Sangeeta Taneja1, Reema Goel1
1Department of Molecular Imaging and Nuclear Medicine, Indraprastha Apollo Hospitals, Sarita Vihar, Mathura Road, New Delhi 110076, Delhi, India.
Purpose:
Simultaneous brain PET/MRI faces an important issue of validation of accurate MRI based attenuation correction (AC) method for precise quantitation of brain PET data unlike in PET/CT systems where the use of standard, validated CT based AC is routinely available. The aim of this study was to investigate the feasibility of evaluation of semiquantitative (18)F-FDG PET parameters derived from simultaneous brain PET/MRI using ultrashort echo time (UTE) sequences for AC and to assess their agreement with those obtained from PET/CT examination.
Methods:
Sixteen patients (age range 18-73 years; mean age 49.43 (19.3) years; 13 men 3 women) underwent simultaneous brain PET/MRI followed immediately by PET/CT. Quantitative analysis of brain PET images obtained from both studies was undertaken using Scenium v.1 brain analysis software package. Twenty ROIs for various brain regions were system generated and 6 semiquantitative parameters including maximum standardized uptake value (SUV max), SUV mean, minimum SUV (SUV min), minimum standard deviation (SD min), maximum SD (SD max) and SD from mean were calculated for both sets of PET data for each patient. Intra-class correlation coefficients (ICCs) were determined to assess agreement between the various semiquantitative parameters for the two PET data sets.
Results:
Intra-class co-relation between the two PET data sets for SUV max, SUV mean and SD max was highly significant (p<0.00) for all the 20 predefined brain regions with ICC>0.9. SD from mean was also found to be statistically significant for all the predefined brain regions with ICC>0.8. However, SUV max and SUV mean values obtained from PET/MRI were significantly lower compared to those of PET/CT for all the predefined brain regions.
Conclusion:
PET quantitation accuracy using the MRI based UTE sequences for AC in simultaneous brain PET/MRI is reliable in a clinical setting, being similar to that obtained using PET/CT.
Insights
Simultaneous brain PET/MRI using ultrashort echo time (UTE) sequences for attenuation correction (AC) provides reliable quantitative accuracy comparable to PET/CT. This method ensures precise brain PET data quantitation in clinical settings.
Area of Science:
- Medical Imaging
- Nuclear Medicine
- Radiology
Background:
- Simultaneous brain PET/MRI requires accurate MRI-based attenuation correction (AC) for precise quantitation.
- Unlike PET/CT, PET/MRI lacks standardized, validated AC methods, posing a challenge for quantitative analysis.
Purpose of the Study:
- To evaluate the feasibility of semiquantitative (18)F-FDG PET parameters from simultaneous brain PET/MRI using ultrashort echo time (UTE) sequences for AC.
- To assess the agreement of these parameters with those obtained from conventional PET/CT examinations.
Main Methods:
- Sixteen patients underwent simultaneous brain PET/MRI and PET/CT scans.
- Quantitative analysis of PET images was performed using Scenium v.1 software.
- Six semiquantitative parameters (SUV max, SUV mean, SUV min, SD min, SD max, SD from mean) were calculated for 20 brain regions.
- Intra-class correlation coefficients (ICCs) were used to assess agreement between PET/MRI and PET/CT data.
Main Results:
- High intra-class correlation (ICC > 0.9) was observed between PET/MRI and PET/CT for SUV max, SUV mean, and SD max across all 20 brain regions (p<0.00).
- Statistically significant agreement (ICC > 0.8) was also found for SD from mean.
- However, PET/MRI yielded significantly lower SUV max and SUV mean values compared to PET/CT for all analyzed brain regions.
Conclusions:
- MRI-based UTE sequences for AC in simultaneous brain PET/MRI are reliable for PET quantitation in clinical practice.
- The quantitative accuracy achieved with this PET/MRI method is comparable to that of PET/CT.
- This validates UTE-based AC as a viable approach for precise brain PET imaging with PET/MRI systems.
More Related Videos
Related Concept Videos
Positron Emission Tomography
One of the main requirements of a PET scan is a positron-emitting radioisotope, which is produced in a cyclotron and then attached to a substance used by the part of the body...
Imaging Studies II: Positron Emission Tomography and Scintigraphy
Fundamental Principles of PET
![Semi-quantitative Assessment Using [18F]FDG Tracer in Patients with Severe Brain Injury](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F58641.jpg&w=3840&q=50)
