Reliability of semiquantitative ¹F-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.

Abstract

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.