Quantitative assessment of kidney split function and mean transit time in healthy patients using dynamic ¹⁸F-FDG...

Our objective was to assess a deconvolution and denoising technique based on Legendre polynomials compared to matrix deconvolution on dynamic ¹⁸F-FDG renography of healthy patients.

The study was carried out and compared to the data of 24 healthy patients from a published study who underwent examinations with ^99mTc-MAG3 planar scintigraphy and ¹⁸F-FDG PET/MRI. Due to corruption issues in some data used in the published article, post-publication measurements were provided. We have been warned that post-publication data were treated differently. The smoothing method switched from Bezier to Savitzky-Golay and the deconvolution from matrix-based (with Tikhonov Regularization) to Richardson-Lucy. A comparison of the split function and mean transit times of the published and post-publication data against our method based on Legendre polynomials was performed.

For split function, we only observed a good agreement between the processing methods for the ^99mTc-MAG₃ and the post-published data. No correlation was found between the split functions obtained on the ^99mTc-MAG₃ and the ¹⁸F-FDG, contrary to the published study. However, all calculated split function values for ¹⁸F-FDG and ^99mTc-MAG₃ were within the established normal range. For the mean transit time, the correlation was moderate with published data and very good with the post-publication measurements for both ^99mTc-MAG₃ and ¹⁸F-FDG. Bias of the Bland-Altman analysis of the mean transit times for ^99mTc-MAG₃ versus ¹⁸F-FDG was 1.1 min (SD 1.7 min) for the published data, - 0.11 min (SD 1.9 min) for the post-publication results and .05 min (SD 1.9 min) for our method.

The processing methods used in the original publication and in the post-publication work were quite complex and required adaptation of the fitting parameters for each individual and each type of examination. Our method did not require any specific adjustment; the same unmodified and fully automated algorithm was successfully applied to all data.