Dataset Information

Image-based SPECT calibration based on the evaluation of the Fraction of Activity in the Field of View.

ABSTRACT: BACKGROUND:SPECT quantification is important for dosimetry in targeted radionuclide therapy (TRT) and the calibration of SPECT images is a crucial stage for image quantification. The current standardized calibration protocol (MIRD 23) uses phantom acquisitions to derive a global calibration factor in specific conditions. It thus requires specific acquisitions for every clinical protocols. We proposed an alternative and complementary image-based calibration method that allows to determine a calibration factor adapted to each patient, radionuclide, and acquisition protocol and that may also be used as an additional independent calibration. RESULTS:The proposed method relies on a SPECT/CT acquisition of a given region of interest and an initial whole-body (WB) planar image. First, the conjugate view of WB planar images is computed after scatter and attenuation correction. 3D SPECT images are reconstructed with scatter, attenuation, and collimator-detector response (CDR) corrections and corrected from apparent dead-time. The field of view (FOV) of the SPECT image is then projected on the corrected WB planar image. The fraction of activity located in the area corresponding to the SPECT FOV is then calculated based on the counts on the corrected WB planar image. The Fraction of Activity in Field Of View (FAF) is then proposed to compute the calibration factor as the total number of counts in the SPECT image divided by this activity. Quantification accuracy was compared with the standard calibration method both with phantom experiments and on patient data. Both standard and image-based calibrations give good accuracy on large region of interest on phantom experiments (less than 7% of relative difference compared to ground truth). Apparent dead-time correction allows to reduce the uncertainty associated with standard calibration from 2.5 to 1%. The differences found between both methods were lower than the uncertainty range of the standard calibration (<3%). In patient data, although no ground truth was available, both methods give similar calibration factor (average difference 3.64%). CONCLUSIONS:A calibration factor may be computed directly from the acquired SPECT image providing that a WB planar image is also available and if both acquisitions are performed before biological elimination. This method does not require to perform phantom acquisition for every different acquisition conditions and may serve to double check the calibration with an independent factor.

SUBMITTER: Halty A

PROVIDER: S-EPMC5953912 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Image-based SPECT calibration based on the evaluation of the Fraction of Activity in the Field of View.

Halty Adrien A Badel Jean-Noël JN Kochebina Olga O Sarrut David D

EJNMMI physics 20180516 1

<h4>Background</h4>SPECT quantification is important for dosimetry in targeted radionuclide therapy (TRT) and the calibration of SPECT images is a crucial stage for image quantification. The current standardized calibration protocol (MIRD 23) uses phantom acquisitions to derive a global calibration factor in specific conditions. It thus requires specific acquisitions for every clinical protocols. We proposed an alternative and complementary image-based calibration method that allows to determine ...[more]

PMID: 29766354

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Project description:BACKGROUND:Two novel methods of image reconstruction, xSPECT Quant (xQ) and xSPECT Bone (xB), that use an ordered subset conjugate gradient minimizer (OSCGM) for SPECT/CT reconstruction have been proposed. The present study compares the performance characteristics of xQ, xB, and conventional Flash3D (F3D) reconstruction using images derived from phantoms and patients. METHODS:A custom-designed body phantom for bone SPECT was scanned using a Symbia Intevo (Siemens Healthineers), and reconstructed xSPECT images were evaluated. The phantom experiments proceeded twice with different activity concentrations and sphere sizes. A phantom with 28-mm spheres containing a 99mTc-background and tumor-to-normal bone ratios (TBR) of 1, 2, 4, and 10 were generated, and convergence property against various TBR was evaluated across 96 iterations. A phantom with four spheres (13-, 17-, 22-, and 28-mm diameters), containing a 99mTc-background at TBR4, was also generated. The full width at half maximum of an imaged spinous process (10?mm), coefficients of variance (CV), contrast-to-noise ratio (CNR), and recovery coefficients (RC) were evaluated after reconstructing images of a spine using Flash 3D (F3D), xQ, and xB. We retrospectively analyzed images from 20 patients with suspected bone metastases (male, n = 13) which were acquired using [99mTc]Tc-(H)MDP SPECT/CT, then CV and standardized uptake values (SUV) at the 4th vertebral body (L4) were compared after xQ and xB reconstruction in a clinical setup. RESULTS:Mean activity concentrations with various TBR converged according to increasing numbers of iterations. The spatial resolution of xB was considerably superior to xQ and F3D, and it approached almost the actual size regardless of the iteration numbers during reconstruction. The CV and RC were better for xQ and xB than for F3D. The CNR peaked at 24 iterations for xQ and 48 iterations for F3D and xB, respectively. The RC between xQ and xB significantly differed at lower numbers of iterations but were almost equivalent at higher numbers of iterations. The reconstructed xQ and xB images of the clinical patients showed a significant difference in the SUVmax and SUVpeak. CONCLUSIONS:The reconstructed xQ and xB images were more accurate than those reconstructed conventionally using F3D. The xB for bone SPECT imaging offered essentially unchanged spatial resolution even when the numbers of iterations did not converge. The xB reconstruction further enhanced SPECT image quality using CT data. Our findings provide important information for understanding the performance characteristics of the novel xQ and xB algorithms.

Project description:ObjectivesThis study was conducted in order to compare the effect of field of view (FOV) size on image quality between ultra-high-resolution CT (U-HRCT) and conventional high-resolution CT (HRCT).MethodsEleven cadaveric lungs were scanned with U-HRCT and conventional HRCT and reconstructed with five FOVs (40, 80, 160, 240, and 320 mm). Three radiologists evaluated and scored the images. Three image evaluations were performed, comparing the image quality with the five FOVs with respect to the 160-mm FOV. The first evaluation was performed on conventional HRCT images, and the second evaluation on U-HRCT images. Images were scored on normal structure, abnormal findings, and overall image quality. The third evaluation was a comparison of the images obtained with conventional HRCT and U-HRCT, with scoring performed on overall image quality. Quantitative evaluation of noise was performed by setting ROIs.ResultsIn conventional HRCT, image quality was improved when the FOV was reduced to 160 mm. In U-HRCT, image quality, except for noise, improved when the FOV was reduced to 80 mm. In the third evaluation, overall image quality was improved in U-HRCT over conventional HRCT at all FOVs. Noise of U-HRCT increased with respect to conventional HRCT when the FOV was reduced from 160 to 40 mm. However, at 240- and 320-mm FOVs, the noise of U-HRCT and conventional HRCT showed no differences.ConclusionsIn conventional HRCT, image quality did not improve when the FOV was reduced below 160 mm. However, in U-HRCT, image quality improved even when the FOV was reduced to 80 mm.Key points• Reducing the size of the field of view to 160 mm improves diagnostic imaging quality in high-resolution CT. • In ultra-high-resolution CT, improvements in image quality can be obtained by reducing the size of the field of view to 80 mm. • Ultra-high-resolution CT produces images of higher quality compared with conventional HRCT irrespective of the size of the field of view.

Dataset Information

Image-based SPECT calibration based on the evaluation of the Fraction of Activity in the Field of View.

Publications

Image-based SPECT calibration based on the evaluation of the Fraction of Activity in the Field of View.

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