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Quantitative performance and optimal regularization parameter in block sequential regularized expectation maximization reconstructions in clinical 68Ga-PSMA PET/MR.


ABSTRACT: In contrast to ordered subset expectation maximization (OSEM), block sequential regularized expectation maximization (BSREM) positron emission tomography (PET) reconstruction algorithms can run until full convergence while controlling image quality and noise. Recent studies with BSREM and 18F-FDG PET reported higher signal-to-noise ratios and higher standardized uptake values (SUV). In this study, we investigate the optimal regularization parameter (?) for clinical 68Ga-PSMA PET/MR reconstructions in the pelvic region applying time-of-flight (TOF) BSREM in comparison to TOF OSEM. Two-minute emission data from the pelvic region of 25 patients who underwent 68Ga-PSMA PET/MR were retrospectively reconstructed. Reference OSEM reconstructions had 28 subsets and 2 iterations. BSREM reconstructions were performed with 15 ? values between 150 and 1200. Regions of interest (ROIs) were drawn around lesions and in uniform background. Background SUVmean (average) and SUVstd (standard deviation), and lesion SUVmax (average of 5 hottest voxels) were calculated. Differences were analyzed using the Wilcoxon matched pairs signed-rank test.A total of 40 lesions were identified in the pelvic region. Background noise (SUVstd) and lesions SUVmax decreased with increasing ?. Image reconstructions with ? values lower than 400 have higher (p?

SUBMITTER: Ter Voert EEGW 

PROVIDER: S-EPMC6063806 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Quantitative performance and optimal regularization parameter in block sequential regularized expectation maximization reconstructions in clinical <sup>68</sup>Ga-PSMA PET/MR.

Ter Voert Edwin E G W EEGW   Muehlematter Urs J UJ   Delso Gaspar G   Pizzuto Daniele A DA   Müller Julian J   Nagel Hannes W HW   Burger Irene A IA  

EJNMMI research 20180727 1


<h4>Background</h4>In contrast to ordered subset expectation maximization (OSEM), block sequential regularized expectation maximization (BSREM) positron emission tomography (PET) reconstruction algorithms can run until full convergence while controlling image quality and noise. Recent studies with BSREM and <sup>18</sup>F-FDG PET reported higher signal-to-noise ratios and higher standardized uptake values (SUV). In this study, we investigate the optimal regularization parameter (β) for clinical  ...[more]

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