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Wang J, Bermudez D, Chen W, Durgavarjhula D, Randell C, Uyanik M, McMillan A. Motion-correction strategies for enhancing whole-body PET imaging. FRONTIERS IN NUCLEAR MEDICINE (LAUSANNE, SWITZERLAND) 2024; 4:1257880. [PMID: 39118964 PMCID: PMC11308502 DOI: 10.3389/fnume.2024.1257880] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 08/10/2024]
Abstract
Positron Emission Tomography (PET) is a powerful medical imaging technique widely used for detection and monitoring of disease. However, PET imaging can be adversely affected by patient motion, leading to degraded image quality and diagnostic capability. Hence, motion gating schemes have been developed to monitor various motion sources including head motion, respiratory motion, and cardiac motion. The approaches for these techniques have commonly come in the form of hardware-driven gating and data-driven gating, where the distinguishing aspect is the use of external hardware to make motion measurements vs. deriving these measures from the data itself. The implementation of these techniques helps correct for motion artifacts and improves tracer uptake measurements. With the great impact that these methods have on the diagnostic and quantitative quality of PET images, much research has been performed in this area, and this paper outlines the various approaches that have been developed as applied to whole-body PET imaging.
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Affiliation(s)
- James Wang
- Department of Radiology, University of Wisconsin Madison, Madison, WI, United States
- Department of Medical Physics, University of Wisconsin Madison, Madison, WI, United States
| | - Dalton Bermudez
- Department of Medical Physics, University of Wisconsin Madison, Madison, WI, United States
| | - Weijie Chen
- Department of Radiology, University of Wisconsin Madison, Madison, WI, United States
- Department of Electrical and Computer Engineering, University of Wisconsin Madison, Madison, WI, United States
| | - Divya Durgavarjhula
- Department of Radiology, University of Wisconsin Madison, Madison, WI, United States
- Department of Computer Science, University of Wisconsin Madison, Madison, WI, United States
| | - Caitlin Randell
- Department of Radiology, University of Wisconsin Madison, Madison, WI, United States
- Department of Biomedical Engineering, University of Wisconsin Madison, Madison, WI, United States
| | - Meltem Uyanik
- Department of Radiology, University of Wisconsin Madison, Madison, WI, United States
- Department of Medical Physics, University of Wisconsin Madison, Madison, WI, United States
| | - Alan McMillan
- Department of Radiology, University of Wisconsin Madison, Madison, WI, United States
- Department of Medical Physics, University of Wisconsin Madison, Madison, WI, United States
- Department of Electrical and Computer Engineering, University of Wisconsin Madison, Madison, WI, United States
- Department of Biomedical Engineering, University of Wisconsin Madison, Madison, WI, United States
- Data Science Institute, University of Wisconsin Madison, Madison, WI, United States
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Pösse S, Büther F, Mannweiler D, Hong I, Jones J, Schäfers M, Schäfers KP. Comparison of two elastic motion correction approaches for whole-body PET/CT: motion deblurring vs gate-to-gate motion correction. EJNMMI Phys 2020; 7:19. [PMID: 32232687 PMCID: PMC7105551 DOI: 10.1186/s40658-020-0285-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 03/03/2020] [Indexed: 12/27/2022] Open
Abstract
Background Respiratory motion in PET/CT leads to well-known image degrading effects commonly compensated using elastic motion correction approaches. Gate-to-gate motion correction techniques are promising tools for improving clinical PET data but suffer from relatively long reconstruction times. In this study, the performance of a fast elastic motion compensation approach based on motion deblurring (DEB-MC) was evaluated on patient and phantom data and compared to an EM-based fully 3D gate-to-gate motion correction method (G2G-MC) which was considered the gold standard. Methods Twenty-eight patients were included in this study with suspected or confirmed malignancies in the thorax or abdomen. All patients underwent whole-body [18F]FDG PET/CT examinations applying hardware-based respiratory gating. In addition, a dynamic anthropomorphic thorax phantom was studied with PET/CT simulating tumour motion under controlled but realistic conditions. PET signal recovery values were calculated from phantom scans by comparing lesion activities after motion correction to static ground truth data. Differences in standardized uptake values (SUV) and metabolic volume (MV) between both reconstruction methods as well as between motion-corrected (MC) and non motion-corrected (NOMC) results were statistically analyzed using a Wilcoxon signed-rank test. Results Phantom data analysis showed high lesion recovery values of 91% (2 cm motion) and 98% (1 cm) for G2G-MC and 83% (2 cm) and 90% (1 cm) for DEB-MC. The statistical analysis of patient data found significant differences between NOMC and MC reconstructions for SUV max, SUV mean, MV, and contrast-to-noise ratio (CNR) for both reconstruction algorithms. Furthermore, both methods showed similar increases of 11–12% in SUV max and SUV mean after MC. The statistical analysis of the MC/NOMC ratio found no significant differences between the methods. Conclusion Both motion correction techniques deliver comparable improvements of SUV max, SUV mean, and CNR after MC on clinical and phantom data. The fast elastic motion compensation technique DEB-MC may thereby be a valuable alternative to state-of-the art motion correction techniques.
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Affiliation(s)
- Stefanie Pösse
- European Institute for Molecular Imaging, University of Münster, Waldeyerstr. 15, Münster, 48149, Germany.
| | - Florian Büther
- European Institute for Molecular Imaging, University of Münster, Waldeyerstr. 15, Münster, 48149, Germany.,Department of Nuclear Medicine, University Hospital of Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany
| | - Dirk Mannweiler
- European Institute for Molecular Imaging, University of Münster, Waldeyerstr. 15, Münster, 48149, Germany
| | - Inki Hong
- Molecular Imaging, Siemens Medical Solutions Inc., Knoxville, Knoxville, USA
| | - Judson Jones
- Molecular Imaging, Siemens Medical Solutions Inc., Knoxville, Knoxville, USA
| | - Michael Schäfers
- European Institute for Molecular Imaging, University of Münster, Waldeyerstr. 15, Münster, 48149, Germany.,Department of Nuclear Medicine, University Hospital of Münster, Albert-Schweitzer-Campus 1, Münster, 48149, Germany
| | - Klaus Peter Schäfers
- European Institute for Molecular Imaging, University of Münster, Waldeyerstr. 15, Münster, 48149, Germany
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