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Department of Nuclear Medicine, St. Boniface General Hospital, University of Manitoba, Winnipeg, Canada
Correspondence: For correspondence or reprints contact: W.D. Leslie, Department of Intemal Medicine (C5121), St. Boniface General Hospital, 409 Tache Ave., Winnipeg, Canada R2H 2A6.
ABSTRACT
Patient motion remains a significant source of unsatisfactory cardiac SPECT examinations. The extent to which image recovery can be achieved with correction algorithms is unknown. Methods: Nine subjects who had completed motion-free redistribution 201Tl cardiac SPECT subsequently underwent simultaneous dual-isotope (201Tl/99mTc) SPECT wtth a 99mTc cutaneous point source, while the imaging table was subjected to predefined nonreturning y-translation movements. Cardiac reconstructions, marker reconstructions and marker-compressed dynamic images were generated from the raw data after applying the following correction methods: diverging squares, cross-correlation of the cardiac data and cross-correlation of the marker. Results: Marker cross-correlation performed significantly better than all other methods with good-excellent results in all evaluations. This compared with good-excellent results in none of 27 for the raw data, in 13 of 27 for cardiac cross-correlation and in 7 of 27 for diverging squares (p < 105). The superiority of the marker-based method was confirmed on analysis of bullseye difference maps and quantitation of residual motion in the point-source data. Conclusion: Motion artifacts can accurately be detected and corrected using cross-correlation of an external point-source. Furthermore, this technique provides useful independent information on the degree of image recovery.
Key Words: thallium-201 SPECT motion artifacts myocardial perfusion
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