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OtherSpecial Contribution

PET Performance Measurements Using the NEMA NU 2-2001 Standard

Margaret E. Daube-Witherspoon, Joel S. Karp, Michael E. Casey, Frank P. DiFilippo, Horace Hines, Gerd Muehllehner, Vilim Simcic, Charles W. Stearns, Lars-Eric Adam, Steve Kohlmyer and Vesna Sossi
Journal of Nuclear Medicine October 2002, 43 (10) 1398-1409;
Margaret E. Daube-Witherspoon
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Joel S. Karp
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Michael E. Casey
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Frank P. DiFilippo
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Horace Hines
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Gerd Muehllehner
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Vilim Simcic
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Charles W. Stearns
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Lars-Eric Adam
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Steve Kohlmyer
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Vesna Sossi
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  • FIGURE 1.
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    FIGURE 1.

    Effect of acquisition and reconstruction sampling on transverse spatial resolution. FWHM values for central point source are shown for ADAC UGM C-PET scanner as function of radial sampling in sinogram and image pixel size. Following NU 2-2001 protocol, best spatial resolution would be measured; clinical parameters typically have 2- to 4-mm sinogram radial sampling and pixel size, which result in significantly degraded resolution on this system.

  • FIGURE 2.
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    FIGURE 2.

    Comparison of phantom and patient counting rates. (Top) Prompt rate vs. singles rate for 70-cm-long line source in 20-cm-diameter polyethylene cylinder (solid line) and for whole-body patient studies (○) taken on ADAC UGM C-PET scanner. (Bottom) Prompt rate vs. singles rate for 20-cm-diameter × 19-cm-long water-filled cylinder (solid line) and for brain patient studies (○) taken on University of Pennsylvania G-PET scanner. Singles rate is proportional to (unknown) activity in patients.

  • FIGURE 3.
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    FIGURE 3.

    Representative image from image quality measurement for 6-min emission scan with hot sphere:background activity ratio of 8:1. Data were taken on ADAC UGM C-PET scanner and reconstructed with 3D RAMLA. Shown on right is placement of ROIs for quantitative analysis. Not shown is ROI for assessment of accuracy of corrections for attenuation and scatter, drawn on central lung-like cylindric insert.

  • FIGURE 4.
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    FIGURE 4.

    Effect of reconstruction algorithm on image quality results taken on ADAC UGM C-PET scanner. Results for 1.7-cm hot sphere are shown for FBP for Hanning filters with cutoff frequencies ranging between 2 and 0.33 times Nyquist frequency as well as for ramp filter with cutoff at Nyquist frequency and 3D RAMLA for range of reconstruction parameters (number of iterations and relaxation parameter). Arrow shows results for parameters used in clinical studies. FORE = Fourier rebinning.

Tables

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    TABLE 1

    Effect of Profile Width on Spatial Resolution

    DirectionProfile width = 1 mmProfile width = 2 × FWHM
    FWHM (mm)FWTM (mm)FWHM (mm)FWTM (mm)
    Y4.4 ± 0.19.1 ± 0.14.9 ± 0.312.2 ± 0.5
    X4.6 ± 0.211.8 ± 2.05.4 ± 0.111.5 ± 0.7
    Average (X, Y)4.5 ± 0.210.5 ± 2.05.2 ± 0.411.9 ± 0.7
    • Data were taken on ADAC UGM C-PET scanner. Values are for x = y = 0 cm, averaged over Z = 0 and Z = ¼ axial FOV. Overall average is over X and Y values for 2 axial positions (4 numbers).

    • View popup
    TABLE 2

    Impact of Inadequate Axial Sampling on Axial Resolution Measurement

    Axial positionFWHM (mm)
    Meas. 1Meas. 2
    A8.36.8
    B8.57.8
    C6.16.5
    D6.06.2
    Average (A, B)8.47.3
    Average (C, D)6.056.35
    Average (A, B, C, D)7.2 ± 1.46.8 ± 0.7
    • Results from 2 separate measurements (Meas. 1 and Meas. 2), taken on GE Advance scanner in 3D acquisition mode, are shown. Axial position A was at center of axial FOV, whereas position B was ¼ of axial FOV from center. Positions C and D were ½ slice separation from positions A and B, respectively.

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    TABLE 3

    Comparison of Intrinsic Scatter Fraction from NU 2-1994 and NU 2-2001 Standards

    ScannerFOVax (cm)Acquisition modeNU 2-1994 (%)NU 2-2001 (%)
    GE Advance15.32D (Emin = 300 keV)9.010.6
    3D (Emin = 300 keV)34.747.1
    ADAC UGM C-PET25.63D (Emin = 450 keV)2535
    ADAC MCD*373D, photopeak-Compton mode3748
    • ↵* Data from (11,14).

    • FOVax = axial FOV; Emin = minimum energy threshold.

    • View popup
    TABLE 4

    Comparison of Volume Sensitivity from NU 2-1994 and NU 2-2001 Standards

    ScannerFOVax (cm)Acquisition modeNU 2-1994 (cps/[Bq/mL])NU 2-2001, r = 0 cm/10 cm (cps/kBq)
    ECAT EXACT HR+*15.52D (Emin = 350 keV)5.851.40/—
    3D (Emin = 350 keV)26.48.98/9.52
    ADAC UGM C-PET25.63D (Emin = 450 keV)12.74.32/4.29
    ADAC MCD†373D, photopeak-Compton mode1.961.010/0.867
    • ↵* Data from (15).

    • ↵† Data from (11).

    • FOVax = axial FOV; Emin = minimum energy threshold.

    • For NU 2-2001 standard, sensitivity values are for radial positions of 0 and 10 cm.

    • View popup
    TABLE 5

    Peak Counting Rates for NU 2-1994 and NU 2-2001 Standards

    Acquisition modeStandardPeak NEC rate (kcps)Activity concentration at peak NEC (kBq/mL)Peak true rate (kcps)Activity concentration at peak trues (kBq/mL)
    2D*NU 2-1994261152557267
    2D†NU 2-20011255818958
    3DNU 2-19941462444953
    3DNU 2-200119.27.1510919.7
    • ↵* Data from (16).

    • ↵† Results were not at peak NEC or peak true rates because there was insufficient activity in source to measure these peak rates.

    • Data were acquired on GE Advance scanner. As point of reference, typical average activity concentration seen in clinical FDG study is 3–4 kBq/mL, for 370-MBq injection in 70-kg patient after 1-h uptake period.

    • View popup
    TABLE 6

    Reproducibility of Image Quality Results: CRC

    Diameter (cm)Scan 1Scan 2Average% Diff.
    1.00.0470.0760.06148
    1.30.160.190.1718
    1.70.240.220.238.7
    2.20.420.440.434.6
    2.80.480.450.466.5
    3.70.480.470.482.1
    • Data were acquired on ADAC UGM C-PET scanner. Percentage difference (% Diff.) was calculated as absolute difference between 2 scans, divided by average value.

    • View popup
    TABLE 7

    Reproducibility of Image Quality Results: Background Variability

    Diameter (cm)Scan 1Scan 2Average% Diff.
    1.08.937.618.2716.0
    1.38.786.827.8025.1
    1.77.946.757.3516.2
    2.27.966.877.4214.7
    2.87.506.426.9615.5
    3.76.915.976.4414.6
    • Data were acquired on ADAC UGM C-PET scanner. Percentage difference (% Diff.) was calculated as absolute difference between 2 scans, divided by average value.

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Journal of Nuclear Medicine: 43 (10)
Journal of Nuclear Medicine
Vol. 43, Issue 10
October 1, 2002
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PET Performance Measurements Using the NEMA NU 2-2001 Standard
Margaret E. Daube-Witherspoon, Joel S. Karp, Michael E. Casey, Frank P. DiFilippo, Horace Hines, Gerd Muehllehner, Vilim Simcic, Charles W. Stearns, Lars-Eric Adam, Steve Kohlmyer, Vesna Sossi
Journal of Nuclear Medicine Oct 2002, 43 (10) 1398-1409;

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PET Performance Measurements Using the NEMA NU 2-2001 Standard
Margaret E. Daube-Witherspoon, Joel S. Karp, Michael E. Casey, Frank P. DiFilippo, Horace Hines, Gerd Muehllehner, Vilim Simcic, Charles W. Stearns, Lars-Eric Adam, Steve Kohlmyer, Vesna Sossi
Journal of Nuclear Medicine Oct 2002, 43 (10) 1398-1409;
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