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OtherBASIC SCIENCE INVESTIGATIONS

Quantitative Accuracy of Clinical 99mTc SPECT/CT Using Ordered-Subset Expectation Maximization with 3-Dimensional Resolution Recovery, Attenuation, and Scatter Correction

Johannes Zeintl, Alexander Hans Vija, Amos Yahil, Joachim Hornegger and Torsten Kuwert
Journal of Nuclear Medicine June 2010, 51 (6) 921-928; DOI: https://doi.org/10.2967/jnumed.109.071571
Johannes Zeintl
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Alexander Hans Vija
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Amos Yahil
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Joachim Hornegger
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Torsten Kuwert
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  • FIGURE 1. 
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    FIGURE 1. 

    True (top) and example reconstructed images (bottom; LEHR collimation, 2.4-mm voxel, 32 OSEM updates) of simulated spheres of different diameters in 10% background.

  • FIGURE 2. 
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    FIGURE 2. 

    Reconstructed image of sphere phantom fused with CT image (LEHR collimation, 2.4-mm voxel, 32 OSEM updates). Circular VOIs were drawn manually using CT boundaries as reference.

  • FIGURE 3. 
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    FIGURE 3. 

    Reconstructed images of 2 patients fused with CT images (LEHR collimation, 4.8-mm voxel, 32 OSEM updates). VOIs were drawn by setting threshold of isocontour to coincide as close as possible with CT boundaries.

  • FIGURE 4. 
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    FIGURE 4. 

    Effect of spillover at object boundaries on emission recovery due to finite voxel size for different object and voxel sizes with target-to-background ratio of 10:1 (A) and different target-to-background ratios using 16-mL sphere (B).

  • FIGURE 5. 
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    FIGURE 5. 

    Emission recovery coefficients as function of object size and number of OSEM updates for different voxel sizes using LEHR collimation and 2 million total counts (A and B), for different object positions of 16-mL sphere (C), and for different total counts (D). upds = the number of OSEM updates; Mcts = million counts.

Tables

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    TABLE 1

    Quantification Accuracy and Accumulated Errors for Sphere Phantom

    True sphere volume (mL)VVOI (mL)CEĉA (kBq/mL)Mean difference (ĉA vs. cA) (%)SE of difference (%)
    1615.97 (0.1%)0.80 (0.1%)708.3 (6.5%)−2.88.0
    88.02 (0.1%)0.74 (0.1%)749.4 (6.5%)+2.88.5
    43.94 (0.6%)0.71 (0.2%)684.0 (6.6%)−6.27.7
    22.08 (1.0%)0.61 (0.6%)685.3 (6.8%)−6.07.9
    10.98 (0.8%)0.42 (0.8%)679.7 (6.7%)−6.87.8
    0.50.52 (1.6%)0.29 (1.4%)708.8 (7.1%)−2.88.4
    • Values in parentheses are percentages of accumulated relative SEs due to measurement instrumentation. True activity concentration cA is 729.0 (relative SE, 5.0%), and calculated system volume sensitivity SVol is 10.3 (relative SE, 6.5%).

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    TABLE 2

    Quantitative Accuracy and Accumulated SEs for Patient Data

    Patient no.VOI(mL)Urine activity concentration measured in well counter (kBq/mL)Activity concentration calculatedfrom image (kBq/mL)Deviation from true value (%)SE of deviation (%)
    1380.424.524.60.4%8.3%
    2479.430.632.04.7%8.4%
    3244.645.045.81.8%8.2%
    440.7144.3168.716.9%12.4%
    5166.446.543.1−7.4%7.3%
    6309.113.613.81.4%8.0%
    7114.427.325.4−6.8%7.3%
    8128.041.748.616.6%8.8%
    9204.373.568.0−7.5%8.0%
    10273.017.520.014.3%10.3%
    11157.216.716.91.0%8.5%
    1253.0284.1272.9−3.9%9.0%
    13482.034.632.9−4.9%7.3%
    14420.194.286.8−7.8%7.1%
    15282.875.177.53.1%8.1%
    16246.8138.4131.3−5.2%7.4%
    Minimum40.713.613.8−7.8%7.1%
    Maximum482.0284.1272.916.9%12.4%
    Average248.969.269.31.1%8.4%
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Journal of Nuclear Medicine: 51 (6)
Journal of Nuclear Medicine
Vol. 51, Issue 6
June 2010
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Quantitative Accuracy of Clinical 99mTc SPECT/CT Using Ordered-Subset Expectation Maximization with 3-Dimensional Resolution Recovery, Attenuation, and Scatter Correction
Johannes Zeintl, Alexander Hans Vija, Amos Yahil, Joachim Hornegger, Torsten Kuwert
Journal of Nuclear Medicine Jun 2010, 51 (6) 921-928; DOI: 10.2967/jnumed.109.071571

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Quantitative Accuracy of Clinical 99mTc SPECT/CT Using Ordered-Subset Expectation Maximization with 3-Dimensional Resolution Recovery, Attenuation, and Scatter Correction
Johannes Zeintl, Alexander Hans Vija, Amos Yahil, Joachim Hornegger, Torsten Kuwert
Journal of Nuclear Medicine Jun 2010, 51 (6) 921-928; DOI: 10.2967/jnumed.109.071571
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