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Research ArticleBasic Science Investigations

PET Attenuation Correction Using Synthetic CT from Ultrashort Echo-Time MR Imaging

Snehashis Roy, Wen-Tung Wang, Aaron Carass, Jerry L. Prince, John A. Butman and Dzung L. Pham
Journal of Nuclear Medicine December 2014, 55 (12) 2071-2077; DOI: https://doi.org/10.2967/jnumed.114.143958
Snehashis Roy
1Center for Neuroscience and Regenerative Medicine, Henry Jackson Foundation, Bethesda, Maryland
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Wen-Tung Wang
1Center for Neuroscience and Regenerative Medicine, Henry Jackson Foundation, Bethesda, Maryland
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Aaron Carass
2Image Analysis and Communications Laboratory, Johns Hopkins University, Baltimore, Maryland; and
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Jerry L. Prince
2Image Analysis and Communications Laboratory, Johns Hopkins University, Baltimore, Maryland; and
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John A. Butman
3Department of Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland
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Dzung L. Pham
1Center for Neuroscience and Regenerative Medicine, Henry Jackson Foundation, Bethesda, Maryland
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  • FIGURE 1.
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    FIGURE 1.

    Top 2 rows show dual-echo UTE images (echo time, 70 μs and 2.46 ms) and corresponding original CT-based μ maps of reference and subject with lesion. Bottom row shows Siemens Dixon, Siemens UTE-based μ map, and our GENESIS result for subject.

  • FIGURE 2.
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    FIGURE 2.

    Corresponding axial sections of μ maps of subject from original CT (A), GENESIS (B), and deformable registration (C) demonstrate that, visually, GENESIS μ map is closer to original CT-based μ map than is that obtained by deformable registration. Cystic lesion in left frontal lobe (white arrow) is well represented by GENESIS but not by deformable registration. Similarly, dilation of right lateral ventricle (green arrow) is not represented in deformable registration. Misregistration in posterior fossa mislabels much of cerebellum as bone (orange arrow).

  • FIGURE 3.
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    FIGURE 3.

    Comparison of tissue classification results for bone (A) and air (B) across different methods as compared with gold standard original CT. GENESIS most closely corresponds to gold standard. Siemens Dixon method does not allow for bone classification and hence is not represented in A.

  • FIGURE 4.
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    FIGURE 4.

    Comparison of final attenuation correction process for single subject using different methods. Initial MR UTE images (A) were converted into μ maps (B) generated using Siemens Dixon and UTE. Deformable registration and GENESIS are compared with gold standard CT. Blurring of bone is introduced by deformable registration method (white arrow in B). Although attenuation-corrected PET images (C) appear grossly similar, images representing absolute difference between each of 4 methods and original CT-based attenuation-corrected PET (D) demonstrate marked differences. Color bar for difference images represents 10-fold increase in scale relative to that for original images.

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    FIGURE 5.

    Scatterplots of CT-based PET intensities vs. MR-based PET intensities (×104) at each voxel of PET images are shown for Siemens Dixon, UTE, registration, and GENESIS. Solid magenta lines indicate unit slope, and dotted magenta lines are robust linear fit of data.

  • FIGURE 6.
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    FIGURE 6.

    Comparison of GENESIS results using different reference data. Top row shows UTE and CT μ map of subject 3. Similarity of all 5 images in bottom row, each generated using different atlas, indicates robustness of GENESIS method and its relative independence of choice of reference atlas.

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    TABLE 1

    Comparison of Correlation and PSNR Between the 4 MR-Based μ Maps and the CT μ Map

    Subject no.
    MetricMR-based μ map12345Mean ± SD
    Correlation (ρ)Dixon0.890.440.540.740.360.61 ± 0.21
    UTE0.860.550.650.820.440.66 ± 0.18
    Registration0.950.630.670.850.660.75 ± 0.14
    GENESIS0.950.700.670.910.700.79 ± 0.13*
    PSNR (dB)Dixon19.9517.5918.2418.0418.0118.37 ± 0.92
    UTE16.6216.4317.5016.7316.3217.12 ± 0.96
    Registration23.0919.3718.1821.5220.8620.61 ± 1.90
    GENESIS23.3621.1720.6222.3822.0421.92 ± 1.07*
    • ↵* Largest correlation and PSNR.

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    TABLE 2

    Comparison Between 4 Methods with CT-Reconstructed PET Images, with Respect to Correlation, PSNR, Regression Slopes, and R2

    Subject no.
    MetricImage type12345Mean ± SD
    CorrelationDixon0.9940.9930.9920.9900.9940.993 ± 0.001
    UTE0.9940.9940.9950.9910.9940.993 ± 0.001
    Registration0.9540.9820.9640.9970.8750.954 ± 0.048
    GENESIS0.996*0.995*0.996*0.998*0.997*0.996 ± 0.001*
    PSNR (dB)Dixon30.3232.9529.4525.8729.7529.67 ± 2.53
    UTE29.6333.0330.2825.1528.6229.34 ± 2.86
    Registration24.9531.9424.1035.3420.8227.43 ± 5.99
    GENESIS35.34*37.78*34.57*36.59*35.61*35.98 ± 1.24*
    SlopeDixon0.9240.9130.9140.8720.9040.905 ± 0.020
    UTE0.9120.8990.9130.8700.8880.896 ± 0.018
    Registration0.8940.9870.8621.0111.0390.959 ± 0.077
    GENESIS0.983*0.992*1.014*0.9860.971*0.990 ± 0.016*
    R2Dixon0.9720.9730.9790.9620.9670.971 ± 0.006
    UTE0.9740.9670.9820.9450.9710.968 ± 0.014
    Registration0.8890.9560.9140.9870.7440.898 ± 0.094
    GENESIS0.992*0.989*0.994*0.993*0.985*0.991 ± 0.004*
    • ↵* Largest correlation, PSNR, R2, and slope.

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    TABLE 3

    For 1 Subject, Comparison of 5 Synthetic μ Maps, Generated Using 5 Different References, with CT-Based μ Map and PET Reconstructions

    Patient no.
    Image typeMetric12345
    μ mapCorrelation0.90730.90170.91090.90170.9009
    PSNR22.3821.8722.4721.9022.26
    PETCorrelation0.99790.99800.99790.99800.9982
    PSNR36.5936.9836.4136.9036.86

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Journal of Nuclear Medicine: 55 (12)
Journal of Nuclear Medicine
Vol. 55, Issue 12
December 1, 2014
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PET Attenuation Correction Using Synthetic CT from Ultrashort Echo-Time MR Imaging
Snehashis Roy, Wen-Tung Wang, Aaron Carass, Jerry L. Prince, John A. Butman, Dzung L. Pham
Journal of Nuclear Medicine Dec 2014, 55 (12) 2071-2077; DOI: 10.2967/jnumed.114.143958

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PET Attenuation Correction Using Synthetic CT from Ultrashort Echo-Time MR Imaging
Snehashis Roy, Wen-Tung Wang, Aaron Carass, Jerry L. Prince, John A. Butman, Dzung L. Pham
Journal of Nuclear Medicine Dec 2014, 55 (12) 2071-2077; DOI: 10.2967/jnumed.114.143958
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