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Research ArticleBasic Science Investigations

Effect of Attenuation Correction on Regional Quantification Between PET/MR and PET/CT: A Multicenter Study Using a 3-Dimensional Brain Phantom

Jarmo Teuho, Jarkko Johansson, Jani Linden, Adam Espe Hansen, Søren Holm, Sune H. Keller, Gaspar Delso, Patrick Veit-Haibach, Keiichi Magota, Virva Saunavaara, Tuula Tolvanen, Mika Teräs and Hidehiro Iida
Journal of Nuclear Medicine May 2016, 57 (5) 818-824; DOI: https://doi.org/10.2967/jnumed.115.166165
Jarmo Teuho
1Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland
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Jarkko Johansson
1Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland
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Jani Linden
1Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland
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Adam Espe Hansen
2Department of Clinical Physiology, Nuclear Medicine, and PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Søren Holm
2Department of Clinical Physiology, Nuclear Medicine, and PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Sune H. Keller
2Department of Clinical Physiology, Nuclear Medicine, and PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Gaspar Delso
3PET/CT-MR Center, University Hospital Zurich, Zurich, Switzerland
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Patrick Veit-Haibach
3PET/CT-MR Center, University Hospital Zurich, Zurich, Switzerland
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Keiichi Magota
4Section of Nuclear Medicine, Department of Radiology, Hokkaido University Hospital, Sapporo, Japan
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Virva Saunavaara
1Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland
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Tuula Tolvanen
1Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland
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Mika Teräs
1Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland
5Department of Medical Physics, Turku University Hospital, Turku, Finland; and
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Hidehiro Iida
6National Cerebral and Cardiovascular Center, Osaka, Japan
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  • FIGURE 1.
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    FIGURE 1.

    Visualization of VOI (red) fused on digital reference smoothed to PET resolution. AU = arbitrary units.

  • FIGURE 2.
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    FIGURE 2.

    (A) MR and CT images of phantom. (B) MR-based μ-maps and digital reference. CT images show all phantom structures, whereas polymer structure is invisible on MR and is classified as air on MR-based μ-maps. UTE = ultrashort echo time.

  • FIGURE 3.
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    FIGURE 3.

    (A) Digital reference and PET/CT images. (B) PET/MR images with MRAC. (C) PET/MR images with CTAC. PET/CT and digital reference agree well. Effect of classifying polymer as air in MRAC can clearly be seen, whereas using CTAC for PET/MR brings PET/MR to agreement with PET/CT and digital reference. UTE = ultrashort echo time.

  • FIGURE 4.
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    FIGURE 4.

    HUs as function of anatomic VOI at each institution. HUs show little variation, especially between Copenhagen, Turku, and Zurich, where same phantom was used.

  • FIGURE 5.
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    FIGURE 5.

    Regional comparison of PET/CT and PET/MR systems (Eqs. 4 and 6). Mediofrontal cortex, lateral frontal cortex, cingulate cortex, and parietooccipital cortex agree well between systems. Ingenuity TF shows negative bias, whereas Gemini TF64 shows the largest variation between regions. MFC = medial frontal cortex; LFC = lateral frontal cortex; OFC = orbitofrontal cortex; TC = temporal cortex; Cer = cerebellum; BGa = basal ganglia; CC = cingulate cortex; POC = parietooccipital cortex.

  • FIGURE 6.
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    FIGURE 6.

    Relative differences in PET/MR systems within institution by system (A) and by region (B) (Eq. 5). PET/MR systems agree well with PET/CT systems. Ingenuity TF shows the largest difference. MFC = medial frontal cortex; LFC = lateral frontal cortex; OFC = orbitofrontal cortex; TC = temporal cortex; Cer = cerebellum; BGa = basal ganglia; CC = cingulate cortex; POC = parietooccipital cortex.

  • FIGURE 7.
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    FIGURE 7.

    VOIs in box-and-whisker plot systemwise (A) and regionally (B). Excellent agreement is seen systemwise. Red bars denote median values, defining upper and lower quartiles. Whiskers indicate difference in quartiles by 1.5 times the interquartile range. Circles and crosses indicate outliers in each dataset. AU = arbitrary units; MFC = medial frontal cortex; LFC = lateral frontal cortex; OFC = orbitofrontal cortex; TC = temporal cortex; Cer = cerebellum; BGa = basal ganglia; CC = cingulate cortex; POC = parietooccipital cortex.

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    TABLE 1

    Acquisition and Reconstruction Details

    Institution and systemActivity (MBq)Duration (min)Reconstruction algorithm (iterations/subsets)Matrix size (voxels)Voxel size (mm)
    Turku97*
     Ingenuity TF8215LOR RAMLA (10/33)128 × 128 × 902 × 2 × 2
     Discovery 69048203D OSEM (10/21)256 × 256 × 471.38 × 1.38 × 3.27
    Copenhagen37*
     mMR2615OP OSEM (8/21)344 × 344 × 1270.83 × 0.83 × 2
     mCT2315OP OSEM (8/24)344 × 344 × 1270.83 × 0.83 × 2
    Zurich78*
     Discovery 69046203D OSEM (3/18)256 × 256 × 471.38 × 1.38 × 3.27
     Signa40203D OSEM (2/28, 10/28)256 × 256 × 891.17 × 1.17 × 2.8
    Sapporo50*
     Gemini TF643915LOR RAMLA (10/33)128 × 128 × 902 × 2 × 2
    • ↵* Activity at injection time.

    • LOR = line of response; RAMLA = row action maximum likelihood; OSEM = ordered-subsets expectation maximization; OP = ordinary Poisson.

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    TABLE 2

    Measured μ-Values

    Method and institutionMaximumMedianMean ± SD
    Automatic segmentation
     Turku0.1420.1080.110 ± 0.012
     Copenhagen0.1400.1080.109 ± 0.011
     Zurich0.1460.1090.109 ± 0.016
     Sapporo0.1620.1080.112 ± 0.018
    Manual VOI
     Turku0.142NA0.0908
     Copenhagen0.140NA0.0912
     Zurich0.146NA0.0900
     Sapporo0.162NA0.0934
    • NA = not applicable.

    • Data are cm−1.

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Journal of Nuclear Medicine: 57 (5)
Journal of Nuclear Medicine
Vol. 57, Issue 5
May 1, 2016
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Effect of Attenuation Correction on Regional Quantification Between PET/MR and PET/CT: A Multicenter Study Using a 3-Dimensional Brain Phantom
Jarmo Teuho, Jarkko Johansson, Jani Linden, Adam Espe Hansen, Søren Holm, Sune H. Keller, Gaspar Delso, Patrick Veit-Haibach, Keiichi Magota, Virva Saunavaara, Tuula Tolvanen, Mika Teräs, Hidehiro Iida
Journal of Nuclear Medicine May 2016, 57 (5) 818-824; DOI: 10.2967/jnumed.115.166165

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Effect of Attenuation Correction on Regional Quantification Between PET/MR and PET/CT: A Multicenter Study Using a 3-Dimensional Brain Phantom
Jarmo Teuho, Jarkko Johansson, Jani Linden, Adam Espe Hansen, Søren Holm, Sune H. Keller, Gaspar Delso, Patrick Veit-Haibach, Keiichi Magota, Virva Saunavaara, Tuula Tolvanen, Mika Teräs, Hidehiro Iida
Journal of Nuclear Medicine May 2016, 57 (5) 818-824; DOI: 10.2967/jnumed.115.166165
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Keywords

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