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Research ArticlePhysics and Instrumentation

Performance Evaluation of the Vereos PET/CT System According to the NEMA NU2-2012 Standard

Ivo Rausch, Agustin Ruiz, Itziar Valverde-Pascual, Jacobo Cal-González, Thomas Beyer and Ignasi Carrio
Journal of Nuclear Medicine April 2019, 60 (4) 561-567; DOI: https://doi.org/10.2967/jnumed.118.215541
Ivo Rausch
1QIMP Team, Center of Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria
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Agustin Ruiz
2Department of Medical Physics and Radiation Protection, Hospital Santa Creu i Sant Pau, Barcelona, Catalonia/Spain; and
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Itziar Valverde-Pascual
2Department of Medical Physics and Radiation Protection, Hospital Santa Creu i Sant Pau, Barcelona, Catalonia/Spain; and
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Jacobo Cal-González
1QIMP Team, Center of Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria
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Thomas Beyer
1QIMP Team, Center of Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria
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Ignasi Carrio
3Department of Nuclear Medicine, Hospital Santa Creu i Sant Pau, Barcelona, Catalonia/Spain
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  • FIGURE 1.
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    FIGURE 1.

    Vereos sensitivity: axial sensitivity profile for measurements with line source in center of FOV and at 10-cm radial offset.

  • FIGURE 2.
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    FIGURE 2.

    Vereos count rate performance: prompts, trues, randoms, and scatter count rates (A); trues, randoms, and scatter counts as function of total number of coincidences recorded (B).

  • FIGURE 3.
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    FIGURE 3.

    Vereos NEC rate. (A) NEC rate as function of activity concentration in phantom calculated according to NEMA NU2-2012. Peak NEC rate was 153.4 kcps at 54.9 kBq/mL. (B) Scatter fraction for same range of activities. Scatter fraction at peak NEC rate was 33.9%.

  • FIGURE 4.
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    FIGURE 4.

    Vereos count rate accuracy: maximum and minimum relative count rate errors for different activity distributions. First and last slices of acquisitions were excluded from this evaluation.

  • FIGURE 5.
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    FIGURE 5.

    Vereos image quality: central slice of image-quality phantom for 4:1 (A) and 8:1 (B) sphere-to-background ratio.

  • FIGURE 6.
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    FIGURE 6.

    Maximum-intensity projection of 18F-FDG PET/CT examination of 68-y-old patient. Imaging was performed first on Vereos PET/CT system (at 69 min) (A) and subsequently on Gemini PET/CT system (at 156 min) (B) after injection of 260 MBq of 18F-FDG. Both examinations were performed using clinical standard acquisition parameters: blob ordered-subsets TOF reconstruction using 3 iterations and 33 subsets into a 144 × 144 matrix on Vereos PET/CT system, and ordered-subsets expectation-maximization reconstruction using 2 iterations and 10 subsets into a 288 × 288 matrix on Gemini system. Better image contrast was observed in Vereos images. However, objective comparison of imaging capabilities of the two systems is not possible because of differences in reconstruction protocols as predetermined by acquisition software.

Tables

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    TABLE 1

    Spatial Resolution Measured for PET Component of Vereos PET/CT System (NEMA NU2-2012)

    Vereos
    ParameterDistance (cm)FWHM (mm)FWTM (mm)Discovery MI FWHM (mm) (8)mCT Flow FWHM (mm) (20)
    Transverse14.24* ± 0.078.40* ± 0.154.15*4.33*
    Axial14.17 ± 0.178.80 ± 0.214.484.25
    Transverse radial104.55 ± 0.098.87 ± 0.135.475.16
    Transverse tangential104.35 ± 0.018.97 ± 0.044.494.72
    Axial104.39 ± 0.009.08 ± 0.026.015.85
    Transverse radial205.84 ± 0.0610.43 ± 0.047.535.55
    Transverse tangential204.92 ± 0.019.96 ± 0.124.906.48
    Axial204.60 ± 0.139.21 ± 0.266.107.80
    • ↵* Average value of radial and tangential measurements.

    • FWTM = full width at tenth maximum.

    • Data are average ± SD of the measurements at the axial center an off center position. Reported spatial resolutions of Discovery MI (SiPM-based system with 20-cm axial FOV (8)) and mCT Flow (PMT-based system with 22.1-cm axial FOV (20)) are shown for comparison. Spatial resolution measurements for 15-cm axial FOV Discovery MI and 16.2-cm axial FOV mCT Flow are not available but are expected to be similar to those of extended-axial-FOV systems (25,35).

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    TABLE 2

    System Sensitivity Measured for Vereos PET/CT System (NEMA NU2-2012)

    Discovery MI (8)Biograph mCT
    Distance (cm)Vereos20 cm15 cm22.1 cm (20)16.2 cm (36)
    15.113.77.59.65.4
    105.29.65.9
    • Data are cps kBq−1. Sensitivity of state-of-art PET/CT systems are shown for comparison: Discovery MI with axial FOVs of 20 and 15 cm, Biograph mCT Flow 4R with axial FOV of 22.1 cm, and Biograph mCT 3R with axial FOV of 16.2 cm.

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    TABLE 3

    Measured Count Rates and Scatter Fractions for Vereos PET/CT System (NEMA NU2-2012)

    Discovery MI
    ParameterVereos20 cm (8)15 cm (35)mCT flow, 22.1 cm (20)
    Peak trues rate733 kcps at 64.6 kBq/mL876 kcps at 35.4 kBq/mLNA634 kcps at42.4 kBq/mL
    Peak NEC rate153.4 kcps at 54.9 kBq/mL193.4 kcps at 21.9 kBq/mL100 kcps at 20.6 kBq/mL185.4 kcps at 29.0 kBq/mL
    NEC rate at 5.3 kBq/mL47.2 kcpsNANANA
    Scatter fraction at low count rates31.7% at 0.4 kBq/mLNANA33.5%
    Scatter fraction at Peak NEC rate33.9% at 54.9 kBq/mL40.6% at 21.9 kBq/mLNA33.4% at 29.0 kBq/mL
    • NA = not applicable.

    • For comparison, measurements from SiPM-based Discovery MI PET/CT system with axial FOVs of 15 cm (35) and 20 cm (8), as well as data from PMT-based mCT Flow with 22.1-cm axial FOV (20), are shown.

    • View popup
    TABLE 4

    Image Quality Results for 4:1 and 8:1 Sphere-to-Background Ratios for Vereos PET/CT System (NEMA NU2-2012)

    Contrast recoveryBackground variability
    Sphere diameter (mm)4:18:14:18:1
    1054.3 (48.6–61.5)54.4 (53.2–55.4)8.8 (7.7–10.2)9.3 (8.9–9.8)
    1375.3 (68.6–78.8)75.9 (74.3–79.0)7.2 (6.2–8.3)7.5 (7.1–7.9)
    1780.4 (78.5–83.1)81.6 (80.0–83.4)5.7 (5.0–6.3)5.7 (5.2–6.1)
    2283.9 (80.7–88.3)86.5 (86.2–87.1)4.4 (4.1–4.7)4.3 (3.9–4.8)
    2881.4 (08.2–82.8)82.5 (82.1–83.3)3.3 (3.1–3.6)3.5 (3.2–3.9)
    3787.0 (86.8–87.3)85.8 (86.1–85.4)2.5 (2.5–2.3)2.6 (2.1–2.9)
    Lung residual6.356.36
    • Data are mean percentages followed by ranges in parentheses.

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Journal of Nuclear Medicine: 60 (4)
Journal of Nuclear Medicine
Vol. 60, Issue 4
April 1, 2019
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Performance Evaluation of the Vereos PET/CT System According to the NEMA NU2-2012 Standard
Ivo Rausch, Agustin Ruiz, Itziar Valverde-Pascual, Jacobo Cal-González, Thomas Beyer, Ignasi Carrio
Journal of Nuclear Medicine Apr 2019, 60 (4) 561-567; DOI: 10.2967/jnumed.118.215541

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Performance Evaluation of the Vereos PET/CT System According to the NEMA NU2-2012 Standard
Ivo Rausch, Agustin Ruiz, Itziar Valverde-Pascual, Jacobo Cal-González, Thomas Beyer, Ignasi Carrio
Journal of Nuclear Medicine Apr 2019, 60 (4) 561-567; DOI: 10.2967/jnumed.118.215541
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Keywords

  • NEMA NU2-2012
  • performance evaluation
  • image quality
  • Vereos PET/CT
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