RT Journal Article SR Electronic T1 MRI-Based Attenuation Correction for PET/MRI: A Novel Approach Combining Pattern Recognition and Atlas Registration JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1875 OP 1883 DO 10.2967/jnumed.107.049353 VO 49 IS 11 A1 Matthias Hofmann A1 Florian Steinke A1 Verena Scheel A1 Guillaume Charpiat A1 Jason Farquhar A1 Philip Aschoff A1 Michael Brady A1 Bernhard Schölkopf A1 Bernd J. Pichler YR 2008 UL http://jnm.snmjournals.org/content/49/11/1875.abstract AB For quantitative PET information, correction of tissue photon attenuation is mandatory. Generally in conventional PET, the attenuation map is obtained from a transmission scan, which uses a rotating radionuclide source, or from the CT scan in a combined PET/CT scanner. In the case of PET/MRI scanners currently under development, insufficient space for the rotating source exists; the attenuation map can be calculated from the MR image instead. This task is challenging because MR intensities correlate with proton densities and tissue-relaxation properties, rather than with attenuation-related mass density. Methods: We used a combination of local pattern recognition and atlas registration, which captures global variation of anatomy, to predict pseudo-CT images from a given MR image. These pseudo-CT images were then used for attenuation correction, as the process would be performed in a PET/CT scanner. Results: For human brain scans, we show on a database of 17 MR/CT image pairs that our method reliably enables estimation of a pseudo-CT image from the MR image alone. On additional datasets of MRI/PET/CT triplets of human brain scans, we compare MRI-based attenuation correction with CT-based correction. Our approach enables PET quantification with a mean error of 3.2% for predefined regions of interest, which we found to be clinically not significant. However, our method is not specific to brain imaging, and we show promising initial results on 1 whole-body animal dataset. Conclusion: This method allows reliable MRI-based attenuation correction for human brain scans. Further work is necessary to validate the method for whole-body imaging.