TABLE 1

Phantom and In Vivo Validation Studies of Quantitative 131I SPECT

StudyApplication/potential applicationStudySystemReconstructionQuantification accuracy*
Song 2011 (14)RIT dosimetryPhantom simulationsSimulation studyOSEM with ESSE SC, AC, CDRC<5% error for larger organs; 10%–15% for smaller organs
Dewaraja 2010 (4)RIT dosimetryPhantom measurements/simulationsSPECT/CTOSEM with TEW SC, CT-based AC, CDRC<17% error for 8- to 95-mL spheres; 31% for 4-mL sphere
Pereira 2010 (28)DosimetryPhantom measurementsSPECT/CTOSEM with TEW SC, CT-based ACMeasured-to-true ratios of >90% for 11.5-mL sphere, 13%–63% for 1.4- and 2.2-mL spheres
Shcherbinin 2008 (29)MIBG dosimetryPhantom measurementsSPECT/CTOSEM with analytic scatter model, CT-based AC, CDRC3%–4% error for 32-mL volumes
Koral 2005 (24)RIT dosimetryPhantom measurementsSPECT and CT separatelyOSEM with TEW SC, CT-based AC, CDRC<7% average error for 100-mL sphere
Gonzalez Trotter 2001 (13)Brain tumor RITPhantom measurementsSPECT with specialized collimatorOSEM with TEW SC, AC, CDRC<20% error for 6- to 11-mL spheres
Alaamer 1993 (18)MIBG dosimetryPhantom measurementsSPECT and CT separatelyReconstruction with SC and ACSE = 0.24 MBq for 6–600 mL
Israel 1990 (19)MIBG and thyroid carcinoma dosimetryPhantom measurements and in vivo patient study of 131I concentration in urinary bladderSPECTFBPPhantom: good correlation with truth (r = 0.98, SEE = 20.94 counts/voxel); patients: good correlation with concentration in urine (r = 0.98, SEE = 25.049 kBq/mL)
Riggs 1988 (30)RITPhantom measurements and in vivo patient study of 131I concentration in heartSPECTFBP with DEW SC, Chang ACPhantom: <10% error; patients: good correlation with concentration in serial blood
  • * Percentage difference between SPECT estimated activity and truth.

  • RIT = radioimmunotherapy; ESSE = effective scatter source estimation; SC = scatter correction; AC = attenuation correction; CDRC = CDR compensation; MIBG = metaiodobenzylguanidine; FBP = filtered backprojection; DEW = dual energy windows, SE = standard error; SEE = standard error of the estimate.