scholarly journals The Role of Activity, Scan Duration and Patient's Body Mass Index in the Optimization of 18FDG Imaging Protocols on a TOF-PET/CT Scanner

2020 ◽  
Author(s):  
Roberta Matheoud ◽  
Naema Al-Maymani ◽  
Alessia Oldani ◽  
Gian Mauro Sacchetti ◽  
Marco Brambilla ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Image Quality ◽  
Body Mass ◽  
Activity Concentration ◽  
Background Activity ◽  
Whole Body ◽  
Internal Diameter ◽  
Ct Scanner ◽  
Pet Ct ◽  
Tof Pet

Abstract BackgroundTime-of-flight (TOF) PET technology determines a reduction in the noise and improves the reconstructed image quality in low counts acquisitions, such as in overweight patients, allowing a reduction of administered activity and/or imaging time. However, international guidelines and recommendations on 18F-fluoro-2-deoxyglucose (FDG) activity administration scheme are old or only partially account for TOF technology and advanced reconstruction modalities. The aim of this study was to optimize FDG whole-body studies on a TOF PET/CT scanner by using a multivariate approach to quantify how physical figures of merit related to image quality change with acquisition/reconstruction/patient-dependent parameters in a phantom experiment. MethodsThe NEMA-IQ phantom was used to evaluate contrast recovery coefficient (CRC), background variability (BV) and contrast-to-noise ratio (CNR) as a function of changing emission scan duration (ESD), activity concentration (AC), target internal diameter (ID), target-background activity ratio (TBR), and body mass index (BMI). The phantom was filled with an average concentration of 5.3 kBq/mL of FDG solution and the spheres with TBR of 21.2, 8.8, and 5.0 in 3 different sessions. Images were acquired at varying background activity concentration from 5.1 to 1.3 kBq/mL and images were reconstructed for ESD of 30-151 seconds per bed position with and without Point Spread Function (PSF) correction. The parameters were all considered in a single analysis using multiple linear regression methods. ResultsAs expected, CRC depended only on sphere ID and on PSF application, while BV depended on sphere ID, ESD, AC and BMI of the phantom, in order of decreasing relevance. Noteworthy, ESD and AC resulted as the most significant predictors of CNR variability with a similar relevance, followed by the weight of the patient and TBR of the lesion. ConclusionsAC and ESD proved to be effective tools in modulating CNR. ESD could be increased rather than AC to improve image quality in overweight/obese patients to fulfil ALARA principles.

scholarly journals The role of activity, scan duration and patient’s body mass index in the optimization of FDG imaging protocols on a TOF-PET/CT scanner

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Roberta Matheoud ◽  
Naema Al-Maymani ◽  
Alessia Oldani ◽  
Gian Mauro Sacchetti ◽  
Marco Brambilla ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Image Quality ◽  
Body Mass ◽  
Activity Concentration ◽  
Background Activity ◽  
Whole Body ◽  
Internal Diameter ◽  
Ct Scanner ◽  
Pet Ct ◽  
Tof Pet

Abstract Background Time-of-flight (TOF) PET technology determines a reduction in the noise and improves the reconstructed image quality in low count acquisitions, such as in overweight patients, allowing a reduction of administered activity and/or imaging time. However, international guidelines and recommendations on the 18F-fluoro-2-deoxyglucose (FDG) activity administration scheme are old or only partially account for TOF technology and advanced reconstruction modalities. The aim of this study was to optimize FDG whole-body studies on a TOF-PET/CT scanner by using a multivariate approach to quantify how physical figures of merit related to image quality change with acquisition/reconstruction/patient-dependent parameters in a phantom experiment. Methods The NEMA-IQ phantom was used to evaluate contrast recovery coefficient (CRC), background variability (BV) and contrast-to-noise ratio (CNR) as a function of changing emission scan duration (ESD), activity concentration (AC), target internal diameter (ID), target-background activity ratio (TBR) and body mass index (BMI). The phantom was filled with an average concentration of 5.3 kBq/ml of FDG solution and the spheres with TBR of 21.2, 8.8 and 5.0 in 3 different sessions. Images were acquired at varying background activity concentration from 5.1 to 1.3 kBq/ml, and images were reconstructed for ESD of 30–151 s per bed position with and without point spread function (PSF) correction. The parameters were all considered in a single analysis using multiple linear regression methods. Results As expected, CRC depended only on sphere ID and on PSF application, while BV depended on sphere ID, ESD, AC and BMI of the phantom, in order of decreasing relevance. Noteworthy, ESD and AC resulted as the most significant predictors of CNR variability with a similar relevance, followed by the BMI of the patient and TBR of the lesion. Conclusions AC and ESD proved to be effective tools in modulating CNR. ESD could be increased rather than AC to improve image quality in overweight/obese patients to fulfil ALARA principles.

scholarly journals The role of activity, scan duration and patient's weight in the optimization of 18FDG imaging protocols on a TOF-PET/CT scanner

2020 ◽  
Author(s):  
Roberta Matheoud ◽  
Naema Al-Maymani ◽  
Alessia Oldani ◽  
Gian Mauro Sacchetti ◽  
Marco Brambilla ◽  
...  
Keyword(s):  
Image Quality ◽  
Activity Concentration ◽  
Whole Body ◽  
Internal Diameter ◽  
Ct Scanner ◽  
Recovery Coefficient ◽  
Pet Ct ◽  
Bed Position ◽  
Tof Pet

Abstract Background : Time-of-flight (TOF) PET technology determines a reduction in the noise and improves the reconstructed image quality , in low counts acquisitions, such as in overweight patients, allowing a reduction of administered activity and/or imaging time. However, international guidelines and recommendations on 18 F-fluoro-2-deoxyglucose (FDG) activity administration scheme are old or only partially account for TOF technology and advanced reconstruction modalities. The aim of this study was to optimize FDG whole-body studies on a TOF PET/CT scanner by using a multivariate approach to quantify how physical figures of merit related to image quality change with acquisition/reconstruction/patient-dependent parameters in a phantom experiment.Methods : The NEMA-IEC body phantom was used to evaluate contrast recovery coefficient (CRC), background variability (BV) and contrast-to-noise ratio (CNR) as a function of changing emission scan duration (ESD), activity concentration (AC), target internal diameter (ID), target-background activity ratio (TBR), and weight. The phantom was filled with 5.3 kBq/mL of FDG solution and the spheres with TBR of 21, 9, and 5 in 3 different sessions. Images were acquired at varying activity concentration from 5.1 to 1.3 kBq/mL and images were reconstructed for ESD of 30-151 seconds per bed position with and without Point Spread Function (PSF) correction. The parameters were all considered in simultaneous experiments and in a single analysis using multiple linear regression methods.Results : As expected, CRC depended only on sphere ID and on PSF application, while BV depended on sphere ID, ESD, AC and weight of the patient, in order of decreasing relevance. Noteworthy, ESD and AC resulted as the most significant predictors of CNR variability with a similar relevance, followed by the weight of the patient and TBR of the lesion.Conclusions : Due to the interchangeable role of AC and ESD in modulating CRC, ESD could be increased rather than AC to improve image quality in overweight/obese patients to fulfil ALARA principles.

Benefits of Point-Spread Function and Time of Flight for PET/CT Image Quality in Relation to the Body Mass Index and Injected Dose

2013 ◽  
Vol 38 (6) ◽  
pp. 407-412 ◽  
Author(s):  
Go Akamatsu ◽  
Katsuhiko Mitsumoto ◽  
Kaori Ishikawa ◽  
Takafumi Taniguchi ◽  
Nobuyoshi Ohya ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Image Quality ◽  
Body Mass ◽  
Point Spread Function ◽  
The Body ◽  
Ct Image ◽  
Point Spread ◽  
Pet Ct ◽  
Spread Function ◽  
Ct Image Quality

scholarly journals Whole-Body PET/CT Studies with Lowered 18F-FDG Doses: The Influence of Body Mass Index in Dose Reduction

2014 ◽  
Vol 42 (1) ◽  
pp. 62-67 ◽  
Author(s):  
R. Sanchez-Jurado ◽  
M. Devis ◽  
R. Sanz ◽  
J. E. Aguilar ◽  
M. d. Puig Cozar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Dose Reduction ◽  
Body Mass ◽  
Whole Body ◽  
Pet Ct ◽  
18F Fdg ◽  
Ct Studies

Variations of the hepatic SUV in relation to the body mass index in whole body PET-CT studies

2013 ◽  
Vol 32 (1) ◽  
pp. 26-32
Author(s):  
S.M. Batallés ◽  
R.L. Villavicencio ◽  
A. Quaranta ◽  
L. Burgos ◽  
S. Trezzo ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
The Body ◽  
Whole Body ◽  
Pet Ct ◽  
Ct Studies

The effect of activity outside the field of view on image quality for a 3D LSO-based whole body PET/CT scanner

2009 ◽  
Vol 54 (19) ◽  
pp. 5861-5872 ◽  
Author(s):  
R Matheoud ◽  
C Secco ◽  
P Della Monica ◽  
L Leva ◽  
G Sacchetti ◽  
...  
Keyword(s):  
Image Quality ◽  
Field Of View ◽  
Whole Body ◽  
Ct Scanner ◽  
Pet Ct

scholarly journals Image quality and quantification accuracy dependence on patient body mass in 89Zr PET/CT imaging

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Ukihide Tateishi ◽  
Hiromitsu Daisaki ◽  
Junichi Tsuchiya ◽  
Yuji Kojima ◽  
Keisuke Takino ◽  
...  
Keyword(s):  
Image Quality ◽  
Body Mass ◽  
Visual Assessment ◽  
Ct Images ◽  
Reference Level ◽  
Acquisition Time ◽  
Pet Ct ◽  
Custom Made ◽  
Quantification Accuracy ◽  
Tof Pet

Abstract Background This study was conducted to clarify how patient body mass affects the image quality and quantification accuracy of images obtained using 89Zr PET/CT. 89Zr PET/CT images from time-of-flight (TOF) PET/CT and semiconductor (SC) PET/CT were obtained using three types (M, L, LL; corresponding to increasing patient body weight) of custom-made body phantoms designed similarly to the National Electrical Manufacturers Association (NEMA) IEC body phantom. The phantom data were analyzed visually and quantitatively to derive image quality metrics, namely detectability of the 10-mm-diameter hot sphere, percent contrast for the 10-mm-diameter hot sphere (QH,10 mm), percent background variability (N10mm), contrast-to-noise ratio (QH,10 mm/N10mm), and coefficient of variation of the background area (CVBG). Results Visual assessment revealed that all the 10-mm-diameter hot spheres of the three types of phantoms were identifiable on both SC and TOF PET/CT images. The N10mm and CVBG values were within the proposed reference levels, and decreased with acquisition duration for both PET/CT types. At 10-min acquisition, the QH,10 mm/N10mm of SC PET/CT was greater than the proposed reference level in all phantoms. However, the QH,10 mm/N10mm of TOF PET/CT was greater than the proposed reference level in M-type phantom alone. All the SUVBG values were within 1.00 ± 0.05 for both PET/CT types. Conclusions This study showed that the image quality and quantification accuracy depend on the patient’s body mass, suggesting that acquisition time on 89Zr PET/CT should be changed according to the patient’s body mass.

scholarly journals A method for evaluation of patient-specific lean body mass from limited-coverage CT images and its application in PERCIST: comparison with predictive equation

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Jingjie Shang ◽  
Zhiqiang Tan ◽  
Yong Cheng ◽  
Yongjin Tang ◽  
Bin Guo ◽  
...  
Keyword(s):  
Lean Body Mass ◽  
Body Mass ◽  
Whole Body ◽  
Patient Specific ◽  
Predictive Equation ◽  
Reference Standard ◽  
Pet Ct ◽  
Before And After ◽  
Percist 1.0 ◽  
Limited Coverage

Abstract Background Standardized uptake value (SUV) normalized by lean body mass ([LBM] SUL) is recommended as metric by PERCIST 1.0. The James predictive equation (PE) is a frequently used formula for LBM estimation, but may cause substantial error for an individual. The purpose of this study was to introduce a novel and reliable method for estimating LBM by limited-coverage (LC) CT images from PET/CT examinations and test its validity, then to analyse whether SUV normalised by LC-based LBM could change the PERCIST 1.0 response classifications, based on LBM estimated by the James PE. Methods First, 199 patients who received whole-body PET/CT examinations were retrospectively retrieved. A patient-specific LBM equation was developed based on the relationship between LC fat volumes (FVLC) and whole-body fat mass (FMWB). This equation was cross-validated with an independent sample of 97 patients who also received whole-body PET/CT examinations. Its results were compared with the measurement of LBM from whole-body CT (reference standard) and the results of the James PE. Then, 241 patients with solid tumours who underwent PET/CT examinations before and after treatment were retrospectively retrieved. The treatment responses were evaluated according to the PE-based and LC-based PERCIST 1.0. Concordance between them was assessed using Cohen’s κ coefficient and Wilcoxon’s signed-ranks test. The impact of differing LBM algorithms on PERCIST 1.0 classification was evaluated. Results The FVLC were significantly correlated with the FMWB (r=0.977). Furthermore, the results of LBM measurement evaluated with LC images were much closer to the reference standard than those obtained by the James PE. The PE-based and LC-based PERCIST 1.0 classifications were discordant in 27 patients (11.2%; κ = 0.823, P=0.837). These discordant patients’ percentage changes of peak SUL (SULpeak) were all in the interval above or below 10% from the threshold (±30%), accounting for 43.5% (27/62) of total patients in this region. The degree of variability is related to changes in LBM before and after treatment. Conclusions LBM algorithm-dependent variability in PERCIST 1.0 classification is a notable issue. SUV normalised by LC-based LBM could change PERCIST 1.0 response classifications based on LBM estimated by the James PE, especially for patients with a percentage variation of SULpeak close to the threshold.

Decreased Bone Density in Adolescent Girls With Anorexia Nervosa

PEDIATRICS ◽  
1990 ◽  
Vol 86 (3) ◽  
pp. 440-447 ◽  
Author(s):  
Laura K. Bachrach ◽  
David Guido ◽  
Debra Katzman ◽  
Iris F. Litt ◽  
Robert Marcus
Keyword(s):  
Bone Mineral Density ◽  
Body Mass Index ◽  
Anorexia Nervosa ◽  
Bone Density ◽  
Bone Mass ◽  
Body Mass ◽  
Bone Mineral ◽  
Whole Body ◽  
Mineral Density ◽  
Control Subjects

Osteoporosis develops in women with chronic anorexia nervosa. To determine whether bone mass is reduced in younger patients as well, bone density was studied in a group of adolescent patients with anorexia nervosa. With single- and dual-photon absorptiometry, a comparison was made of bone mineral density of midradius, lumbar spine, and whole body in 18 girls (12 to 20 years of age) with anorexia nervosa and 25 healthy control subjects of comparable age. Patients had significantly lower lumbar vertebral bone density than did control subjects (0.830 ± 0.140 vs 1.054 ± 0.139 g/cm2) and significantly lower whole body bone mass (0.700 ± 0.130 vs 0.955 ± 0.130 g/cm2). Midradius bone density was not significantly reduced. Of 18 patients, 12 had bone density greater than 2 standard deviations less than normal values for age. The diagnosis of anorexia nervosa had been made less than 1 year earlier for half of these girls. Body mass index correlated significantly with bone mass in girls who were not anorexic (P < .05, .005, and .0001 for lumbar, radius, and whole body, respectively). Bone mineral correlated significantly with body mass index in patients with anorexia nervosa as well. In addition, age at onset and duration of anorexia nervosa, but not calcium intake, activity level, or duration of amenorrhea correlated significantly with bone mineral density. It was concluded that important deficits of bone mass occur as a frequent and often early complication of anorexia nervosa in adolescence. Whole body is considerably more sensitive than midradius bone density as a measure of cortical bone loss in this illness. Low body mass index is an important predictor of this reduction in bone mass.

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