scholarly journals Characterization and Pilot Human Trial of Dedicated Breast Ring Positron Emission Tomography (BRPET) System

Instruments ◽  
2021 ◽  
Vol 5 (3) ◽  
pp. 30
Author(s):  
Andrew M. Polemi ◽  
Annie K. Kogler ◽  
Patrice K. Rehm ◽  
Luke Lancaster ◽  
Heather R. Peppard ◽  
...  
Keyword(s):  
Human Study ◽  
Ground Truth ◽  
Imaging Geometry ◽  
System Sensitivity ◽  
Testing Procedures ◽  
Dedicated Breast Pet ◽  
Positron Emission ◽  
And Performance ◽  
Sensitivity Specificity ◽  
Light Guides

We describe the design and performance of BRPET, a novel dedicated breast PET (dbPET) scanner designed to maximize visualization of posterior regions of the breast. BRPET uses prone imaging geometry and a 12-module detector ring built from pixelated LYSO crystals coupled to position sensitive photomultiplier tubes (PSPMTs). Optical coupling via slanted plastic fiber optic light guides permits partial insertion of the crystals into the exam table’s breast aperture. Image quality testing procedures were adapted from the NEMA NU4-2008 protocol. Two additional phantom tests quantified the posterior extent of the usable volume of view (VoV). BRPET axial, radial, and tangential FWHM spatial resolutions at the isocenter were 1.8, 1.7, and 1.9 mm, respectively. The peak absolute system sensitivity was 0.97% using an energy window of 460–562 keV. The peak noise equivalent counting rate was 5.33 kcps at 21.6 MBq. The scanner VoV extends to within ~6 mm of the plane defining the location of the chest wall. A pilot human study (n = 10) compared the diagnostic performance of FDG-BRPET to that of contrast enhanced MRI (CEMRI), with biopsy as ground truth. Averaged over three expert human observers, the sensitivity/specificity for BRPET was 0.93/1.0, compared to 1.0/0.25 for CEMRI.

scholarly journals Automatic Segmentation of Lung Carcinoma Using 3D Texture Features in 18-FDG PET/CT

2013 ◽  
Vol 2013 ◽  
pp. 1-13 ◽  
Author(s):  
Daniel Markel ◽  
Curtis Caldwell ◽  
Hamideh Alasti ◽  
Hany Soliman ◽  
Yee Ung ◽  
...  
Keyword(s):  
Lung Carcinoma ◽  
Automatic Segmentation ◽  
Texture Features ◽  
Ground Truth ◽  
Standard Uptake Value ◽  
Structural Features ◽  
3D Texture ◽  
Positron Emission ◽  
Fuzzy Clustering Method ◽  
And Performance

Target definition is the largest source of geometric uncertainty in radiation therapy. This is partly due to a lack of contrast between tumor and healthy soft tissue for computed tomography (CT) and due to blurriness, lower spatial resolution, and lack of a truly quantitative unit for positron emission tomography (PET). First-, second-, and higher-order statistics, Tamura, and structural features were characterized for PET and CT images of lung carcinoma and organs of the thorax. A combined decision tree (DT) with K-nearest neighbours (KNN) classifiers as nodes containing combinations of 3 features were trained and used for segmentation of the gross tumor volume. This approach was validated for 31 patients from two separate institutions and scanners. The results were compared with thresholding approaches, the fuzzy clustering method, the 3-level fuzzy locally adaptive Bayesian algorithm, the multivalued level set algorithm, and a single KNN using Hounsfield units and standard uptake value. The results showed the DTKNN classifier had the highest sensitivity of 73.9%, second highest average Dice coefficient of 0.607, and a specificity of 99.2% for classifying voxels when using a probabilistic ground truth provided by simultaneous truth and performance level estimation using contours drawn by 3 trained physicians.

scholarly journals To Enhance or Not to Enhance? The Role of Contrast Medium 18F-FDG PET/CT in Recurrent Ovarian Carcinomas

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 561
Author(s):  
Michela Massollo ◽  
Francesco Fiz ◽  
Gianluca Bottoni ◽  
Martina Ugolini ◽  
Francesco Paparo ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Positive Predictive Value ◽  
Contrast Medium ◽  
Predictive Value ◽  
Ground Truth ◽  
Ovarian Carcinomas ◽  
Positron Emission ◽  
Pet Ct ◽  
Lesion Level ◽  
Sensitivity Specificity

Background and Objectives: 18F-fluorodeoxyglucose (FDG) positron emission tomography/X-ray computed tomography (PET/CT) represents the mainstay diagnostic procedure for suspected ovarian cancer (OC) recurrence. PET/CT can be integrated with contrast medium and in various diagnostic settings; however, the effective benefit of this procedure is still debated. We aimed to compare the diagnostic capabilities of low-dose and contrast-enhanced PET/CT (PET/ldCT and PET/ceCT) in patients with suspected ovarian cancer relapse. Materials and Methods: 122 OC patients underwent both PET/ldCT and PET/ceCT. Two groups of nuclear medicine physicians and radiologists scored the findings as positive or negative. Clinical/radiological follow-up was used as ground truth. Sensitivity, specificity, negative/positive predictive value, and accuracy were calculated at the patient and the lesion level. Results: A total of 455 and 474 lesions were identified at PET/ldCT and PET/ceCT, respectively. At the lesion level, sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were not significantly different between PET/ldCT and PET/ceCT (98%, 93.3%, 97.4%, 94.9%, and 96.9% for PET/ldCT; 99%, 95.5%, 98.3%, 97%, and 98% for PET/ceCT, p = ns). At the patient level, no significant differences in these parameters were identified (e.g., p = 0.22 and p = 0.35 for accuracy, in the peritoneum and lymph nodes, respectively). Smaller peritoneal/lymph node lesions close to physiological FDG uptake sources were found in the cases of misidentification by PET/ldCT. PET/ceCT prompted a change in clinical management in four cases (3.2%) compared to PET/ldCT. Conclusions: PET/ceCT does not perform better than PET/ldCT but can occasionally clarify doubtful peritoneal findings on PET/ldCT. To avoid unnecessary dose to the patient, PET/ceCT should be excluded in selected cases.

Brain FDG PET for the Etiological Diagnosis of Clinically Uncertain Cognitive Impairment During Delirium in Remission

2020 ◽  
Vol 77 (4) ◽  
pp. 1609-1622
Author(s):  
Franziska Mathies ◽  
Catharina Lange ◽  
Anja Mäurer ◽  
Ivayla Apostolova ◽  
Susanne Klutmann ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Fdg Pet ◽  
False Negative ◽  
Ground Truth ◽  
Etiological Diagnosis ◽  
Geriatric Unit ◽  
Positron Emission ◽  
The Brain ◽  
Hospitalized Geriatric Patients

Background: Positron emission tomography (PET) of the brain with 2-[F-18]-fluoro-2-deoxy-D-glucose (FDG) is widely used for the etiological diagnosis of clinically uncertain cognitive impairment (CUCI). Acute full-blown delirium can cause reversible alterations of FDG uptake that mimic neurodegenerative disease. Objective: This study tested whether delirium in remission affects the performance of FDG PET for differentiation between neurodegenerative and non-neurodegenerative etiology of CUCI. Methods: The study included 88 patients (82.0±5.7 y) with newly detected CUCI during hospitalization in a geriatric unit. Twenty-seven (31%) of the patients were diagnosed with delirium during their current hospital stay, which, however, at time of enrollment was in remission so that delirium was not considered the primary cause of the CUCI. Cases were categorized as neurodegenerative or non-neurodegenerative etiology based on visual inspection of FDG PET. The diagnosis at clinical follow-up after ≥12 months served as ground truth to evaluate the diagnostic performance of FDG PET. Results: FDG PET was categorized as neurodegenerative in 51 (58%) of the patients. Follow-up after 16±3 months was obtained in 68 (77%) of the patients. The clinical follow-up diagnosis confirmed the FDG PET-based categorization in 60 patients (88%, 4 false negative and 4 false positive cases with respect to detection of neurodegeneration). The fraction of correct PET-based categorization did not differ between patients with delirium in remission and patients without delirium (86% versus 89%, p = 0.666). Conclusion: Brain FDG PET is useful for the etiological diagnosis of CUCI in hospitalized geriatric patients, as well as in patients with delirium in remission.

Comparison Between 18F-Dopa and 18F-Fet PET/CT in Patients with Suspicious Recurrent High Grade Glioma: A Literature Review and Our Experience

2019 ◽  
Vol 12 (3) ◽  
pp. 220-228 ◽  
Author(s):  
Laura Evangelista ◽  
Lea Cuppari ◽  
Luisa Bellu ◽  
Daniele Bertin ◽  
Mario Caccese ◽  
...  
Keyword(s):  
Case Series ◽  
High Grade Glioma ◽  
High Grade ◽  
True Negative ◽  
Fet Pet ◽  
Positron Emission ◽  
Pet Ct ◽  
Magnetic Resonance Imaging Mri ◽  
Definition Of ◽  
Sensitivity Specificity

Purpose: The aims of the present study were to: 1- critically assess the utility of L-3,4- dihydroxy-6-18Ffluoro-phenyl-alanine (18F-DOPA) and O-(2-18F-fluoroethyl)-L-tyrosine (18F-FET) Positron Emission Tomography (PET)/Computed Tomography (CT) in patients with high grade glioma (HGG) and 2- describe the results of 18F-DOPA and 18F-FET PET/CT in a case series of patients with recurrent HGG. Methods: We searched for studies using the following databases: PubMed, Web of Science and Scopus. The search terms were: glioma OR brain neoplasm and DOPA OR DOPA PET OR DOPA PET/CT and FET OR FET PET OR FET PET/CT. From a mono-institutional database, we retrospectively analyzed the 18F-DOPA and 18F-FET PET/CT of 29 patients (age: 56 ± 12 years) with suspicious for recurrent HGG. All patients underwent 18F-DOPA or 18F-FET PET/CT for a multidisciplinary decision. The final definition of recurrence was made by magnetic resonance imaging (MRI) and/or multidisciplinary decision, mainly based on the clinical data. Results: Fifty-one articles were found, of which 49 were discarded, therefore 2 studies were finally selected. In both the studies, 18F-DOPA and 18F-FET as exchangeable in clinical practice particularly for HGG patients. From our institutional experience, in 29 patients, we found that sensitivity, specificity and accuracy of 18F-DOPA PET/CT in HGG were 100% (95% confidence interval- 95%CI - 81-100%), 63% (95%CI: 39-82%) and 62% (95%CI: 39-81%), respectively. 18F-FET PET/CT was true positive in 4 and true negative in 4 patients. Sensitivity, specificity and accuracy for 18F-FET PET/CT in HGG were 100%. Conclusion: 18F-DOPA and 18F-FET PET/CT have a similar diagnostic accuracy in patients with recurrent HGG. However, 18F-DOPA PET/CT could be affected by inflammation conditions (false positive) that can alter the final results. Large comparative trials are warranted in order to better understand the utility of 18F-DOPA or 18F-FET PET/CT in patients with HGG.

Field Determined Live Load Distribution Factors for Modular Press-Brake-Formed Tub Girders

2021 ◽  
pp. 036119812098375
Author(s):  
Karl E. Barth ◽  
Gregory K. Michaelson ◽  
Adam D. Roh ◽  
Robert M. Tennant
Keyword(s):  
West Virginia ◽  
Experimental Testing ◽  
Field Performance ◽  
Live Load ◽  
Steel Bridge ◽  
Testing Procedures ◽  
Bending Capacity ◽  
Short Span ◽  
And Performance ◽  
Live Load Distribution

This paper is focused on the field performance of a modular press-brake-formed tub girder (PBFTG) system in short span bridge applications. The scope of this project to conduct a live load field test on West Virginia State Project no. S322-37-3.29 00, a bridge utilizing PBFTGs located near Ranger, West Virginia. The modular PBFTG is a shallow trapezoidal box girder cold-formed using press-brakes from standard mill plate widths and thicknesses. A technical working group within the Steel Market Development Institute’s Short Span Steel Bridge Alliance, led by the current authors, was charged with the development of this concept. Research of PBFTGs has included analyzing the flexural bending capacity using experimental testing and analytical methods. This paper presents the experimental testing procedures and performance of a composite PBFTG bridge.

scholarly journals Evaluating effects of focal length and viewing angle in a comparison of recent face landmark and alignment methods

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Xiang Li ◽  
Jianzheng Liu ◽  
Jessica Baron ◽  
Khoa Luu ◽  
Eric Patterson
Keyword(s):  
Focal Length ◽  
Ground Truth ◽  
Detection Methods ◽  
Viewing Angle ◽  
Deep Convolutional Neural Networks ◽  
Landmark Detection ◽  
High Performing ◽  
Detection Techniques ◽  
And Performance ◽  
Lens Focal Length

AbstractRecent attention to facial alignment and landmark detection methods, particularly with application of deep convolutional neural networks, have yielded notable improvements. Neither these neural-network nor more traditional methods, though, have been tested directly regarding performance differences due to camera-lens focal length nor camera viewing angle of subjects systematically across the viewing hemisphere. This work uses photo-realistic, synthesized facial images with varying parameters and corresponding ground-truth landmarks to enable comparison of alignment and landmark detection techniques relative to general performance, performance across focal length, and performance across viewing angle. Recently published high-performing methods along with traditional techniques are compared in regards to these aspects.

scholarly journals Clinical practice guidelines for high-resolution breast PET, 2019 edition

2021 ◽  
Vol 35 (3) ◽  
pp. 406-414
Author(s):  
Yoko Satoh ◽  
Masami Kawamoto ◽  
Kazunori Kubota ◽  
Koji Murakami ◽  
Makoto Hosono ◽  
...  
Keyword(s):  
High Resolution ◽  
Practice Guidelines ◽  
Breast Imaging ◽  
Japanese Society ◽  
Insurance Coverage ◽  
Whole Body ◽  
Positron Emission Mammography ◽  
Dedicated Breast Pet ◽  
Positron Emission ◽  
Different Types

AbstractBreast positron emission tomography (PET) has had insurance coverage when performed with conventional whole-body PET in Japan since 2013. Together with whole-body PET, accurate examination of breast cancer and diagnosis of metastatic disease are possible, and are expected to contribute significantly to its treatment planning. To facilitate a safer, smoother, and more appropriate examination, the Japanese Society of Nuclear Medicine published the first edition of practice guidelines for high-resolution breast PET in 2013. Subsequently, new types of breast PET have been developed and their clinical usefulness clarified. Therefore, the guidelines for breast PET were revised in 2019. This article updates readers as to what is new in the second edition. This edition supports two different types of breast PET depending on the placement of the detector: the opposite-type (positron emission mammography; PEM) and the ring-shaped type (dedicated breast PET; dbPET), providing an overview of these scanners and appropriate imaging methods, their clinical applications, and future prospects. The name “dedicated breast PET” from the first edition is widely used to refer to ring-shaped type breast PET. In this edition, “breast PET” has been defined as a term that refers to both opposite- and ring-shaped devices. Up-to-date breast PET practice guidelines would help provide useful information for evidence-based breast imaging.

A virtual test environment for validating spacecraft optical navigation

2013 ◽  
Vol 117 (1197) ◽  
pp. 1075-1101 ◽  
Author(s):  
S. M. Parkes ◽  
I. Martin ◽  
M. N. Dunstan ◽  
N. Rowell ◽  
O. Dubois-Matra ◽  
...  
Keyword(s):  
Small Body ◽  
European Space Agency ◽  
Ground Truth ◽  
Camera Motion ◽  
Test Environment ◽  
Space Applications ◽  
Vision Guidance ◽  
Space Agency ◽  
Wide Range ◽  
And Performance

Abstract The use of machine vision to guide robotic spacecraft is being considered for a wide range of missions, such as planetary approach and landing, asteroid and small body sampling operations and in-orbit rendezvous and docking. Numerical simulation plays an essential role in the development and testing of such systems, which in the context of vision-guidance means that realistic sequences of navigation images are required, together with knowledge of the ground-truth camera motion. Computer generated imagery (CGI) offers a variety of benefits over real images, such as availability, cost, flexibility and knowledge of the ground truth camera motion to high precision. However, standard CGI methods developed for terrestrial applications lack the realism, fidelity and performance required for engineering simulations. In this paper, we present the results of our ongoing work to develop a suitable CGI-based test environment for spacecraft vision guidance systems. We focus on the various issues involved with image simulation, including the selection of standard CGI techniques and the adaptations required for use in space applications. We also describe our approach to integration with high-fidelity end-to-end mission simulators, and summarise a variety of European Space Agency research and development projects that used our test environment.

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