A TECHNOLOGY OF RENOGRAM DIVIDING BASED ON BLOOD VESSELS TO OBTAIN A MORE ACCURATE DIAGNOSIS

2020 ◽  
Vol 32 (05) ◽  
pp. 2050035
Author(s):  
Rong-Chin Lo ◽  
Tung-Tai Kuo ◽  
Ren-Guey Lee ◽  
Yuan-Hao Chen ◽  
Chih-Yin Huang
Keyword(s):  
Nuclear Medicine ◽  
Blood Vessels ◽  
Accurate Estimate ◽  
Accurate Diagnosis ◽  
Nuclear Medicine Imaging ◽  
Intensity Curve ◽  
Time Intensity Curve ◽  
Traditional Methods ◽  
Time Activity ◽  
Activity Curve

Nuclear medicine could provide an accurate estimate of the biochemical composition, metabolism, and capability of the kidney. Using nuclear medicine imaging to scan the organ, we can find the time-activity curve, called a renogram, by the intensity of the image. The activity curve can be employed to describe organ capability. Traditional methods of observing the activity curve of the whole kidney can obscure some small details. This paper proposes an improved renogram based on blood vessel distribution to estimate the kidney capability automatically. Every patient must acquire 180 renal dynamic images from the renal scan. First, acquiring region of the kidney in the No. 68 kidney image and correcting the background of this sample image, the sample image will be applied to the rest of the images to find the region of the kidney. The kidney image is then divided into several sub-regions according to the paths of the blood vessels from No. 50 kidney image. For each sub-region, we find the time–intensity curve, called the sub-renogram. Then, we observe the activity curves of the sub-region and the whole kidney separately to assist the diagnosis. The results of the automatic analysis are similar to the traditional methods used on the whole kidney, which ignores any abnormal sub-region activity. The proposed method can improve the accuracy of the doctor’s diagnosis.

Monitoring of 131I incorporation in nuclear medicine personnel by self accomplished measurements

2003 ◽  
Vol 42 (01) ◽  
pp. 45-48 ◽  
Author(s):  
M. Laßmann ◽  
F. Aulbach ◽  
Chr. Reiners ◽  
H. Hänscheid
Keyword(s):  
Nuclear Medicine ◽  
Early Stage ◽  
Activity Measurement ◽  
Individual Values ◽  
Time Activity ◽  
Thyroid Dose ◽  
Activity Curve ◽  
Measured Time ◽  
Working Day ◽  
The Individual

Summary Aim: The personnel in nuclear medicine therapy wards must be monitored according to German guidelines for incorporations of 131I. A surveillance with the employees measuring themselves similarly to the autonomous contamination survey using hand-foot-clothing monitors is presented as an alternative to the monitoring according to the official guidelines. Method: The employees use a dedicated device to measure themselves every working day. The automatic individual positioning of the device ensures reliable and reproducible results. The thyroid dose is determined from the measured time activity curve. The individual values of depth and mass of the thyroid are taken into account for activity measurement and dose evaluation, respectively. Results: The employees measure themselves regularly and utilize the device to check for activities in the thyroid at an early stage after suspected incorporation. The almost complete surveillance permits a dosimetry with slight uncertainty. The determined thyroid doses of all monitored persons average to 0.35 mSv per month. Conclusion: The incorporation surveillance by autonomous monitoring allows a more reliable and more precise dosimetry than the monitoring according to the official guidelines. Despite numerous measurements the practice saves time and money as a result of the automation.

Patients with fever of unknown origin (FUO): diagnosis by nuclear medicine imaging

2001 ◽  
Vol 40 (03) ◽  
pp. 59-70 ◽  
Author(s):  
W. Becker ◽  
J. Meiler
Keyword(s):  
Nuclear Medicine ◽  
Fever Of Unknown Origin ◽  
Tumor Imaging ◽  
White Blood Cells ◽  
Unknown Origin ◽  
Final Diagnosis ◽  
Recurrent Fever ◽  
Nuclear Medicine Imaging

SummaryFever of unknown origin (FUO) in immunocompetent and non neutropenic patients is defined as recurrent fever of 38,3° C or greater, lasting 2-3 weeks or longer, and undiagnosed after 1 week of appropriate evaluation. The underlying diseases of FUO are numerous and infection accounts for only 20-40% of them. The majority of FUO-patients have autoimmunity and collagen vascular disease and neoplasm, which are responsible for about 50-60% of all cases. In this respect FOU in its classical definition is clearly separated from postoperative and neutropenic fever where inflammation and infection are more common. Although methods that use in-vitro or in-vivo labeled white blood cells (WBCs) have a high diagnostic accuracy in the detection and exclusion of granulocytic pathology, they are only of limited value in FUO-patients in establishing the final diagnosis due to the low prevalence of purulent processes in this collective. WBCs are more suited in evaluation of the focus in occult sepsis. Ga-67 citrate is the only commercially available gamma emitter which images acute, chronic, granulomatous and autoimmune inflammation and also various malignant diseases. Therefore Ga-67 citrate is currently considered to be the tracer of choice in the diagnostic work-up of FUO. The number of Ga-67-scans contributing to the final diagnosis was found to be higher outside Germany than it has been reported for labeled WBCs. F-l 8-2’-deoxy-2-fluoro-D-glucose (FDG) has been used extensively for tumor imaging with PET. Inflammatory processes accumulate the tracer by similar mechanisms. First results of FDG imaging demonstrated, that FDG may be superior to other nuclear medicine imaging modalities which may be explained by the preferable tracer kinetics of the small F-l 8-FDG molecule and by a better spatial resolution of coincidence imaging in comparison to a conventional gamma camera.

The Influence of Lactate and Dipyridamole on Myocardial Fatty Acid Metabolism in Man, Traced with 123l-17-lodo-heptadecanoic Acid

1990 ◽  
Vol 29 (01) ◽  
pp. 28-34 ◽  
Author(s):  
F. C. Visser ◽  
M. J. van Eenige ◽  
G. Westera ◽  
J. P. Roos ◽  
C. M. B. Duwel
Keyword(s):  
Fatty Acid ◽  
Fatty Acid Metabolism ◽  
Acid Metabolism ◽  
Time Activity ◽  
Time Value ◽  
Myocardial Fatty Acid Metabolism ◽  
Coronary Vasodilatation ◽  
Activity Curve ◽  
Normal Human ◽  
Plasma Lactate Level

Changes in myocardial metabolism can be detected externally by registration of time-activity curves after administration of radioiodinated fatty acids. In this scintigraphic study the influence of lactate on fatty acid metabolism was investigated in the normal human myocardium, traced with 123l-17-iodoheptadecanoic acid (123l-17-HDA). In patients (paired, n = 7) lactate loading decreased the uptake of 123l-17-HDA significantly from 27 (control: 22-36) to 20 counts/min/pixel (16-31; p <0.05 Wilcoxon). The half-time value increased to more than 60 rriin (n = 5), oxidation decreased from 61 to 42%. Coronary vasodilatation, a well-known side effect of lactate loading, was studied separately in a dipyridamole study (paired, n = 6). Coronary vasodilatation did not influence the parameters of the time-activity curve. These results suggest that changes in plasma lactate level as occurring, among other effects, during exercise will influence the parameters of dynamic 123l-17-HDA scintigraphy of the heart.

Measurement of Renal Parenchymal Transit Time of 99mTc-MAG3 Using Factor Analysis

1990 ◽  
Vol 29 (04) ◽  
pp. 170-176 ◽  
Author(s):  
M. V. Yester ◽  
Eva Dubovsky ◽  
C. D. Russell
Keyword(s):  
Factor Analysis ◽  
Transit Time ◽  
Region Of Interest ◽  
Initial Slope ◽  
Cortical Region ◽  
Time Activity ◽  
Appearance Time ◽  
Activity Curve ◽  
System Factor ◽  
Collecting System

Renal parenchymal transit time of the recently introduced radiopharmaceutical 99mTc-MAG3 (mercaptoacetylglycylglylcylglycinel) was measured in 37 kidneys, using factor analysis to separate parenchymal activity from that in the collecting system. A new factor algorithm was employed, based on prior interpolative background subtraction and use of the fact that the initial slope of the collecting system factor time-activity curve must be zero. The only operator intervention required was selection of a rectangular region enclosing the kidney (by identifying two points at opposite corners). Transit time was calculated from the factor time-activity curves both by deconvolution of the parenchymal factor curve and also by measuring the appearance time for collecting system activity from the collecting system factor curve. There was substantial agreement between the two methods. Factor analysis led to a narrower range of normal values than a conventional cortical region-of-interest method, presumably by decreasing crosstalk from the collecting system. In preliminary trials, the parenchymal transit time did not well separate four obstructed from seventeen unobstructed kidneys, but it successfully (p <0.05) separated six transplanted kidneys with acute rejection or acute tubular necrosis from 10 normal transplants.

Analysis of Myocardial Time-Activity Curves of 123l-Heptadecanoic Acid II. The Acquisition Time

1987 ◽  
Vol 26 (06) ◽  
pp. 248-252 ◽  
Author(s):  
M. J. van Eenige ◽  
F. C. Visser ◽  
A. J. P. Karreman ◽  
C. M. B. Duwel ◽  
G. Westera ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Acquisition Time ◽  
Half Time ◽  
Constant Ratio ◽  
Time Activity ◽  
Time Activity Curve ◽  
Time Value ◽  
Activity Curve ◽  
Low Amplitude ◽  
Parameter Values

Optimal fitting of a myocardial time-activity curve is accomplished with a monoexponential plus a constant, resulting in three parameters: amplitude and half-time of the monoexponential and the constant. The aim of this study was to estimate the precision of the calculated parameters. The variability of the parameter values as a function of the acquisition time was studied in 11 patients with cardiac complaints. Of the three parameters the half-time value varied most strongly with the acquisition time. An acquisition time of 80 min was needed to keep the standard deviation of the half-time value within ±10%. To estimate the standard deviation of the half-time value as a function of the parameter values, of the noise content of the time-activity curve and of the acquisition time, a model experiment was used. In most cases the SD decreased by 50% if the acquisition time was increased from 60 to 90 min. A low amplitude/constant ratio and a high half-time value result in a high SD of the half-time value. Tables are presented to estimate the SD in a particular case.

Functional Evaluation of an Ectopic Supernumerary Kidney in Pelvis

2019 ◽  
Vol 15 (10) ◽  
pp. 1001-1005
Author(s):  
Aylin Akbulut ◽  
Suleyman Kalayci ◽  
Gokhan Koca ◽  
Meliha Korkmaz
Keyword(s):  
Renal Function ◽  
Ct Scan ◽  
Blood Vessels ◽  
Rare Case ◽  
Fibrous Tissue ◽  
Accurate Diagnosis ◽  
Functional Evaluation ◽  
Normal Kidney ◽  
Ectopic Kidney ◽  
Ct Data

Background: Supernumerary kidney is an accessory organ with its own encapsulated parenchyma, blood vessels and ureters, either separated from the normal kidney or connected to it via fibrous tissue and ectopic kidney is a migration abnormality of the kidney. Here, we have evaluated a rare case of the supernumerary and ectopic kidney with DMSA, MAG3 and also CT fusion of the images. Methods: The absolute divided renal function was calculated for each kidney by DMSA. The MAG3 scintigraphy showed no obstruction in the ureteropelvic junction. Furthermore, the renogram curve and Tmax and time to ½ values were assessed. Two months after the conventional scintigraphies, the patient was referred to a CT scan and the fusion of DMSA SPECT and CT data was generated on a workstation. Results: The ectopic supernumerary kidney was functioning very well except a small hypoactive area, visible on DMSA, which was possibly a minimal pelvicalyceal dilatation. However, consequent CT scan did not show any pathology. Conclusion: It is important to evaluate particularly complicated or rare cases with multimodality systems with 3D or fusion techniques for the accurate diagnosis.

scholarly journals Voxelwise Principal Component Analysis of Dynamic [S-Methyl-11C]Methionine PET Data in Glioma Patients

Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2342
Author(s):  
Corentin Martens ◽  
Olivier Debeir ◽  
Christine Decaestecker ◽  
Thierry Metens ◽  
Laetitia Lebrun ◽  
...  
Keyword(s):  
Principal Component Analysis ◽  
Principal Component ◽  
Component Analysis ◽  
Added Value ◽  
Time Activity ◽  
Positron Emission ◽  
Activity Curve ◽  
The Mean ◽  
Mean Time ◽  
Met Pet

Recent works have demonstrated the added value of dynamic amino acid positron emission tomography (PET) for glioma grading and genotyping, biopsy targeting, and recurrence diagnosis. However, most of these studies are based on hand-crafted qualitative or semi-quantitative features extracted from the mean time activity curve within predefined volumes. Voxelwise dynamic PET data analysis could instead provide a better insight into intra-tumor heterogeneity of gliomas. In this work, we investigate the ability of principal component analysis (PCA) to extract relevant quantitative features from a large number of motion-corrected [S-methyl-11C]methionine ([11C]MET) PET frames. We first demonstrate the robustness of our methodology to noise by means of numerical simulations. We then build a PCA model from dynamic [11C]MET acquisitions of 20 glioma patients. In a distinct cohort of 13 glioma patients, we compare the parametric maps derived from our PCA model to these provided by the classical one-compartment pharmacokinetic model (1TCM). We show that our PCA model outperforms the 1TCM to distinguish characteristic dynamic uptake behaviors within the tumor while being less computationally expensive and not requiring arterial sampling. Such methodology could be valuable to assess the tumor aggressiveness locally with applications for treatment planning and response evaluation. This work further supports the added value of dynamic over static [11C]MET PET in gliomas.

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