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Motion-Corrected Imaging of the Aortic Valve with 18F-NaF PET/CT and PET/MRI: A Feasibility Study
The Journal of Nuclear Medicine ( IF 9.1 ) Pub Date : 2017-11-01 , DOI: 10.2967/jnumed.117.194597
Mhairi K. Doris , Mathieu Rubeaux , Tania Pawade , Yuka Otaki , Yibin Xie , Debiao Li , Balaji K. Tamarappoo , David E. Newby , Daniel S. Berman , Marc R. Dweck , Piotr J. Slomka , Damini Dey

We investigated whether motion correction of gated 18F-fluoride PET/CT and PET/MRI of the aortic valve could improve PET quantitation and image quality. Methods: A diffeomorphic, mass-preserving, anatomy-guided registration algorithm was used to align the PET images from 4 cardiac gates, preserving all counts, and apply them to the PET/MRI and PET/CT data of 6 patients with aortic stenosis. Measured signal-to-noise ratios (SNRs) and target-to-background ratios (TBRs) were compared with the standard method of using only the diastolic gate. Results: High-intensity aortic valve 18F-fluoride uptake was observed in all patients. After motion correction, SNR and TBR increased compared with the median diastolic gate (SNR, 51.61 vs. 21.0; TBR, 2.85 vs. 2.22) and the median summed data (SNR, 51.61 vs. 34.10; TBR, 2.85 vs. 1.95) (P = 0.028 for all). Furthermore, noise decreased from 0.105 (median, diastolic) to 0.042 (median, motion-corrected) (P = 0.028). Conclusion: Motion correction of hybrid 18F-fluoride PET markedly improves SNR, resulting in improved image quality.



中文翻译:

18 F-NaF PET / CT和PET / MRI对主动脉瓣进行运动校正的成像:可行性研究

我们研究了门控18 F氟化物PET / CT和主动脉瓣PET / MRI的运动校正是否可以改善PET定量和图像质量。方法:采用变形,质量保留,解剖学指导的配准算法,对来自4个心脏门的PET图像进行对齐,保留所有计数,并将其应用于6例主动脉瓣狭窄患者的PET / MRI和PET / CT数据。将测得的信噪比(SNR)和目标背景比(TBR)与仅使用舒张门的标准方法进行了比较。结果:高强度主动脉瓣膜18在所有患者中均观察到氟吸收。经过运动校正后,SNR和TBR与舒张门中位数(SNR,51.61 vs. 21.0; TBR,2.85 vs.2.22)和中位数求和数据(SNR,51.61 vs. 34.10; TBR,2.85 vs 1.95)相比有所增加(对于所有P = 0.028)。此外,噪声从0.105(中位数,舒张期)降低到0.042(中位数,经运动校正)(P = 0.028)。结论:混合18 F-氟化物PET的运动校正显着提高了SNR,从而提高了图像质量。

更新日期:2017-11-01
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