低剂量成像对PET定量精度及图像质量的影响

Impact of Low-dose Imaging on PET Quantitative Accuracy and Image Quality

  • 摘要: 低剂量成像是PET的发展趋势,延迟显像亦需面对成像剂量较低的情况。通常采用对患者列表模式数据重建得到采集时间更短序列的方法验证低剂量成像的可行性。该方法易于实现但忽略了不同剂量条件下PET计数率特征的变化。本文通过模体实验,实现真实的低剂量PET成像,对定量精度、图像质量以及散射分数进行定量评估。结果显示成像剂量减少至临床常用剂量1/2时PET定量精度与图像质量是可接受的,由1/4减少至1/8时PET定量指标出现异常变化;在延迟显像时使用等计数采集方法得到的定量精度与图像质量具有较好一致性;散射分数随成像剂量的减少而增加,通过缩短采集时间模拟低剂量成像具有一定局限性。

     

    Abstract: Low-dose imaging represents a significant research focus within the field of PET, with delayed PET imaging also encountering situations with lower imaging doses. The feasibility of low-dose imaging is typically validated by resampling patient list mode data to obtain shorter acquisition duration sequences. This method is relatively straightforward to implement and more closely resembles real clinical scenarios. However, it may fail to account for the variations in PET count rate characteristics under different dosage conditions. In this study, phantom experiments were conducted with the objective of achieving real low-dose PET imaging by radionuclide decay. Specifically, the background radioactivity of the phantom was achieved at 3/2, 1/2, 1, 1/4, 1/6, and 1/8 of 5.24 kBq/mL, which is the commonly used imaging dose in clinical practice (e.g., 370 MBq of 18F-FDG for a 70 kg individual). All PET raw data were reconstructed using identical reconstruction parameters. Subsequently, the recovery coefficient (RC), contrast recovery coefficient (CRC), contrast-to-noise ratio (CNR), percent background variability (PBV), background coefficient of variation (BCV), and residual error (RE) of the lung insert at different image planes were calculated within the phantom. Additionally, the influence of different acquisition durations on scatter fraction was evaluated, with a fixed imaging dose, and vice versa. The results demonstrate that reducing the imaging dose to half of the clinically common dose results in acceptable PET quantitative accuracy and image quality. When the background radioactivity of the phantom is at least half of 5.24 kBq/mL, minimal changes are observed in the RC and CRC of the 10 mm sphere with different acquisition conditions as a function of injected dose. However, when the dose is decreased from 1/4 to 1/8, both RC and CRC of the 10 mm sphere exhibit abnormally high values. The PBV and BCV exhibit an increase with a reduction in the injected dose, while the CNR of the spheres exhibits a decrease. When the background radioactivity is at least 1/4 of 5.24 kBq/mL, the average RE of the lung insert exhibits a decrease with a reduction in the injected dose. The PBV, BCV, CRC, and CNR obtained through acquisition with equal counts are relatively consistent across different injected dose conditions. This suggests that this method may be a viable approach for delayed PET imaging. With the same acquisition duration, the scatter fraction increases with decreasing radioactivity within the phantom. When the injection dose remains constant, alterations in acquisition duration have a negligible impact on scatter fractions. The most pronounced change occurs when the acquisition time is reduced from 2.5 minutes to 1.5 minutes, resulting in a mere 0.09% increase. This indicates that simulating low-dose imaging by shortening the acquisition duration has certain limitations.

     

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