Ventilation/perfusion SPECT or SPECT/CT for lung function imaging in patients with pulmonary emphysema?

Purpose To evaluate the utility of attenuation correction (AC) of V/P SPECT images for patients with pulmonary emphysema. Materials and methods Twenty-one patients (mean age 67.6 years) with pulmonary emphysema who underwent V/P SPECT/CT were included. AC/non-AC V/P SPECT images were compared visual...

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Veröffentlicht in:Annals of nuclear medicine 2015-07, Vol.29 (6), p.528-534
Hauptverfasser: Froeling, Vera, Heimann, Uwe, Huebner, Ralf-Harto, Kroencke, Thomas J., Maurer, Martin H., Doellinger, Felix, Geisel, Dominik, Hamm, Bernd, Brenner, Winfried, Schreiter, Nils F.
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container_end_page 534
container_issue 6
container_start_page 528
container_title Annals of nuclear medicine
container_volume 29
creator Froeling, Vera
Heimann, Uwe
Huebner, Ralf-Harto
Kroencke, Thomas J.
Maurer, Martin H.
Doellinger, Felix
Geisel, Dominik
Hamm, Bernd
Brenner, Winfried
Schreiter, Nils F.
description Purpose To evaluate the utility of attenuation correction (AC) of V/P SPECT images for patients with pulmonary emphysema. Materials and methods Twenty-one patients (mean age 67.6 years) with pulmonary emphysema who underwent V/P SPECT/CT were included. AC/non-AC V/P SPECT images were compared visually and semiquantitatively. Visual comparison of AC/non-AC images was based on a 5-point likert scale. Semiquantitative comparison assessed absolute counts per lung (aCpLu) and lung lobe (aCpLo) for AC/non-AC images using software-based analysis; percentage counts (PC = (aCpLo/aCpLu) × 100) were calculated. Correlation between AC/non-AC V/P SPECT images was analyzed using Spearman’s rho correlation coefficient; differences were tested for significance with the Wilcoxon rank sum test. Results Visual analysis revealed high conformity for AC and non-AC V/P SPECT images. Semiquantitative analysis of PC in AC/non-AC images had an excellent correlation and showed no significant differences in perfusion ( ρ  = 0.986) or ventilation ( ρ  = 0.979, p  = 0.809) SPECT/CT images. Conclusion AC of V/P SPECT images for lung lobe-based function imaging in patients with pulmonary emphysema do not improve visual or semiquantitative image analysis.
doi_str_mv 10.1007/s12149-015-0976-4
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Materials and methods Twenty-one patients (mean age 67.6 years) with pulmonary emphysema who underwent V/P SPECT/CT were included. AC/non-AC V/P SPECT images were compared visually and semiquantitatively. Visual comparison of AC/non-AC images was based on a 5-point likert scale. Semiquantitative comparison assessed absolute counts per lung (aCpLu) and lung lobe (aCpLo) for AC/non-AC images using software-based analysis; percentage counts (PC = (aCpLo/aCpLu) × 100) were calculated. Correlation between AC/non-AC V/P SPECT images was analyzed using Spearman’s rho correlation coefficient; differences were tested for significance with the Wilcoxon rank sum test. Results Visual analysis revealed high conformity for AC and non-AC V/P SPECT images. Semiquantitative analysis of PC in AC/non-AC images had an excellent correlation and showed no significant differences in perfusion ( ρ  = 0.986) or ventilation ( ρ  = 0.979, p  = 0.809) SPECT/CT images. Conclusion AC of V/P SPECT images for lung lobe-based function imaging in patients with pulmonary emphysema do not improve visual or semiquantitative image analysis.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/s12149-015-0976-4</identifier><identifier>PMID: 25939639</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Female ; Humans ; Imaging ; Lung - diagnostic imaging ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multimodal Imaging - methods ; Nuclear Medicine ; Original Article ; Perfusion Imaging - methods ; Pulmonary Emphysema - diagnostic imaging ; Radiology ; Respiration ; Retrospective Studies ; Tomography, Emission-Computed, Single-Photon - methods ; Tomography, X-Ray Computed - methods</subject><ispartof>Annals of nuclear medicine, 2015-07, Vol.29 (6), p.528-534</ispartof><rights>The Japanese Society of Nuclear Medicine 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-90aea3f0cb722d98082ef2b0fd9513462d46f4472069de49d1583be00f1ec1d73</citedby><cites>FETCH-LOGICAL-c542t-90aea3f0cb722d98082ef2b0fd9513462d46f4472069de49d1583be00f1ec1d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12149-015-0976-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12149-015-0976-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25939639$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Froeling, Vera</creatorcontrib><creatorcontrib>Heimann, Uwe</creatorcontrib><creatorcontrib>Huebner, Ralf-Harto</creatorcontrib><creatorcontrib>Kroencke, Thomas J.</creatorcontrib><creatorcontrib>Maurer, Martin H.</creatorcontrib><creatorcontrib>Doellinger, Felix</creatorcontrib><creatorcontrib>Geisel, Dominik</creatorcontrib><creatorcontrib>Hamm, Bernd</creatorcontrib><creatorcontrib>Brenner, Winfried</creatorcontrib><creatorcontrib>Schreiter, Nils F.</creatorcontrib><title>Ventilation/perfusion SPECT or SPECT/CT for lung function imaging in patients with pulmonary emphysema?</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><addtitle>Ann Nucl Med</addtitle><description>Purpose To evaluate the utility of attenuation correction (AC) of V/P SPECT images for patients with pulmonary emphysema. Materials and methods Twenty-one patients (mean age 67.6 years) with pulmonary emphysema who underwent V/P SPECT/CT were included. AC/non-AC V/P SPECT images were compared visually and semiquantitatively. Visual comparison of AC/non-AC images was based on a 5-point likert scale. Semiquantitative comparison assessed absolute counts per lung (aCpLu) and lung lobe (aCpLo) for AC/non-AC images using software-based analysis; percentage counts (PC = (aCpLo/aCpLu) × 100) were calculated. Correlation between AC/non-AC V/P SPECT images was analyzed using Spearman’s rho correlation coefficient; differences were tested for significance with the Wilcoxon rank sum test. Results Visual analysis revealed high conformity for AC and non-AC V/P SPECT images. Semiquantitative analysis of PC in AC/non-AC images had an excellent correlation and showed no significant differences in perfusion ( ρ  = 0.986) or ventilation ( ρ  = 0.979, p  = 0.809) SPECT/CT images. 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Materials and methods Twenty-one patients (mean age 67.6 years) with pulmonary emphysema who underwent V/P SPECT/CT were included. AC/non-AC V/P SPECT images were compared visually and semiquantitatively. Visual comparison of AC/non-AC images was based on a 5-point likert scale. Semiquantitative comparison assessed absolute counts per lung (aCpLu) and lung lobe (aCpLo) for AC/non-AC images using software-based analysis; percentage counts (PC = (aCpLo/aCpLu) × 100) were calculated. Correlation between AC/non-AC V/P SPECT images was analyzed using Spearman’s rho correlation coefficient; differences were tested for significance with the Wilcoxon rank sum test. Results Visual analysis revealed high conformity for AC and non-AC V/P SPECT images. Semiquantitative analysis of PC in AC/non-AC images had an excellent correlation and showed no significant differences in perfusion ( ρ  = 0.986) or ventilation ( ρ  = 0.979, p  = 0.809) SPECT/CT images. Conclusion AC of V/P SPECT images for lung lobe-based function imaging in patients with pulmonary emphysema do not improve visual or semiquantitative image analysis.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25939639</pmid><doi>10.1007/s12149-015-0976-4</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Female
Humans
Imaging
Lung - diagnostic imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Multimodal Imaging - methods
Nuclear Medicine
Original Article
Perfusion Imaging - methods
Pulmonary Emphysema - diagnostic imaging
Radiology
Respiration
Retrospective Studies
Tomography, Emission-Computed, Single-Photon - methods
Tomography, X-Ray Computed - methods
title Ventilation/perfusion SPECT or SPECT/CT for lung function imaging in patients with pulmonary emphysema?
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