PET/CT imaging: Effect of respiratory motion on apparent myocardial uptake

Positron emission tomography (PET) attenuation correction (AC) using computed tomography (CT) can be affected by respiratory motion: hi-speed CT captures 1 point of the respiratory cycle while PET emission data averages many cycles. We quantified the changes in apparent myocardial uptake due to this...

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Veröffentlicht in:Journal of nuclear cardiology 2006-11, Vol.13 (6), p.821-830
Hauptverfasser: Le Meunier, Ludovic, Maass-Moreno, Roberto, Carrasquillo, Jorge A., Dieckmann, William, Bacharach, Stephen L.
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container_issue 6
container_start_page 821
container_title Journal of nuclear cardiology
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creator Le Meunier, Ludovic
Maass-Moreno, Roberto
Carrasquillo, Jorge A.
Dieckmann, William
Bacharach, Stephen L.
description Positron emission tomography (PET) attenuation correction (AC) using computed tomography (CT) can be affected by respiratory motion: hi-speed CT captures 1 point of the respiratory cycle while PET emission data averages many cycles. We quantified the changes in apparent myocardial uptake due to this respiratory-induced CT attenuation mismatch. Twenty-two patients undergoing fluorine-18 fluorodexyglucose (FDG) PET/CT received 3 sequential CT scans at normal resting end-inspiration (CT INSPIR), ending expiration (CT EXPIR), and at midvolume between end-expiration and end-inspiration (CT MIDVOL). A pneumotachometer measured absolute changes in lung volume. Seven subjects also underwent a 3-minute transmission scan with a 68Ge rotating rod source (RRS). The PET emission data set was reconstructed up to 4 times using CT EXPIR, CT INSPIR, CT MIDVOL, and RRS AC maps. Relative heart position and cardiac uptake was measured for each CT attenuation correction. Respiratory motion produced marked changes in global and regional myocardial uptake. Changes were large in the lateral and anterior regions at the lung-soft tissue interface (up to 30% using CT INSPIR compared to CT EXPIR for AC) and smaller in the septal region (10% or less). Data corrected with CT EXPIR agreed best with the RRS. Respiratory effects can introduce large inhomogeneities in apparent myocardial uptake when CT is used for attenuation correction.
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source MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings
subjects Adult
Attenuation and scatter correction
Fluorine-18
Fluorodeoxyglucose F18 - pharmacokinetics
Heart - diagnostic imaging
Humans
Image artefacts
Movement - physiology
Myocardium - metabolism
PET/CT imaging
Positron-Emission Tomography - methods
Radiopharmaceuticals - pharmacokinetics
Reproducibility of Results
Respiratory Mechanics - physiology
Sensitivity and Specificity
Subtraction Technique
Tomography, X-Ray Computed - methods
title PET/CT imaging: Effect of respiratory motion on apparent myocardial uptake
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