Norikazu Matsutomo
   Department   Kawasaki University of Medical Welfare  ,
   Position   Associate Professor with Special Assignment
Article types 原著
Language English
Peer review Peer reviewed
Title Validation of the CT iterative reconstruction technique for low-dose CT attenuation correction for improving the quality of PET images in an obesity-simulating body phantom and clinical study.
Journal Formal name:Nuclear medicine communications
Abbreviation:Nucl Med Commun
ISSN code:14735628/01433636
Domestic / ForeginForegin
Volume, Issue, Page 36(8),pp.839-47
Author and coauthor Norikazu Matsutomo, Akio Nagaki, Masayuki Sasaki
Publication date 2015/08
Summary OBJECTIVE:The aim of this study was to validate the efficacy of computed tomography (CT) iterative reconstruction (CT-IR) for low-dose CT attenuation correction in terms of the estimation of attenuation coefficient and quality of PET images.MATERIALS AND METHODS:We used normal and obesity-simulating body phantoms. PET images were reconstructed using two attenuation correction maps obtained using filtered back projection (CT-FBP) and CT-IR. The CT numbers, attenuation coefficients, contrast-to-noise ratio (CNR10 mm), and coefficient of variation were evaluated. Fifty-two consecutive patients who underwent F-FDG PET/CT with low-dose CT scans were selected for the clinical study. Clinical PET images were reconstructed using CT-FBP and CT-IR, and the effects of CT-IR were examined according to the maximum standardized uptake value (SUVmax), contrast-to-noise ratio in the tumor (CNRtumor), and signal-to-noise ratio in the liver (SNRliver).RESULTS:The CT number on the CT-IR was significantly lower than that of CT-FBP in the obesity-simulating body phantom. The decrease in attenuation coefficients obtained using CT-IR was smaller than that obtained using CT-FBP. The CNR10 mm and coefficient of variation obtained using CT-IR were superior to those obtained using CT-FBP. The SUVmax was not significantly different between the CT-FBP and CT-IR. Although the difference in the SNRliver between the CT-FBP and CT-IR was not significant, the CNRtumor of the CT-IR was significantly higher than that obtained using CT-FBP in obese patients.CONCLUSION:We demonstrated that CT-IR improved the estimation of the attenuation coefficient and provided significant improvement in the CNR of the clinical PET images.
DOI 10.1097/MNM.0000000000000326
PMID 25920050