Evidence map›Paper›PMID 27255510›Full record

ArticleEJNMMI research2016

Impact of attenuation correction on clinical [(18)F]FDG brain PET in combined PET/MRI.

P Werner, M Rullmann, A Bresch, S Tiepolt, T Jochimsen, D Lobsien, M L Schroeter, O Sabri, H Barthel

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Article in EJNMMI research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

P WernerDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany.
M RullmannDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany.
A BreschDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany.
S TiepoltDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany.
T JochimsenDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany.
D LobsienDepartment of Neuroradiology, Leipzig University Hospital, Leipzig, Germany.
M L SchroeterDay Clinic for Cognitive Neurology, Leipzig University Hospital and Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
O SabriDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany.
H BarthelDepartment of Nuclear Medicine, Leipzig University Hospital, Leipzig, Germany. henryk.barthel@medizin.uni-leipzig.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn PET/MRI, linear photon attenuation coefficients for attenuation correction (AC) cannot be directly derived, and cortical bone is, so far, usually not considered. This results in an underestimation of the average PET signal in PET/MRI. Recently introduced MR-AC methods predicting bone information from anatomic MRI or proton density-weighted zero-time imaging may solve this problem in the future. However, there is an ongoing debate if the current error is acceptable for clinical use and/or research.

methodsWe examined this feature for [(18)F] fluorodeoxyglucose (FDG) brain PET in 13 patients with clinical signs of dementia or movement disorders who subsequently underwent PET/CT and PET/MRI on the same day. Multiple MR-AC approaches including a CT-derived AC were applied.

resultsThe resulting PET data was compared to the CT-derived standard regarding the quantification error and its clinical impact. On a quantitative level, -11.9 to +2 % deviations from the CT-AC standard were found. These deviations, however, did not translate into a systematic diagnostic error. This, as overall patterns of hypometabolism (which are decisive for clinical diagnostics), remained largely unchanged.

conclusionsDespite a quantitative error by the omission of bone in MR-AC, clinical quality of brain [(18)F]FDG is not relevantly affected. Thus, brain [(18)F]FDG PET can already, even now with suboptimal MR-AC, be utilized for clinical routine purposes, even though the MR-AC warrants improvement.

Indexed as

Attenuation correctionFDG imagingPET/MR

Identifiers

PMID27255510
PMCPMC4891306

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