Evidence map›Paper›PMID 34453630›Full record

ArticleEJNMMI physics2021

Data-driven gated PET/CT: implications for lesion segmentation and quantitation.

M Allan Thomas, Tinsu Pan

Abstract read
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Article in EJNMMI physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

M Allan ThomasDepartment of Imaging Physics, UT MD Anderson Cancer Center, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-3533-740X
Tinsu PanDepartment of Imaging Physics, UT MD Anderson Cancer Center, Houston, TX, 77030, USA. tpan@mdanderson.org.

Funding

Optimization of PET Image Reconstruction for Lesion DetectionR03EB030280 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI GONG, KUANG · 2020 to 2021
$184k
NIBIB NIH HHS R03 EB030280NIH HHS R03-EB030280-01NIH HHS R21-CA222749-01A1
6 · The paper itself

Abstract

backgroundData-driven gating (DDG) can improve PET quantitation and alleviate many issues with patient motion. However, misregistration between DDG-PET and CT may occur due to the distinct temporal resolutions of PET and CT and can be mitigated by DDG-CT. Here, the effects of misregistration and respiratory motion on PET quantitation and lesion segmentation were assessed with a new DDG-PET/CT method.

methodsA low-dose cine-CT was acquired in misregistered regions to enable both average CT (ACT) and DDG-CT. The following were compared: (1) baseline PET/CT, (2) PET/ACT (attenuation correction, AC = ACT), (3) DDG-PET (AC = helical CT), and (4) DDG-PET/CT (AC = DDG-CT). For DDG-PET, end-expiration (EE) data were derived from 50% of the total PET data at 30% from end-inspiration. For DDG-CT, EE phase CT data were extracted from cine-CT data by lung Hounsfield unit (HU) value and body contour. A total of 91 lesions from 16 consecutive patients were assessed for changes in standard uptake value (SUV), lesion glycolysis (LG), lesion volume, centroid-to-centroid distance (CCD), and DICE coefficients.

resultsRelative to baseline PET/CT, median changes in SUV

conclusionAs misregistration becomes more prominent, the impact of motion correction with DDG-PET is diminished. The potential benefits of DDG-PET toward accurate lesion segmentation and quantitation could only be fully realized when combined with DDG-CT. These results impress upon the necessity of ensuring both misregistration and motion correction are accounted for together to optimize the clinical utility of PET/CT.

Indexed as

Data-driven gatingMisregistrationPET/CTSUV

Identifiers

PMID34453630
PMCPMC8403089

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.