ArticleEJNMMI physics2026
Impact of dual-energy window scatter correction on technetium image quality across different energy windows in cadmium-zinc-telluride-based SPECT/CT.
Article in EJNMMI physics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe digital cadmium-zinc-telluride (CZT)-based SPECT system offers good energy resolution. However, the impacts of dual-energy window scatter correction on image quality under narrower primary energy windows remain to be determined. This study aimed to assess the impacts of SC (with scatter correction) and NOSC (without scatter correction) on image quality under different primary energy windows.
methodsWe used a standard NEMA/IEC 2007 phantom containing six hollow spheres of various sizes to simulate the human body at four target-to-background ratios (T/B ratio, the ratio of the average radioactive activity concentration in the target region to that in the background region, 32:1, 16:1, 8:1, and 4:1, respectively), by filling with
resultsHigher percent background variability and COV values were present when SC was applied regardless of which energy window, acquisition time, or T/B ratio used, and statistically significant differences were observed between all SC and NOSC groups for both phantoms and patients. For phantoms, percent contrast values of most SC groups were higher than those of NOSC groups. For patients, CNRs and SNRs of SC groups were higher than those of NOSC groups (all P < 0.05). Visually, SC had higher visual scores than NOSC for both phantoms and patients.
conclusionsSC significantly improves image contrast while minimizing concomitant image noise to a great extent and provides good visual image quality across different primary energy windows overall.
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