ArticleEJNMMI physics2026
Limitations in diagnostics and quantification of small lesions with low uptake in the clinical context of prostate
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
purposeThe aim of this study was to investigate the limits of diagnostics and therapy planning for patients with prostate cancer using non-time-of-flight
methodsPET/MRI measurements were performed using a small lesion NEMA phantom. PET data were acquired for nine different activity concentrations (AC). Data of a longer single-bed protocol in the pelvis or a shorter whole-body protocol were reconstructed using relative or absolute scatter correction (SC). PET images were analysed considering a ± 25% deviation range between imaged and true AC as acceptable. Thirteen PSMA-PET/MRI patients with primary lesions or lymph node metastasis < 12 mm in the pelvis were included in this study. The presence of the halo artefact was evaluated in six
resultsFor both radiotracers, the 9.7 mm sphere was still visible at 0.16 kBq/mL with emission times > 40 min. The 3.7 mm sphere was only detectable at 22 kBq/mL with emission times > 4 min. All spheres ≥ 6.5 mm provide acceptable quantification at an AC of 1.32 kBq/mL for
conclusionsThe results demonstrated that the detection of lesions in the sub-centimetre range and a reliable quantification of
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