Evidence map›Paper›PMID 42446842›Full record

ArticlePhysical and engineering sciences in medicine2026

Optimization of a Q.Clear PET image reconstruction based on bayesian optimization in oncology and neurology applications.

Qariemah Azahar, Hazlin Hashim, Khadijah Abdul Hamid, Lyu Xin, Syahir Mansor

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Article in Physical and engineering sciences in medicine, 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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5 · Who and what money

Authors and funding

5 authors.

Qariemah AzaharDepartment of Biomedical Imaging, Pusat Kanser Tun Abdullah Ahmad Badawi, Universiti Sains Malaysia, 13200, Kepala Batas, Penang, Malaysia.ORCID http://orcid.org/0009-0006-6926-7602
Hazlin HashimDepartment of Biomedical Imaging, Pusat Kanser Tun Abdullah Ahmad Badawi, Universiti Sains Malaysia, 13200, Kepala Batas, Penang, Malaysia.
Khadijah Abdul HamidDepartment of Biomedical Imaging, Pusat Kanser Tun Abdullah Ahmad Badawi, Universiti Sains Malaysia, 13200, Kepala Batas, Penang, Malaysia.
Lyu XinSchool of Health Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia.
Syahir Mansor *Department of Biomedical Imaging, Pusat Kanser Tun Abdullah Ahmad Badawi, Universiti Sains Malaysia, 13200, Kepala Batas, Penang, Malaysia. syahir.mansor@usm.my.ORCID http://orcid.org/0000-0001-9315-652X

Funding

Fundamental Research Grant Scheme (FRGS) FRGS/1/2024/SKK10/USM/02/1
6 · The paper itself

Abstract

Bayesian Penalized Likelihood (BPL) reconstruction can improve image quality and quantitative accuracy in PET/CT imaging. This study aimed to determine the optimal Beta (β)-factor in Q.Clear reconstruction using Bayesian Optimization (BO) through phantoms and clinical evaluation. NEMA IQ and Hoffman Brain phantoms, along with clinical PET/CT images, were analyzed. Phantom images were reconstructed using β-factors (50-1000) across different acquisition times. Recovery coefficient (RC%) and contrast-to-noise ratio (CNR) were calculated. Clinical evaluation included one neurology and one oncology case as verification data, reconstructed using OSEM and Q.Clear at β-factors (100-1000), with full and reduced reconstruction times (neurology: 8 and 2 min; oncology: 15 and 7 min), respectively. Visual assessment was independently performed by two nuclear medicine physicians, and inter-rater agreement was analyzed using Krippendorff's alpha. In the NEMA IQ phantom, increasing β-factor resulted in decreased RC% but increased CNR. In the Hoffman Brain phantom, cortical regions showed stable RC% from mid to high β-factors, whereas subcortical regions were more sensitive, showing reduced RC%. CNR improved with higher β-factors and longer acquisition times. BO analysis indicates that smaller spheres achieved optimal performance at lower β-factors and longer acquisition times, while larger spheres tolerated higher β-factors (600-800). Optimal β-factors for cortical and subcortical brain regions were (400-600) and (100-300), respectively. Clinically, the highest scores were observed for β-factors (300-1000) in oncology, and (500-900) in neurology. Higher β-factors improved RC% and CNR stability in phantom studies. BO identified (500-900) as the optimal β-factors, consistent with clinical findings demonstrating high visual scores and strong inter-rater agreement, supporting its reliability of BO-optimized β-factors for PET/CT reconstruction.

Indexed as

Image Processing, Computer-AssistedNeurologyPositron-Emission TomographyPositron Emission Tomography Computed TomographyBayes TheoremHumansPhantoms, ImagingSignal-To-Noise RatioBayesian optimization (BO)Bayesian penalized likelihood (BPL)Image reconstructionNeurologyOncologyPET/CTQuantitative

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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.