A method for generating image-derived input function in quantitative 18F-FDG PET study based on the monotonicity of the input and output function curve

Abstract

A method of defining the image-derived input function (IDIF) was introduced and evaluated for the quantification of the regional cerebral metabolic rate of glucose in PET studies. The voxels in the brain vasculature are extracted on the basis of the different monotonicities between the input and the output function curves. Time activity curves (TACs) of such voxels are averaged to obtain the uncorrected TAC of the brain vasculature. The IDIF was obtained from the raw TAC after correcting for the partial volume and spillover effects by an empirical formula in conjunction with a single blood sample and the TAC of the brain tissue. Data from 16 patients were used to test the proposed method. The Patlak approach is used to calculate the net fluoro-2-deoxyglucose clearance with plasma-derived input function and our generated IDIF, respectively. The net fluoro-2-deoxyglucose clearances calculated with the IDIF generated by our approach are not only highly correlated (correlation coefficients close to 1) to, but also highly comparable (regression slopes close to 1 and intercepts close to 0) with those calculated with plasma-derived input function. The method used in the present work is feasible and accurate.