Abstract
The quantitation of absolute renal functional volume is of interest because many pathological processes are known to affect the growth and parenchymal volume of kidneys. Unlike thresholding and edge-detection methods, the count-based method of volume quantitation is not highly sensitive to boundary definition. In this investigation, count-based kidney volume quantitation was compared to that of fixed threshold-based estimation with and without including attenuation and scatter compensation in the reconstruction. The Alderson Organ Scanning Phantom kidneys were filled with a Tc-99m solution and placed in the Organ scanning phantom. Inserts shaped like the pelvis region of the kidneys were used to vary kidney volume. Emission imaging of the Tc-99m, and transmission imaging of a Gd-153 line source were performed by a triple-headed SPECT system. Without compensating for attenuation and scatter, the count-based method significantly under-estimated kidney volume. When attenuation and scatter compensation were included, count-based volume quantitation was more accurate than volume estimation with a fixed threshold adapted to the image acquisition and reconstruction strategies employed.
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