Abstract

In the analysis of dynamic PET data, compartmental kinetic analysis methods require an accurate knowledge of the arterial input function (AIF). Although arterial blood sampling is the gold standard of the methods used to measure the AIF, it is usually not preferred as it is an invasive method. An alternative method is the simultaneous estimation method (SIME), where physiological parameters and the AIF are estimated together, using information from different anatomical regions. Due to the large number of parameters to estimate in its optimisation, SIME is a computationally complex method and may sometimes fail to give accurate estimates. In this work, we try to improve SIME by utilising an input function derived from a simultaneously obtained DSC-MRI scan. With the assumption that the true value of one of the six parameter PET-AIF model can be derived from an MRI-AIF, the method is tested using simulated data. The results indicate that SIME can yield more robust results when the MRI information is included with a significant reduction in absolute bias of K <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">i</sub> estimates.

Highlights

  • Pharmacokinetic analysis of dynamic PET data requires estimation of the arterial input function (AIF)

  • For coefficient of variation (CV), improvement was slightly higher on scaling with multiple samples when l1 was fixed

  • We have shown that information from simultaneous MRI-AIF can reduce the bias on Ki estimates and multiple blood samples might not be necessary, as the scaling method with one blood sample performed better when a parameter reflecting the early part of the MRI-AIF is included

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Summary

Introduction

Pharmacokinetic analysis of dynamic PET data requires estimation of the arterial input function (AIF).

Results
Conclusion
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