Abstract

Recent advances in dynamic positron emission tomography (PET) reconstruction have demonstrated that it is possible to achieve markedly improved end-point kinetic parameter maps by incorporating a temporal model of the radiotracer directly into the reconstruction algorithm. In this work we have developed a highly constrained, fully dynamic PET reconstruction algorithm incorporating both spectral analysis temporal basis functions and spatial basis functions derived from the kernel method applied to a co-registered T1-weighted magnetic resonance (MR) image. The dynamic PET image is modelled as a linear combination of spatial and temporal basis functions, and a maximum likelihood estimate for the coefficients can be found using the expectation-maximization (EM) algorithm. Following reconstruction, kinetic fitting using any temporal model of interest can be applied. Based on a BrainWeb T1-weighted MR phantom, we performed a realistic dynamic [18F]FDG simulation study with two noise levels, and investigated the quantitative performance of the proposed reconstruction algorithm, comparing it with reconstructions incorporating either spectral analysis temporal basis functions alone or kernel spatial basis functions alone, as well as with conventional frame-independent reconstruction. Compared to the other reconstruction algorithms, the proposed algorithm achieved superior performance, offering a decrease in spatially averaged pixel-level root-mean-square-error on post-reconstruction kinetic parametric maps in the grey/white matter, as well as in the tumours when they were present on the co-registered MR image. When the tumours were not visible in the MR image, reconstruction with the proposed algorithm performed similarly to reconstruction with spectral temporal basis functions and was superior to both conventional frame-independent reconstruction and frame-independent reconstruction with kernel spatial basis functions. Furthermore, we demonstrate that a joint spectral/kernel model can also be used for effective post-reconstruction denoising, through the use of an EM-like image-space algorithm. Finally, we applied the proposed algorithm to reconstruction of real high-resolution dynamic [11C]SCH23390 data, showing promising results.

Highlights

  • Positron emission tomography (PET) is a molecular imaging technique that monitors trace amounts of targeted radio-labelled compounds in vivo

  • In this work we have developed a highly constrained, fully dynamic positron emission tomography (PET) reconstruction algorithm incorporating both spectral analysis temporal basis functions and spatial basis functions derived from the kernel method applied to a co-registered T1-weighted magnetic resonance (MR) image

  • When the tumours are present on the MR image, the spatial basis functions are adapted to the shape of the tumour, and no blurring is observed

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Summary

Introduction

Positron emission tomography (PET) is a molecular imaging technique that monitors trace amounts of targeted radio-labelled compounds in vivo. Dynamic PET imaging, which monitors the temporal in addition to the spatial distribution of the radiotracer, can provide richer information compared to static PET and has the ability to estimate kinetic parameters by modelling the spatiotemporal radioactivity distribution. Following independent-frame reconstruction, post-reconstruction temporal modelling (or ‘kinetic fitting’) is done to estimate kinetic parameters for either individual pixels or for whole regions of interest (ROIs). The noise in the individual time-frame images can lead to unnecessarily high noise levels in the final fitted parameters, and sometimes the kinetic fitting can even fail. The post-reconstruction kinetic fitting should accurately model the noise distribution in the PET images, but this is very difficult in practice because the noise is spatially correlated and object dependent

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