Abstract

BackgroundPositron emission tomography (PET) studies using 15O-labeled CO2, O2, and CO have been used in humans to evaluate cerebral blood flow (CBF), the cerebral oxygen extraction fraction (OEF), and the cerebral metabolic rate of oxygen (CMRO2) and cerebral blood volume (CBV), respectively. In preclinical studies, however, PET studies using 15O-labeled gases are not widely performed because of the technical difficulties associated with handling labeled gases with a short half-life. The aims of the present study were to evaluate the scatter fraction using 3D-mode micro-PET for 15O-labeled gas studies and the influence of reconstruction algorithms on quantitative values.Nine male SD rats were studied using the steady state inhalation method for 15O-labeled gases with arterial blood sampling. The resulting PET images were reconstructed using filtered back projection (FBP), ordered-subset expectation maximization (OSEM) 2D, or OSEM 3D followed by maximum a posteriori (OSEM3D-MAP). The quantitative values for each brain region and each reconstruction method were calculated by applying different reconstruction methods.ResultsThe quantitative values for the whole brain as calculated using FBP were 46.6 ± 12.5 mL/100 mL/min (CBF), 63.7 ± 7.2% (OEF), 5.72 ± 0.34 mL/100 mL/min (CMRO2), and 5.66 ± 0.34 mL/100 mL (CBV), respectively. The CBF and CMRO2 values were significantly higher when the OSEM2D and OSEM3D-MAP reconstruction methods were used, compared with FBP, whereas the OEF values were significantly lower when reconstructed using OSEM3D-MAP.ConclusionsWe evaluated the difference in quantitative values among the reconstruction algorithms using 3D-mode micro-PET. The iterative reconstruction method resulted in significantly higher quantitative values for CBF and CMRO2, compared with the values calculated using the FBP reconstruction method.

Highlights

  • Positron emission tomography (PET) studies using 15O-labeled CO2, O2, and CO have been used in humans to evaluate cerebral blood flow (CBF), the cerebral oxygen extraction fraction (OEF), and the cerebral metabolic rate of oxygen (CMRO2) and cerebral blood volume (CBV), respectively

  • We evaluated the difference in quantitative values among the reconstruction algorithms using 3Dmode micro-PET

  • The iterative reconstruction method resulted in significantly higher quantitative values for CBF and Cerebral metabolic rate of oxygen (CMRO2), compared with the values calculated using the filtered back projection (FBP) reconstruction method

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Summary

Introduction

Positron emission tomography (PET) studies using 15O-labeled CO2, O2, and CO have been used in humans to evaluate cerebral blood flow (CBF), the cerebral oxygen extraction fraction (OEF), and the cerebral metabolic rate of oxygen (CMRO2) and cerebral blood volume (CBV), respectively. Despite the recent increase in the use of the arterial spin labeling method for magnetic resonance imaging (MRI) or perfusion imaging using computed tomography (CT) for the evaluation of CBF, PET using 15O-labeled gases has been the reference standard for quantitative evaluations of CBF, the oxygen extraction fraction (OEF), the cerebral metabolic rate of oxygen (CMRO2), and the cerebral blood volume (CBV). Among these quantitative values, oxygen utility information, such as the OEF, can only be obtained using PET with 15O-labeled gases, and these parameters are regarded as the best predictors of stroke recurrence [1]. Recently developed microPET scanners are dedicated to 3D-mode acquisition similar to clinical PET scanners, and the scatter fraction and random coincidence can be problems for quantitative PET examinations, especially in studies involving the continuous inhalation of 15O-labeled gases [3, 4]

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