Abstract

PET imaging has been, and continues to be, an evolving diagnostic technology. In recent years, the modernizing digital landscape has opened new opportunities for data-driven innovation. One such facet has been data-driven motion correction (DDMC) in PET. As both research and industry propel this technology forward, we can recognize prospects and opportunities for further development. The concept of clinical practicality is supported by DDMC approaches—it is what sets them apart from traditional hardware-driven motion correction strategies that have largely not gained acceptance in routine diagnostic PET; the ease of use of DDMC may help propel acceptance of motion correction solutions in clinical practice. As we reflect on the present field, we should consider that DDMC can be made even more practical, and likely more impactful, if further developed to fit within a real-time acquisition framework. This vision for development is not new, but has been made more feasible with contemporary electronics, and has begun to be revisited in contemporary literature. The opportunities for development lie on a new forefront of innovation where medical physics integrates with engineering, data science, and modern computing capacities. Real-time DDMC is a systems integration challenge, and achieving it will require cooperation between hardware and software developers, and likely academia and industry. While challenges for development do exist, it is likely that we will see real-time DDMC come to fruition in the coming years. This effort may establish groundwork for developing similar innovations in the emerging digital innovation age.

Highlights

  • BackgroundMotion correction in PET imaging has long been of interest in the nuclear imaging community

  • Motion correction in PET has shown promise for improving diagnostic and therapy applications [12,13,14]

  • Motion correction in PET imaging has long been of interest in the nuclear imaging community

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Summary

Background

Motion correction in PET imaging has long been of interest in the nuclear imaging community. The development of data-driven motion correction (DDMC) has opened new opportunities in PET image motion correction This new class of software-based strategies performs patient motion characterization via analysis of raw acquisition data, rather than using external hardware-based options. These motion characterizations can be integrated with entirely software-based motion correction workflows to generate motion-corrected images. Works demonstrating the potential of fully automated DDMC were published in 2007–2009 [2,3,4] These efforts provided the foundational concept of this subfield: that significant motion information can be found in fluctuations of raw FDG-PET data. The process of DDMC implementation, including real-time processing, has not been well studied in academic literature beyond discussion of potential

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