Dual-head Single-photon Emission Computed Tomography Research Articles

Improvement of Whole-body Bone Planar Images on a Bone-dedicated Single-photon Emission Computed Tomography Scanner by Blind Deconvolution Algorithm.

We have developed a bone-dedicated collimator with higher sensitivity but slightly degraded resolution on single-photon emission computed tomography (SPECT) for planar bone scintigraphy, compared with conventional low-energy high-resolution collimator. In this work, we investigated the feasibility of using the blind deconvolution algorithm to improve the resolution of planar images on bone scintigraphy. Monte Carlo simulation was performed with the NCAT phantom for modeling bone scintigraphy on the clinical dual-head SPECT scanner (Imagine NET 632, Beijing Novel Medical Equipment Ltd.) equipped with the bone-dedicated collimator. Maximum likelihood estimation method was used for the blind deconvolution algorithm. The initial estimation of point spread function (PSF) and iteration number for the method were determined by comparing the deblurred images obtained from different input parameters. We simulated different tumors in five different locations and with five different diameters to evaluate the robustness of the initial inputs. Furthermore, we performed chest phantom studies on the clinical SPECT scanner. The quantified increased contrast ratio (CR) between the tumor and the background was evaluated. The 2 mm PSF kernel and 10 iterations provided a practical and robust deblurred image on our system. Those two inputs can generate robust deblurred images in terms of the tumor location and size with an average increased CR of 21.6%. The phantom studies also demonstrated the ability of blind deconvolution, using those two inputs, with increased CRs of 17%, 17%, 22%, 20%, and 13% for lesions with diameters of 1 cm, 2 cm, 3 cm, 4 cm, and 5 cm, respectively. It is feasible to use the blind deconvolution algorithm to deblur the planar images for SPECT bone scintigraphy. The appropriate values of the PSF kernel and the iteration number for the blind deconvolution can be determined using simulation studies.

Development of a high-resolution SSR-SPECT system for preclinical imaging and neuroimaging

Techniques like single photon emission computed tomography (SPECT) show high potential in small animals in vivo imaging framework. In this context, the spatial resolution represents an important parameter influencing scanner design, given the small size of the anatomical structures to be investigated. The purpose of the present work was to assess the performance of a scintigraphic system with an improved spatial resolution by applying the previously described Super Spatial Resolution (SSR) method. Our dual-head SPECT system is composed of gamma cameras based on the Hamamatsu H13700 position-sensitive photomultiplier tube (PSPMT). In each detector head, the PSPMT is coupled to a 28 × 28 array of CRY018 scintillation crystals. The pure Tungsten parallel square hole collimator ensures the position sensitivity, and a dedicated resistive chain readout so as an ADC board have been proprietary designed.To finalize the mechanical development of the SSR-SPECT system several tests were carried out. Based on the results obtained in the test phase, a partial review of the mechanical design was performed. Then a dedicated mechanical motion software was developed, and in particular, a kinematic software debugging and testing was assessed. Several experiments were carried out by using Derenzo phantoms and capillaries filled with radioactive sources. Finally, the performance of our system was evaluated by performing small animal imaging studies.The SPECT spatial resolution was experimentally determined to be about 1.6 mm. We reach a resolution of 1.18 mm by applying the SSR based on two images.The results of this study demonstrated the good capability of the system as a suitable tool for preclinical imaging especially in fields like neuroscience for the study of small brain structures.

Development of organ-specific dual-head single-photon emission computed tomography using variable pinhole collimator

Single-photon emission computed tomography (SPECT) is a nuclear medical imaging method enabling the user to view functional images of patients. The collimator, which is an essential component of the SPECT, limits the direction of the incident gamma rays, such that the distribution of the gamma photons from the body can be observed. Collimators are composed of shielding materials with high atomic number and density, thus it is difficult to fabricate them in complex shapes. Among the existing collimators, the pinhole collimator consists of a small aperture perforated in a shielding material, and the modification of the pinhole parameters, such as the hole diameter and acceptance angle, during the scan is also challenging. A variable pinhole (VP) collimator comprises several thin tungsten layers with various hole sizes. Thus, the pinhole parameters can be varied for the region of interest (ROI) by forming the desired pinhole shape using a combination of holes. In this study, we implemented the concept of a VP collimator and applied it in a SPECT system to enhance its performance. The collimator was composed of five layers of with a diameter of 170 mm and thickness of 1 mm and with six holes of different sizes in each layer. Two point sources (Co-57, 122 keV) were used for the performance analysis by changing the system parameters. The spatial resolution and sensitivity of the SPECT system were affected by the variation of the pinhole diameters, with the peak-to-valley ratio increasing by up to 3.3 times with the increase in the magnification of the SPECT system. Two line source phantoms (Tc-99m, 140 keV) with an internal diameter of 1 mm were used for the performance evaluation of the system. The phantoms were positioned 20 mm apart inside the ROI with a diameter of 50 mm at a position of 29 mm from the object center. By applying the VP collimator, the resolution and the sensitivity performance were improved, achieving a full width at half maximum value of 2.7 times and counts of 2.8 times those of the conventional SPECT system. In future research, we aim to improve the system efficiency by conducting simultaneous experimental driving test of the dual-head VP collimator SPECT system.

Optimization of Accurate Quantification in Single-Photon Emission Computed Tomography Myocardial Imaging

Purpose: The wide availability and reputation for accuracy of the single-photon emission computed tomography (SPECT) of the myocardium has made it a top global choice for nuclear cardiology procedures. The goal of this research is to determine the effectiveness and measurable accuracy of 3D iterative reconstruction algorithms compared to filtered back projection techniques for cardiac SPECT images. Effectiveness is determined by the ability of the various techniques to produce accurate cardiac SPECT images. Materials and Methods: A Siemens Symbia T16 SPECT/CT scanner was used to acquire SPECT/CT images and the Monte Carlo simulations whilst a GATE package was used with the implementation of Infinia™ (GE) dual head SPECT gamma camera–simulated data. The recordings were acquired from point and linear sources and a cardiac insert was created along with a simulation of a computerized phantom XCAT. Result: The results of this study demonstrated an improvement in image quality and the use of a Flash 3D algorithm relative to FBP technique enhances its accuracy. The data presented in this article further show that the image quality of myocardium images and quantification accuracy, particularly for high-resolution studies reconstructed using the Flash 3D algorithm, can be greatly affected by a respiratory-induced motion. Conclusion: Image quality and quantification accuracy can be better improved with respiratory-gating techniques, utilization of ordered-subsets maximization (OSEM) algorithms with attenuation and scatter correction. A simulation of respiratory-induced motion resulted in a reconstructed SPECT recording of 73% reduction in the quantified image resolution for Flash 3D and 43% for FBP. It also caused the underestimation for the left ventricle volume by 18% using FBP and 41% for the Flash 3D. In conclusion, our physical phantom studies and Monte Carlo simulation studies agree with the main hypothesis of our investigation. They showed improvement in image quality with increased accuracy when using the Flash 3D algorithm relative to the FBP technique.

Determination of the optimum filter for 99mTc SPECT breast imaging using a wire mesh collimator

Background: The development of wire mesh collimator (WMC), has improved the performance of Single Photon Emission Computed tomography (SPECT) because of its higher sensitivity whilst maintaining the same resolution. Consequently, the WMC allows better detection of early–stage cancer. The purpose of this study was to find an optimal filter for image reconstruction for breast SPECT imaging. Methods: Half–ellipsoidal breast phantom in the prone position was simulated with dual–head SPECT camera by Monte Carlo N–Particle Transport Code, version 5 (MCNP5). Six different filters were compared with 17 different cutoff frequencies (Fc), ranging from 0.2 Nyquist frequency (Nq) to 1.0 Nq, with step 0.05. For Butterworth filter, order was from 3 to 12 with step 1. A total of 255 central slices with different parameters were reconstructed by filtered back projection (FBP) to compare the image performance in terms of contrast, noise level and tumour size. Results: The values of tumour size, contrast and noise level were greatly influenced by different filter types and the value of Fc. Ramp and Butterworth produced the best value of tumour size and contrast, whilst Parzen, Hann and Hamming filters gave smoother images. Overall, results showed that Butterworth filter with the highest mean score. Conclusion: Butterworth filter proved to be the provided the best image quality at a higher sensitivity and was found to be the optimum filter for quantitative analysis.

Evaluation of MR perfusion abnormalities in organophosphorus poisoning and its correlation with SPECT.

Aim:Acute organophosphate (OP) pesticide poisoning causes substantial morbidity and mortality worldwide. Many imaging modalities, such as computerized tomography (CT), magnetic resonance imaging (MRI), and single photon emission computed tomography (SPECT) of the brain, have been used for quantitative assessment of the acute brain insult caused by acute OP poisoning. Perfusion defects on SPECT in acutely poisoned patients with OPs have been described, however, MR perfusion abnormalities have not been described in the literature. MR perfusion Imaging has the advantage of having higher spatial resolution, no radiation, and better availability.Materials and Methods:In this prospective study, 20 patients who ingested OP compounds were included. All the patients underwent brain SPECT on a dual head SPECT gamma camera and MRI brain on a 1.5T MR system. Neurocognitive tests were performed for all patients.Results:SPECT showed perfusion defects in 7 patients and total number of perfusion defects were 29. On MR perfusion, based on the cut-off values of normalized cerebral blood volume (nCBV) ratios and normalized cerebral blood flow (nCBF) ratios, the total number of patients showing perfusion defects were 6 and 8; and the total number of perfusion defects were 29 and 45, respectively. There was significant difference of the nCBV ratios and nCBF ratios between the control group (n = 20) and positive patients group (n = 6 and n = 8, respectively) (P > 0.05). All the defects seen on SPECT were well appreciated on nCBF maps (MRI perfusion) suggestive of 100% correlation.Conclusion:MR perfusion imaging can be used as an effective modality for evaluation in acute OP poisoning.

Longitudinal Evaluation of Sympathetic Nervous System and Perfusion in Normal and Spontaneously Hypertensive Rat Hearts with Dynamic Single-Photon Emission Computed Tomography

The objective of this work was to evaluate the sympathetic nervous system and structure remodeling during the progression of heart failure in a rodent model using dynamic cardiac single-photon emission computed tomography (SPECT). The spontaneously hypertensive rat (SHR) model was used to study changes in the nervous system innervation and perfusion in the left ventricular (LV) myocardium with the progression of left ventricular hypertrophy (LVH) to heart failure. Longitudinal dynamic SPECT studies were performed with seven SHR and seven Wistar-Kyoto (WKY) rats over 1.5 years using a dual-head SPECT scanner with pinhole collimators. Time-activity curves (TACs) of the 123I-MIBG and 201Tl distribution in the LV blood pool and myocardium were extracted from dynamic SPECT data and fitted to compartment models to determine the influx rate, washout rate, and distribution volume (DV) of 123I-MIBG and 201Tl in the LV myocardium. The standardized uptake values (SUVs) of 123I-MIBG and 201Tl in the LV myocardium were also calculated from the static reconstructed images. The influx and washout rates of 123I-MIBG did not show a significant difference between SHRs and WKY rats. The DVs of 123I-MIBG were greater in the SHRs than in the WKY rats (p = .0028). Specifically, the DV of 123I-MIBG became greater in the SHRs by 6 months of age (p = .0017) and was still significant at the age of 22 months. The SUV of 123I-MIBG in SHRs exhibited abnormal values compared to WKY rats from the age of 18 months. There was no difference in the influx rate and the washout rate of 201Tl between the SHRs and WKY rats. The SHRs exhibited greater DV of 201Tl than WKY rats after the age of 18 months (p = .034). The SUV of 201Tl in SHRs did not show any significant difference from WKY at all ages. The higher DV of 123I-MIBG in the LV myocardium reveals abnormal nervous system activity of the SHRs at an age of 6 months, whereas a greater DV of 201Tl in the LV myocardium can only be detected at an age of 18 months. The results show that the abnormal nervous system activity appears earlier than perfusion. Furthermore, the comparison between the DV and the SUV indicates that dynamic SPECT with 123I-MIBG and 201Tl with the kinetic parameter DV is capable of detecting abnormalities of the LV at an early age.

Quantitative and Qualitative Evaluations of Defect Images in Different Regions of Myocardial Phantom under Implementation of Various Filters in SPECT

In myocardial perfusion single Photon Emission Computed Tomography (SPECT), images are degraded by photon attenuation, distance-dependent collimator, detector response. The filters in reconstruction process can greatly affect the quality of the SPECT images. The purpose of this study is to make quantitative and qualitative evaluation of the acquired SPECT images of similar defects which are located in the different regions of myocardial phantom under implementation of different filters. Herein, rectangular defects with the same thickness were inserted on the different regions of on the inner wall of the myocardial phantom. Myocardial perfusion study was performed with meta-stable Technetium with a dual head SPECT system. Raw data was reconstructed by filter back projection method with some filters. Then, results of implementation of various filters with different parameters on the contrast, signal to noise ratio and size of defects images in transverse, coronal and sagittal views of the phantom have been studied. The results show that contrast, signal to noise ratio and size of defects images are depending on the defect locations, type of filters and the selection of view which is examined for specified defect.

Geometric Calibration and Image Reconstruction for a Segmented Slant-Hole Stationary Cardiac SPECT System.

A dedicated stationary cardiac single-photon emission computed tomography (SPECT) system with a novel segmented slant-hole collimator has been developed. The goal of this paper is to calibrate this new imaging geometry with a point source. Unlike the commercially available dedicated cardiac SPECT systems, which are specialized and can be used only to image the heart, our proposed cardiac system is based on a conventional SPECT system but with a segmented slant-hole collimator replacing the collimator. For a dual-head SPECT system, 2 segmented collimators, each with 7 sections, are arranged in an L-shaped configuration such that they can produce a complete cardiac SPECT image with only one gantry position. A calibration method was developed to estimate the geometric parameters of each collimator section as well as the detector rotation radius, under the assumption that the point source location is calculated using the central-section data. With a point source located off the rotation axis, geometric parameters for each collimator section can be estimated independently. The parameters estimated individually are further improved by a joint objective function that uses all collimator sections simultaneously and incorporates the collimator symmetry information. Estimation results and images reconstructed from estimated parameters are presented for both simulated and real data acquired from a prototype collimator. The calibration accuracy was validated by computer simulations with an error of about 0.1° for the slant angles and about 1 mm for the rotation radius. Reconstructions of a heart-insert phantom did not show any image artifacts of inaccurate geometric parameters. Compared with the detector's intrinsic resolution, the estimation error is small and can be ignored. Therefore, the accuracy of the calibration is sufficient for cardiac SPECT imaging.

Optimization of the angle between detector modules in a dual-head cardiac SPECT

In recent years, dedicated cardiac single photon emission computed tomography (SPECT) systems have been undergoing a profound change in design with multiple detectors and various angles between the modules to improve the sensitivity and the resolution by reducing the distance between the heart and the detector. The performance of a dual-head cardiac SPECT for small-animal imaging was characterized as a function of the angle between two detector heads by using GATE simulations, and simulation data were validated with experimental results. Each detector head consists of 50 × 50 × 6 mm3 NaI(Tl) optically coupled to a Hamamatsu H8500 position sensitive photomultiplier (PSPMT) and a low-energy high-resolution parallel-hole collimator (LEHR, septal thickness: 0.2 mm, diameter: 1.9 mm). The distance between the collimator surface and the center of rotation was set as 20, 20, 20, 25, or 31.5 mm for 70°, 80°, 90°, 100°, or 110°, respectively, based on a 40-mm field of view (FOV). A point source and a rat cardiac phantom of Tc-99m in scattering media were simulated. Projection data were acquired for 180 angular views in steps of 2° and were reconstructed by using a filtered back-projection algorithm. Results demonstrated that the angle between the detector heads did not make a big difference in the image quality when scattering media were not presented, but the dual heads in the 80° geometry provided the best spatial resolution in the cardiac phantom study. The peak-to-valley ratio between the myocardial wall and the cavity was measured as 1.87, 11.01, 3.28, 3.40, or 2.46 for 70°, 80°, 90°, 100°, or 110°, respectively. Experiments were performed with a dual-head SPECT in the 80° geometry, and the results agreed well with these from the simulations. In this study, the impact of the angle between dual detector heads on the imaging performance was evaluated, and the optimal angle was derived for a dedicated cardiac SPECT.

Steal phenomenon-induced lung perfusion defects in pulmonary arteriovenous fistulas: assessment with automated perfusion SPECT-CT fusion images

Lung perfusion impairment in patients with pulmonary arteriovenous fistula (AVF) was evaluated by automated deep inspiratory breath-hold (DIBrH) perfusion single-photon emission computed tomography (SPECT)-CT fusion images. Participants were 14 patients with a single (N=6) or multiple nodular AVFs (N=8) diagnosed by contrast-enhanced CT scan and/or pulmonary angiography. After the injection of 185MBq Tc-99m-macroaggregated albumin, a whole-body scan was obtained to quantify an intrapulmonary right-to-left shunt. Subsequently, DIBrH SPECT was obtained using the continuous rotating acquisition mode of a dual-headed SPECT system, which was automatically coregistered with DIBrH CT. The anatomic relationship between AVF and perfusion defects was assessed on the fusion images. The whole-body scan depicted systemic organs indicating the presence of an intrapulmonary right-to-left shunt in all the patients. DIBrH SPECT showed 34 perfusion defects in these patients, which were located at the AVF and in the surrounding lungs of the AVF on the fusion images, regardless of the absence of morphologic abnormality on CT in all the patients. These defects were considered to be caused by the 'steal phenomenon' associated with the high and fast pulmonary arterial flow to each AVF, which were more extensive and severe in the multiple AVFs compared with a single AVF (P=0.0012), occasionally extending to the entire lobe with AVF or even to the adjacent lobe. In five patients, the fusion images detected a total of six tiny AVFs with unexpectedly extensive 'steal phenomenon'-induced defects, which had been missed by other radiological imaging techniques. The summed value of the shunt index estimated by the whole-body scan and the lung perfusion defect extent estimated by DIBrH SPECT was significantly correlated with PaO2 in all the patients (P < 0.0001), with a better correlation compared with the shunt index alone. In addition to the right-to-left shunt, 'steal phenomenon'-induced perfusion defects are common in the surrounding lung of pulmonary nodular AVF and cause hypoxemia. DIBrH SPECT-CT fusion images contribute to the objective evaluation of 'steal phenomenon'-induced lung perfusion impairment in AVF and the detection of tiny, subtle AVFs that may be missed by other radiological imaging techniques.

Assessment of anatomic relation between pulmonary perfusion and morphology in pulmonary emphysema with breath-hold SPECT-CT fusion images

Anatomic relation between pulmonary perfusion and morphology in pulmonary emphysema was assessed on deep-inspiratory breath-hold (DIBrH) perfusion single-photon emission computed tomography (SPECT)-CT fusion images. Subjects were 38 patients with pulmonary emphysema and 11 non-smoker controls, who successfully underwent DIBrH and non-BrH perfusion SPECT using a dual-headed SPECT system during the period between January 2004 and June 2006. DIBrH SPECT was three-dimensionally co-registered with DIBrH CT to comprehend the relationship between lung perfusion defects and CT low attenuation areas (LAA). By comparing the appearance of lung perfusion on DIBrH with non-BrH SPECT, the correlation with the rate constant for the alveolar-capillary transfer of carbon monoxide (DLCO/VA) was compared between perfusion abnormalities on these SPECTs and LAA on CT. DIBrH SPECT provided fairly uniform perfusion in controls, but significantly enhanced perfusion heterogeneity when compared with non-BrH SPECT in pulmonary emphysema patients (P < 0.001). The reliable DIBrH SPECT-CT fusion images confirmed more extended perfusion defects than LAA on CT in majority (73%) of patients. Perfusion abnormalities on DIBrH SPECT were more closely correlated with DLCO/VA than LAA on CT (P < 0.05). DIBrH SPECT identifies affected lungs with perfusion abnormality better than does non-BrH SPECT in pulmonary emphysema. DIBrH SPECT-CT fusion images are useful for more accurately localizing affected lungs than morphologic CT alone in this disease.

Skeletal SPECT/CT of the peripheral extremities -interdisciplinary approach in orthopaedic disorders-first clinical results

Abstract Bone scintigraphy, although quite sensitive to detect skeletal lesions, has a comparatively low specificity. Hybrid-cameras combining single-photon emission computed tomography (SPECT) and spiral-CT offer the opportunity to correlate scintigraphic information with high-quality visualization of morphology in one session. This may lead to an improvement in diagnostic accuracy and anatomic lesion localization. We present 11 patients, who underwent SPECT/CT of the feet (n=10) and hands (n = 1). The examinations were performed due to pain in foot or hand with the following suspected clinical diagnoses: arthrosis (n=1); fracture (n=3); osteomyelitis (n=4); reflex dystrophia (n=1); and, pain of unclear origin (n=2). All patients underwent SPECT/CT hybrid imaging using a dual-headed SPECT camera integrated with a 2-slice spiral CT scanner in one gantry. SPECT, CT, and SPECT/CT were evaluated independently from each other with respect to main diagnosis, anatomic lesion localization, and detection of a possible additional diagnosis. SPECT/CT improved lesion localization in 8 of 11 patients (73%) in comparison to SPECT alone, and in 4 of 11 patients (36%) in comparison to CT alone. Diagnostic accuracy was improved in 4 of 11 patients (36%) in comparison to either SPECT or CT alone. In conclusion, skeletal SPECT/CT improves diagnostic accuracy and lesion localization of orthopedic disorders in the feet and hands. The obtained results encouraged extensive studies to further investigate the potential gain in diagnostic accuracy brought about by SPECT/spiral-CT hybrid imaging in orthopedic disorders of the peripheral extremities.

Dopamine Transporter Density in the Basal Ganglia in Obsessive-Compulsive Disorder, Measured with [123I]IPT SPECT before and after Treatment with Serotonin Reuptake Inhibitors

It has been suggested that dopamine as well as serotonin are associated with the pathophysiology of obsessive-compulsive disorder (OCD). 5-Hydroxytryptophan inhibits dopamine release in healthy persons as well as in patients with OCD, and serotonin tonic inhibition affects dopamine function in basal ganglia, indicating a close relationship between serotonin and the dopamine system. Using iodine-123-labeled N-(3-iodopropen-2-yl)-2β-carbomethoxy-3β-(4-chlorophenyl) tropane ([¹²³I]IPT) single photon emission computed tomography (SPECT), we investigated the dopamine transporter (DAT) density in the basal ganglia of patients with OCD. The test consists of two measurements before and after treatment with serotonin reuptake inhibitors (SRIs). Ten patients with OCD before and after treatment with SRIs were included. We performed brain SPECT 2 h after intravenous administration of [¹²³I]IPT using a dual-head SPECT camera (Vertex, ADAC, Calif., USA) and analyzed the SPECT data, reconstructed for the assessment of the specific/nonspecific DAT binding ratio in the basal ganglia. We then examined the correlation between the scores of OCD symptom changes, assessed with the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), and DAT binding ratio. Patients with OCD after treatment with SRIs showed a significantly decreased DAT binding ratio in the right basal ganglia compared with baseline. A significant correlation was found between the total scores and compulsion score changes of the Y-BOCS and the changes of the DAT binding ratio of the right basal ganglia. These findings suggest that the dopaminergic neurotransmitter system of the basal ganglia could play an important role in the symptom improvement of OCD patients.

Improved quantification in 123I cardiac SPECT imaging with deconvolution of septal penetration

(123)I is becoming an important radionuclide for cardiac imaging. Multiple, low-abundance, high-energy photons associated with (123)I imaging can cause septal penetration in the collimators and degrade quantification of the (123)I cardiac uptake. This study presents a method for the deconvolution of septal penetration (DSP) for improving quantification in (123)I cardiac single photon emission computed tomography (SPECT). Distance-dependent point spread functions were measured for low-energy high-resolution collimators on a dual-head SPECT system. The measured point spread functions were used in two-dimensional (2-D) and three-dimensional (3-D) models of the collimator response, respectively. 2-D DSP and 3-D DSP were then developed and implemented using iterative reconstruction. A cardiac torso phantom with an internal calibration source was designed with various heart-to-calibration ratios (HCRs) simulating different levels of a patient's uptake. SPECT acquisitions of the phantom were performed using optimized acquisition and processing parameters for (123)I cardiac SPECT. HCRs were calculated using planar projection and tomographic reconstructions. The paired t-test and regression analysis were used to compare the HCRs given by different calculation methods. SPECT produced more accurate HCRs than planar imaging. The slopes of the regression lines for SPECT using filtered back-projection were statistically significantly higher than those for planar imaging (0.2118 +/- 0.0297 vs. 0.0819 +/- 0.0070, P = 0.0001). 2-D DSP and 3-D DSP yielded similar HCRs that were close to the true HCR. The slopes of the regression lines for 2-D DSP and 3-D DSP were 0.9203 +/- 0.0523 and 0.9101 +/- 0.0304, respectively. The DSP HCRs were significantly more accurate than those calculated without DSP (P < 0.0001). DSP significantly improves quantification in (123)I cardiac SPECT imaging. 2-D DSP with its less computational burden shows promise for implementation in clinical practice so as to allow the use of the widely available low-energy, high-resolution collimators for quantitative I cardiac SPECT imaging.

Tracking transplanted cells using dual-radionuclide SPECT

The purpose of this study was to characterize the performance of single photon emission computed tomography (SPECT) in tasks associated with tracking transplanted cells. Previous studies identified matters of hardware design, whereas we focus on biological variables impacting system performance, such as cell colony growth and non-specific radiolabelling. Using experimental data, a digital phantom was developed of in vitro 111In-radiolabelled stem cells, transfected with a reporter gene, transplanted into canine infarcted myocardium and interrogated using a peripherally injected 131I-radiolabelled reporter probe. Single- and dual-head SPECT acquisition was simulated. Performance was characterized using an estimation task, where the precision of parameter estimates (111In and 131I radiolabel quantity, cell colony size and location, and background) was tracked as the phantom evolved to simulate 111In-label efflux, cell colony growth and improved reporter probe specificity. In vitro pre-labelling of transplanted cells improved precision of parameter estimates via a priori size and location information. Precision of radiolabel quantity estimates improved with cell colony growth, despite 111In radiolabel dilution; size and location parameters were influenced little. Precision of radiolabel quantity estimates improved with reduced reporter probe non-specific uptake. The performance of SPECT in cell tracking is influenced strongly by biological variables. These should be considered when planning experiments or developing SPECT technology for cell tracking.

A multipinhole small animal SPECT system with submillimeter spatial resolution

Single photon emission computed tomography (SPECT) is an important technology for molecular imaging studies of small animals. In this arena, there is an increasing demand for high performance imaging systems that offer improved spatial resolution and detection efficiency. We have designed a multipinhole small animal imaging system based on position sensitive avalanche photodiode (PSAPD) detectors with the goal of submillimeter spatial resolution and high detection efficiency, which will allow us to minimize the radiation dose to the animal and to shorten the time needed for the imaging study. Our design will use 8 x 24 mm2 PSAPD detector modules coupled to thallium-doped cesium iodide [CsI(Tl)] scintillators, which can achieve an intrinsic spatial resolution of 0.5 mm at 140 keV. These detectors will be arranged in rings of 24 modules each; the animal is positioned in the center of the 9 stationary detector rings which capture projection data from the animal with a cylindrical tungsten multipinhole collimator. The animal is supported on a bed which can be rocked about the central axis to increase angular sampling of the object. In contrast to conventional SPECT pinhole systems, in our design each pinhole views only a portion of the object. However, the ensemble of projection data from all of the multipinhole detectors provide angular sampling that is sufficient to reconstruct tomographic data from the object. The performance of this multipinhole PSAPD imaging system was simulated using a ray tracing program that models the appropriate point spread functions and then was compared against the performance of a dual-headed pinhole SPECT system. The detection efficiency of both systems was simulated and projection data of a hot rod phantom were generated and reconstructed to assess spatial resolution. Appropriate Poisson noise was added to the data to simulate an acquisition time of 15 min and an activity of 18.5 MBq distributed in the phantom. Both sets of data were reconstructed with an ML-EM reconstruction algorithm. In addition, the imaging performance of both systems was evaluated with a uniformity phantom and a realistic digital mouse phantom. Simulations show that our proposed system produces a spatial resolution of 0.8 mm and an average detection efficiency of 630 cps/MBq. In contrast, simulations of the dual-headed pinhole SPECT system produce a spatial resolution of 1.1 mm and an average detection efficiency of 53 cps/MBq. These results suggest that our novel design will achieve high spatial resolution and will improve the detection efficiency by more than an order of magnitude compared to a dual-headed pinhole SPECT system. We expect that this system can perform SPECT with submillimeter spatial resolution, high throughput, and low radiation dose suitable for in vivo imaging of small animals.

Brain SPECT with short focal-length cone-beam collimation.

Single-photon emission-computed tomography (SPECT) imaging of deep brain structures is compromised by loss of photons due to attenuation. We have previously shown that a centrally peaked collimator sensitivity function can compensate for this phenomenon, increasing sensitivity over most of the brain. For dual-head instruments, parallel-hole collimators cannot provide variable sensitivity without simultaneously degrading spatial resolution near the center of the brain; this suggests the use of converging collimators. We have designed collimator pairs for dual-head SPECT systems to increase sensitivity, particularly in the center of the brain, and compared the new collimation approach to existing approaches on the basis of performance in estimating activity concentration of small structures at various locations in the brain. The collimator pairs we evaluated included a cone-beam collimator, for increased sensitivity, and a fan-beam collimator, for data sufficiency. We calculated projections of an ellipsoidal uniform background, with 0.9-cm-radius spherical lesions at several locations in the background. From these, we determined ideal signal-to-noise ratios (SNRCRB) for estimation of activity concentration within the spheres, based on the Cramer-Rao lower bound on variance. We also reconstructed, by an ordered-subset expectation-maximization (OS-EM) procedure, images of this phantom, as well as of the Zubal brain phantom, to allow visual assessment and to ensure that they were free of artifacts. The best of the collimator pairs evaluated comprised a cone-beam collimator with 20 cm focal length, for which the focal point is inside the brain, and a fan-beam collimator with 40 cm focal length. This pair yielded increased SNRCRB, compared to the parallel-parallel pair, throughout the imaging volume. The factor by which SNRCRB increased ranged from 1.1 at the most axially extreme location to 3.5 at the center. The gains in SNRCRB were relatively robust to mismatches between the center of the brain and the center of the imaging volume. Artifact-free reconstructions of simulated data acquired using this pair were obtained. Combining fan-beam and short-focusing cone-beam collimation should greatly improve dual-head brain SPECT imaging, especially for centrally located structures.

Does scatter correction of cardiac SPECT improve image quality in the presence of high extracardiac activity?

Background Extracardiac activity confounds conventional cardiac single photon emission computed tomography (SPECT) image reconstruction. It has been proposed that applying scatter correction (SC) may improve image quality. This study was done to test whether SC improves several quantitative measures of cardiac imaging in the presence of high extracardiac activity. Methods and results An anatomic anthropomorphic phantom with a cardiac insert filled with technetium 99m was used. We obtained acquisitions using a dual-headed SPECT camera at 13 different levels of liver-to-heart activity. Each acquisition was reconstructed by use of each of 6 different methods: filtered backprojection with or without SC, maximum likelihood with or without SC, and maximum likelihood with attenuation correction (AC) and with or without SC. Three different parameters were used to assess the effect of the processing methods on image quality: image variability, contrast, and signal-to-noise ratio. Only image contrast improved significantly with SC. By adding SC to filtered backprojection, image contrast improved by 13% ( P < .01). Maximum likelihood reconstruction with AC resulted in further improvement in contrast (increase of 17%), variability (decrease of 5%), and signal-to-noise ratio (increase of 6%) over filtered backprojection (all P < .01). Conclusion Image quality improved significantly when SC was applied, especially when combined with maximum likelihood reconstruction with AC. This improvement was present despite increased extracardiac activity in close proximity to the heart.

Assessment of geometrical distortion and activity distribution after attenuation correction: A SPECT phantom study

Background. If single photon emission computed tomography (SPECT) images are reconstructed with filtered backprojection (FBP), not accounting for photon attenuation, artifacts can occur related to geometrical distortion and inaccurate estimation of regional distribution of radioactivity. By reconstructing the images with an iterative algorithm such as the maximum likelihood-expectation maximization (ML-EM) that incorporates the attenuation distribution information, it is possible to compensate for nonuniform attenuation. The aim of this study was to assess whether correction for nonuniform attenuation in SPECT can reduce the geometrical distortion and improve the activity quantitation. Methods and Results. Three capillary sources containing the same amount of technetium 99m were imaged by a dual-headed SPECT system provided with two gadolinium 153 scanning transmission line sources, in nonuniform attenuation conditions. The images were reconstructed (1) with the use of FBP, (2) with the iterative ML-EM algorithm, and (3) with the iterative ML-EM algorithm incorporating attenuation maps. The geometrical distortion was estimated by comparing the spread that occurred in 2 orthogonal directions in the reconstructed transverse slices, expressed by full width at half maximum related to the x-axis and y-axis line spread functions. The accuracy of activity quantitation was analyzed by comparing the counts in regions of interest placed over the transverse slices of the 3 sources, located in different attenuating areas. The FBP-reconstructed slices showed a spread of image intensity toward the direction of minor attenuation; the source shape improved in the iterative ML-EM images, as well as in the iterative attenuation-corrected ML-EM images. The sources located deep in the phantom showed an apparent decrease in image intensity in both FBP and ML-EM images, which became less evident in the iterative attenuation-corrected ML-EM images. Conclusions. Image reconstruction with the iterative ML-EM algorithm, without the use of attenuation maps, can reduce geometrical distortion and eliminate streak artifacts, leading to an improvement in the object's shape and size, but does not reduce activity underestimation and inaccurate quantitation. In the iterative attenuation-corrected ML-EM images, there was a significant improvement in the accurate quantitation of activity distribution and a further reduction in geometrical distortion. In conclusion, nonisotropic attenuation correction with iterative ML-EM reduced the geometrical distortion of images and improved the accuracy of activity quantitation. (J Nucl Cardiol 2002;9:508-14)