Effect of Time-of-Flight and Regularized Reconstructions on Quantitative Measurements and Qualitative Assessments in Newly Diagnosed Prostate Cancer With 18F-Fluorocholine Dual Time Point PET/MRI.

Recent technical advances in positron emission tomography/magnetic resonance imaging (PET/MRI) technology allow much improved time-of-flight (TOF) and regularized iterative PET reconstruction regularized iterative reconstruction (RIR) algorithms. We evaluated the effect of TOF and RIR on standardized uptake values (maximum and peak SUV [SUVmax and SUVpeak]) and their metabolic tumor volume dependencies and visual image quality for 18F-fluorocholine PET/MRI in patients with newly diagnosed prostate cancer. Fourteen patients were administered with 3 MBq/kg of 18F-fluorocholine and scanned dynamically for 30 minutes. Positron emission tomography images were divided to early and late time points (1-6 minutes summed and 7-30 minutes summed). The values of the different SUVs were documented for dominant PET-avid lesions, and metabolic tumor volume was estimated using a 50% isocontour and SUV threshold of 2.5. Image quality was assessed via visual acuity scoring (VAS). We found that incorporation of TOF or RIR increased lesion SUVs. The lesion to background ratio was not improved by TOF reconstruction, while RIR improved the lesion to background ratio significantly ( P < .05). The values of the different VAS were all significantly higher ( P < .05) for RIR images over TOF, RIR over non-TOF, and TOF over non-TOF. In conclusion, our data indicate that TOF or RIR should be incorporated into current protocols when available

Image reconstruction in fluorescence molecular tomography with sparsity-initialized maximum-likelihood expectation maximization

We present a reconstruction method involving maximum-likelihood expectation maximization (MLEM) to model Poisson noise as applied to fluorescence molecular tomography (FMT). MLEM is initialized with the output from a sparse reconstruction-based approach, which performs truncated singular value decomposition-based preconditioning followed by fast iterative shrinkage-thresholding algorithm (FISTA) to enforce sparsity. The motivation for this approach is that sparsity information could be accounted for within the initialization, while MLEM would accurately model Poisson noise in the FMT system. Simulation experiments show the proposed method significantly improves images qualitatively and quantitatively. The method results in over 20 times faster convergence compared to uniformly initialized MLEM and improves robustness to noise compared to pure sparse reconstruction. We also theoretically justify the ability of the proposed approach to reduce noise in the background region compared to pure sparse reconstruction. Overall, these results provide strong evidence to model Poisson noise in FMT reconstruction and for application of the proposed reconstruction framework to FMT imaging

Direct estimation of kinetic parametric images for dynamic PET.

Dynamic positron emission tomography (PET) can monitor spatiotemporal distribution of radiotracer in vivo. The spatiotemporal information can be used to estimate parametric images of radiotracer kinetics that are of physiological and biochemical interests. Direct estimation of parametric images from raw projection data allows accurate noise modeling and has been shown to offer better image quality than conventional indirect methods, which reconstruct a sequence of PET images first and then perform tracer kinetic modeling pixel-by-pixel. Direct reconstruction of parametric images has gained increasing interests with the advances in computing hardware. Many direct reconstruction algorithms have been developed for different kinetic models. In this paper we review the recent progress in the development of direct reconstruction algorithms for parametric image estimation. Algorithms for linear and nonlinear kinetic models are described and their properties are discussed

Topics in image reconstruction for high resolution positron emission tomography

Les problèmes mal posés représentent un sujet d'intérêt interdisciplinaire qui surgires dans la télédétection et des applications d'imagerie. Cependant, il subsiste des questions cruciales pour l'application réussie de la théorie à une modalité d'imagerie. La tomographie d'émission par positron (TEP) est une technique d'imagerie non-invasive qui permet d'évaluer des processus biochimiques se déroulant à l'intérieur d'organismes in vivo. La TEP est un outil avantageux pour la recherche sur la physiologie normale chez l'humain ou l'animal, pour le diagnostic et le suivi thérapeutique du cancer, et l'étude des pathologies dans le coeur et dans le cerveau. La TEP partage plusieurs similarités avec d'autres modalités d'imagerie tomographiques, mais pour exploiter pleinement sa capacité à extraire le maximum d'information à partir des projections, la TEP doit utiliser des algorithmes de reconstruction d'images à la fois sophistiquée et pratiques. Plusieurs aspects de la reconstruction d'images TEP ont été explorés dans le présent travail. Les contributions suivantes sont d'objet de ce travail: Un modèle viable de la matrice de transition du système a été élaboré, utilisant la fonction de réponse analytique des détecteurs basée sur l'atténuation linéaire des rayons y dans un banc de détecteur. Nous avons aussi démontré que l'utilisation d'un modèle simplifié pour le calcul de la matrice du système conduit à des artefacts dans l'image. (IEEE Trans. Nucl. Sei., 2000) );> La modélisation analytique de la dépendance décrite à l'égard de la statistique des images a simplifié l'utilisation de la règle d'arrêt par contre-vérification (CV) et a permis d'accélérer la reconstruction statistique itérative. Cette règle peut être utilisée au lieu du procédé CV original pour des projections aux taux de comptage élevés, lorsque la règle CV produit des images raisonnablement précises. (IEEE Trans. Nucl. Sei., 2001) Nous avons proposé une méthodologie de régularisation utilisant la décomposition en valeur propre (DVP) de la matrice du système basée sur l'analyse de la résolution spatiale. L'analyse des caractéristiques du spectre de valeurs propres nous a permis d'identifier la relation qui existe entre le niveau optimal de troncation du spectre pour la reconstruction DVP et la résolution optimale dans l'image reconstruite. (IEEE Trans. Nucl. Sei., 2001) Nous avons proposé une nouvelle technique linéaire de reconstruction d'image événement-par-événement basée sur la matrice pseudo-inverse régularisée du système. L'algorithme représente une façon rapide de mettre à jour une image, potentiellement en temps réel, et permet, en principe, la visualisation instantanée de distribution de la radioactivité durant l'acquisition des données tomographiques. L'image ainsi calculée est la solution minimisant les moindres carrés du problème inverse régularisé.Abstract: Ill-posed problems are a topic of an interdisciplinary interest arising in remote sensing and non-invasive imaging. However, there are issues crucial for successful application of the theory to a given imaging modality. Positron emission tomography (PET) is a non-invasive imaging technique that allows assessing biochemical processes taking place in an organism in vivo. PET is a valuable tool in investigation of normal human or animal physiology, diagnosing and staging cancer, heart and brain disorders. PET is similar to other tomographie imaging techniques in many ways, but to reach its full potential and to extract maximum information from projection data, PET has to use accurate, yet practical, image reconstruction algorithms. Several topics related to PET image reconstruction have been explored in the present dissertation. The following contributions have been made: (1) A system matrix model has been developed using an analytic detector response function based on linear attenuation of [gamma]-rays in a detector array. It has been demonstrated that the use of an oversimplified system model for the computation of a system matrix results in image artefacts. (IEEE Trans. Nucl. Sci., 2000); (2) The dependence on total counts modelled analytically was used to simplify utilisation of the cross-validation (CV) stopping rule and accelerate statistical iterative reconstruction. It can be utilised instead of the original CV procedure for high-count projection data, when the CV yields reasonably accurate images. (IEEE Trans. Nucl. Sci., 2001); (3) A regularisation methodology employing singular value decomposition (SVD) of the system matrix was proposed based on the spatial resolution analysis. A characteristic property of the singular value spectrum shape was found that revealed a relationship between the optimal truncation level to be used with the truncated SVD reconstruction and the optimal reconstructed image resolution. (IEEE Trans. Nucl. Sci., 2001); (4) A novel event-by-event linear image reconstruction technique based on a regularised pseudo-inverse of the system matrix was proposed. The algorithm provides a fast way to update an image potentially in real time and allows, in principle, for the instant visualisation of the radioactivity distribution while the object is still being scanned. The computed image estimate is the minimum-norm least-squares solution of the regularised inverse problem

해부학적 유도 PET 재구성: 매끄럽지 않은 사전 함수부터 딥러닝 접근까지

학위논문 (박사) -- 서울대학교 대학원 : 의과대학 의과학과, 2021. 2. 이재성.Advances in simultaneous positron emission tomography/magnetic resonance imaging (PET/MRI) technology have led to an active investigation of the anatomy-guided regularized PET image reconstruction algorithm based on MR images. Among the various priors proposed for anatomy-guided regularized PET image reconstruction, Bowsher’s method based on second-order smoothing priors sometimes suffers from over-smoothing of detailed structures. Therefore, in this study, we propose a Bowsher prior based on the l1 norm and an iteratively reweighting scheme to overcome the limitation of the original Bowsher method. In addition, we have derived a closed solution for iterative image reconstruction based on this non-smooth prior. A comparison study between the original l2 and proposed l1 Bowsher priors were conducted using computer simulation and real human data. In the simulation and real data application, small lesions with abnormal PET uptake were better detected by the proposed l1 Bowsher prior methods than the original Bowsher prior. The original l2 Bowsher leads to a decreased PET intensity in small lesions when there is no clear separation between the lesions and surrounding tissue in the anatomical prior. However, the proposed l1 Bowsher prior methods showed better contrast between the tumors and surrounding tissues owing to the intrinsic edge-preserving property of the prior which is attributed to the sparseness induced by l1 norm, especially in the iterative reweighting scheme. Besides, the proposed methods demonstrated lower bias and less hyper-parameter dependency on PET intensity estimation in the regions with matched anatomical boundaries in PET and MRI. Moreover, based on the formulation of l1 Bowsher prior, the unrolled network containing the conventional maximum-likelihood expectation-maximization (ML-EM) module was also proposed. The convolutional layers successfully learned the distribution of anatomically-guided PET images and the EM module corrected the intermediate outputs by comparing them with sinograms. The proposed unrolled network showed better performance than ordinary U-Net, where the regional uptake is less biased and deviated. Therefore, these methods will help improve the PET image quality based on the anatomical side information.양전자방출단층촬영 / 자기공명영상 (PET/MRI) 동시 획득 기술의 발전으로 MR 영상을 기반으로 한 해부학적 사전 함수로 정규화 된 PET 영상 재구성 알고리즘에 대한 심도있는 평가가 이루어졌다. 해부학 기반으로 정규화 된 PET 이미지 재구성을 위해 제안 된 다양한 사전 중 2차 평활화 사전함수에 기반한 Bowsher의 방법은 때때로 세부 구조의 과도한 평활화로 어려움을 겪는다. 따라서 본 연구에서는 원래 Bowsher 방법의 한계를 극복하기 위해 l1 norm에 기반한 Bowsher 사전 함수와 반복적인 재가중치 기법을 제안한다. 또한, 우리는 이 매끄럽지 않은 사전 함수를 이용한 반복적 이미지 재구성에 대해 닫힌 해를 도출했다. 원래 l2와 제안 된 l1 Bowsher 사전 함수 간의 비교 연구는 컴퓨터 시뮬레이션과 실제 데이터를 사용하여 수행되었다. 시뮬레이션 및 실제 데이터에서 비정상적인 PET 흡수를 가진 작은 병변은 원래 Bowsher 이전보다 제안 된 l1 Bowsher 사전 방법으로 더 잘 감지되었다. 원래의 l2 Bowsher는 해부학적 영상에서 병변과 주변 조직 사이에 명확한 분리가 없을 때 작은 병변에서의 PET 강도를 감소시킨다. 그러나 제안 된 l1 Bowsher 사전 방법은 특히 반복적 재가중치 기법에서 l1 노름에 의해 유도된 희소성에 기인한 특성으로 인해 종양과 주변 조직 사이에 더 나은 대비를 보여주었다. 또한 제안된 방법은 PET과 MRI의 해부학적 경계가 일치하는 영역에서 PET 강도 추정에 대한 편향이 더 낮고 하이퍼 파라미터 종속성이 적음을 보여주었다. 또한, l1Bowsher 사전 함수의 닫힌 해를 기반으로 기존의 ML-EM (maximum-likelihood expectation-maximization) 모듈을 포함하는 펼쳐진 네트워크도 제안되었다. 컨볼루션 레이어는 해부학적으로 유도 재구성된 PET 이미지의 분포를 성공적으로 학습했으며, EM 모듈은 중간 출력들을 사이노그램과 비교하여 결과 이미지가 잘 들어맞게 수정했다. 제안된 펼쳐진 네트워크는 지역의 흡수선량이 덜 편향되고 편차가 적어, 일반 U-Net보다 더 나은 성능을 보여주었다. 따라서 이러한 방법들은 해부학적 정보를 기반으로 PET 이미지 품질을 향상시키는 데 유용할 것이다.Chapter 1. Introduction 1 1.1. Backgrounds 1 1.1.1. Positron Emission Tomography 1 1.1.2. Maximum a Posterior Reconstruction 1 1.1.3. Anatomical Prior 2 1.1.4. Proposed l_1 Bowsher Prior 3 1.1.5. Deep Learning for MR-less Application 4 1.2. Purpose of the Research 4 Chapter 2. Anatomically-guided PET Reconstruction Using Bowsher Prior 6 2.1. Backgrounds 6 2.1.1. PET Data Model 6 2.1.2. Original Bowsher Prior 7 2.2. Methods and Materials 8 2.2.1. Proposed l_1 Bowsher Prior 8 2.2.2. Iterative Reweighting 13 2.2.3. Computer Simulations 15 2.2.4. Human Data 16 2.2.5. Image Analysis 17 2.3. Results 19 2.3.1. Simulation with Brain Phantom 19 2.3.2.Human Data 20 2.4. Discussions 25 Chapter 3. Deep Learning Approach for Anatomically-guided PET Reconstruction 31 3.1. Backgrounds 31 3.2. Methods and Materials 33 3.2.1. Douglas-Rachford Splitting 33 3.2.2. Network Architecture 34 3.2.3. Dataset and Training Details 35 3.2.4. Image Analysis 36 3.3. Results 37 3.4. Discussions 38 Chapter 4. Conclusions 40 Bibliography 41 Abstract in Korean (국문 초록) 52Docto