Synthesis of Realistic Simultaneous Positron Emission Tomography and Magnetic Resonance Imaging Data

The investigation of the performance of different positron emission tomography (PET) reconstruction and motion compensation methods requires accurate and realistic representation of the anatomy and motion trajectories as observed in real subjects during acquisitions. The generation of well-controlled clinical datasets is difficult due to the many different clinical protocols, scanner specifications, patient sizes, and physiological variations. Alternatively, computational phantoms can be used to generate large data sets for different disease states, providing a ground truth. Several studies use registration of dynamic images to derive voxel deformations to create moving computational phantoms. These phantoms together with simulation software generate raw data. This paper proposes a method for the synthesis of dynamic PET data using a fast analytic method. This is achieved by incorporating realistic models of respiratory motion into a numerical phantom to generate datasets with continuous and variable motion with magnetic resonance imaging (MRI)-derived motion modeling and high resolution MRI images. In this paper, data sets for two different clinical traces are presented, ¹⁸F-FDG and ⁶⁸Ga-PSMA. This approach incorporates realistic models of respiratory motion to generate temporally and spatially correlated MRI and PET data sets, as those expected to be obtained from simultaneous PET-MRI acquisitions

Hybrid PET-MR list-mode kernelized expectation maximization reconstruction

The recently introduced kernelized expectation maximization (KEM) method has shown promise across varied applications. These studies have demonstrated the benefits and drawbacks of the technique when the kernel matrix is estimated from separate anatomical information, for example from magnetic resonance (MR), or from a preliminary PET reconstruction. The contribution of this work is to propose and investigate a list-mode-hybrid KEM (LM-HKEM) reconstruction algorithm with the aim of maintaining the benefits of the anatomically-guided methods and overcome their limitations by incorporating synergistic information iteratively. The HKEM is designed to reduce negative bias associated with low-counts, the problem of PET unique feature suppression reported in the previously mentioned studies using only the MR-based kernel, and to improve contrast of lesions at different count levels. The proposed algorithm is validated using a simulation study, a phantom dataset and two clinical datasets. For each of the real datasets high and low count-levels were investigated. The reconstructed images are assessed and compared with different LM algorithms implemented in STIR. The findings obtained using simulated and real datasets show that anatomically-guided techniques provide reduced partial volume effect and higher contrast compared to standard techniques, and HKEM provides even higher contrast and reduced bias in almost all the cases. This work, therefore argues that using synergistic information, via the kernel method, increases the accuracy of the PET clinical diagnostic examination. The promising quantitative features of the HKEM method give the opportunity to explore many possible clinical applications, such as cancer and inflammation