Low-Dose Dual-Energy Computed Tomography for PET Attenuation Correction with Statistical Sinogram Restoration

Dual-energy (DE) X-ray computed tomography (CT) has been proposed as an useful tool in various applications. One promising application is DECT with low radiation doses used for attenuation correction in positron emission tomography (PET). In low-dose DECT, conventional methods for sinogram decomposition have been based on logarithmic transformations and ignored noise properties, leading to very noisy component sinogram estimates. In this paper, we propose two novel sinogram restoration methods that are statistically motivated; penalized weighted least square (PWLS) and penalized likelihood (PL), producing less noisy component sinogram estimates for low-dose DECT than the conventional approaches. The restored component sinograms can improve attenuation correction, thus allowing better image quality in PET. Experiments with a digital phantom indicate that the proposed methods produce less noisy sinograms, reconstructed images, and attenuation correction factors (ACF) than the conventional one, showing promise for CT-based attenuation correction in emission tomography.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85933/1/Fessler230.pd

Statistical Sinogram Restoration in Dual-Energy CT for PET Attenuation Correction

Dual-energy (DE) X-ray computed tomography (CT) has been found useful in various applications. In medical imaging, one promising application is using low-dose DECT for attenuation correction in positron emission tomography (PET). Existing approaches to sinogram material decomposition ignore noise characteristics and are based on logarithmic transforms, producing noisy component sinogram estimates for low-dose DECT. In this paper, we propose two novel sinogram restoration methods based on statistical models: penalized weighted least square (PWLS) and penalized likelihood (PL), yielding less noisy component sinogram estimates for low-dose DECT than classical methods. The proposed methods consequently provide more precise attenuation correction of the PET emission images than do previous methods for sinogram material decomposition with DECT. We report simulations that compare the proposed techniques and existing approaches.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85900/1/Fessler11.pd

Fast kVp-Switching Dual Energy CT for PET Attenuation Correction

X-ray CT images are used routinely for attenuation correction in PET/CT systems. However, conventional CT-based attenuation correction (CTAC) can be inaccurate in regions containing iodine contrast agent. Dual-energy (DE) CT has the potential to improve the accuracy of attenuation correction in PET, but conventional DECT can suffer from motion artifacts. Recent X-ray CT systems can collect DE sinograms by rapidly switching the X-ray tube voltage between two levels for alternate projection views, reducing motion artifacts. The goal of this work is to study statistical methods for image reconstruction from both fast kVp-switching DE scans and from conventional dual-rotate DE scans in the context of CTAC for PET.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/86003/1/Fessler244.pd

Quantitative Attenuation Correction for PET/CT Using Iterative Reconstruction of Low-Dose Dual-Energy CT

We present the results of using iterative reconstruction of dual-energy CT (DECT) to perform accurate CT-based attenuation correction (CTAC) for PET emission images. Current methods, such as bilinear scaling, introduce quantitative errors in the PET emission image for bone, metallic implants, and contrast agents. DECT has had limited use in the past for quantitative CT imaging due to increased patient dose and high noise levels in the decoupled CT basis-material images. Reconstruction methods that model the acquisition physics impose a significant computational burden due to the large image matrix size (typically 512 × 512). For CTAC, however, three factors make DECT feasible: (1) a smaller matrix is needed for the transmission image, which reduces the noise per pixel, (2) a smaller matrix significantly accelerates an iterative CT reconstruction algorithm, (3) the monoenergetic transmission image at 511 keV is the sum of the two decoupled basis-material images. Initial results using a 128 × 128 matrix size for a test object comprised of air, soft tissue, dense bone, and a mixture of tissue and bone demonstrate a significant reduction of bias using DECT (from 20% to ?0% for the tissue/bone mixture). FBP reconstructed images, however, have significant noise. Noise levels are reduced from ?8% to ?3% by the use of PWLS reconstruction.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85861/1/Fessler203.pd

Cherenkov luminescence measurements with digital silicon photomultipliers: a feasibility study.

BackgroundA feasibility study was done to assess the capability of digital silicon photomultipliers to measure the Cherenkov luminescence emitted by a β source. Cherenkov luminescence imaging (CLI) is possible with a charge coupled device (CCD) based technology, but a stand-alone technique for quantitative activity measurements based on Cherenkov luminescence has not yet been developed. Silicon photomultipliers (SiPMs) are photon counting devices with a fast impulse response and can potentially be used to quantify β-emitting radiotracer distributions by CLI.MethodsIn this study, a Philips digital photon counting (PDPC) silicon photomultiplier detector was evaluated for measuring Cherenkov luminescence. The PDPC detector is a matrix of avalanche photodiodes, which were read one at a time in a dark count map (DCM) measurement mode (much like a CCD). This reduces the device active area but allows the information from a single avalanche photodiode to be preserved, which is not possible with analog SiPMs. An algorithm to reject the noisiest photodiodes and to correct the measured count rate for the dark current was developed.ResultsThe results show that, in DCM mode and at (10-13) °C, the PDPC has a dynamic response to different levels of Cherenkov luminescence emitted by a β source and transmitted through an opaque medium. This suggests the potential for this approach to provide quantitative activity measurements. Interestingly, the potential use of the PDPC in DCM mode for direct imaging of Cherenkov luminescence, as a opposed to a scalar measurement device, was also apparent.ConclusionsWe showed that a PDPC tile in DCM mode is able to detect and image a β source through its Cherenkov radiation emission. The detector's dynamic response to different levels of radiation suggests its potential quantitative capabilities, and the DCM mode allows imaging with a better spatial resolution than the conventional event-triggered mode. Finally, the same acquisition procedure and data processing could be employed also for other low light levels applications, such as bioluminescence

Performance assessment of a NaI(Tl) gamma counter for PET applications with methods for improved quantitative accuracy and greater standardization

BACKGROUND: Although NaI(Tl) gamma counters play an important role in many quantitative positron emission tomography (PET) protocols, their calibration for positron-emitting samples has not been standardized across imaging sites. In this study, we characterized the operational range of a gamma counter specifically for positron-emitting radionuclides, and we assessed the role of traceable (68)Ge/(68)Ga sources for standardizing system calibration. METHODS: A NaI(Tl) gamma counter was characterized with respect to count rate performance, adequacy of detector shielding, system stability, and sample volume effects using positron-emitting radionuclides (409- to 613-keV energy window). System efficiency was measured using (18)F and compared with corresponding data obtained using a long-lived (68)Ge/(68)Ga source that was implicitly traceable to a national standard. RESULTS: One percent count loss was measured at 450 × 10(3) counts per minute. Penetration of the detector shielding by 511-keV photons gave rise to a negligible background count rate. System stability tests showed a coefficient of variation of 0.13% over 100 days. For a sample volume of 4 mL, the efficiencies relative to those at 0.1 mL were 0.96, 0.94, 0.91, 0.78, and 0.72 for (11)C, (18)F, (125)I, (99m)Tc, and (51)Cr, respectively. The efficiency of a traceable (68)Ge/(68)Ga source was 30.1% ± 0.07% and was found to be in close agreement with the efficiency for (18)F after consideration of the different positron fractions. CONCLUSIONS: Long-lived (68)Ge/(68)Ga reference sources, implicitly traceable to a national metrology institute, can aid standardization of gamma counter calibration for (18)F. A characteristic feature of positron emitters meant that accurate calibration could be maintained over a wide range of sample volumes by using a narrow energy window centered on the 511-keV peak

Noise Characteristics of the FORE+OSEM(DB) Reconstruction Method for the MiCES PET Scanner

The FORE+OSEM(DB) image reconstruction method has been proposed for the fully-3D MiCES PET scanner under construction at the University of Washington. It is based on Fourier rebinning followed by 2D OSEM and an incorporated model of detector blurring (DB). As an extension, this paper presents the noise/resolution characteristics of this method. Multiple realizations were simulated to estimate the noise properties of the algorithm. The results are compared with OSEM followed by post reconstruction 3D Gaussian smoothing. The results show that the incorporation of detector blurring (OSEM(DB)) into the system matrix improves resolution compared to OSEM, while also inducing an increased variance at all radial locations. In addition, radially-varying noise characteristics are more apparent with OSEM(DB) than with OSEM.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85836/1/Fessler204.pd

Reconstruction of 3D Whole-Body PET Data Using Blurred Anatomical Labels

The diagnostic utility of whole-body PET is often limited by the high level of statistical noise in the images. An improvement in image quality can be obtained by incorporating correlated anatomical information during the reconstruction of the PET data. The combined PET/CT (SMART) scanner allows the acquisition of accurately aligned PET and CT whole-body data. The authors present results of incorporating aligned anatomical information from the CT during the reconstruction of 3D whole-body PET data. They use the FORE+PWLS method for the reconstruction and a label model to incorporate anatomical information via penalty weights. Since in practice mismatches between anatomical and functional data are unavoidable, the labels are “blurred” to reflect the uncertainty associated with the anatomical information. Results show the potential advantage of incorporating anatomical information by using a blurred labels with the penalty weights.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85864/1/Fessler153.pd

Bone Material Analogues for PET/MRI Phantoms

Purpose: To develop bone material analogues that can be used in construction of phantoms for simultaneous PET/MRI systems. Methods: Plaster was used as the basis for the bone material analogues tested in this study. It was mixed with varying concentrations of an iodinated CT contrast, a gadolinium-based MR contrast agent, and copper sulfate to modulate the attenuation properties and MRI properties (T1 and T2*). Attenuation was measured with CT and 68Ge transmission scans, and MRI properties were measured with quantitative ultrashort echo time pulse sequences. A proof-of-concept skull was created by plaster casting. Results: Undoped plaster has a 511 keV attenuation coefficient (~0.14 cm-1) similar to cortical bone (0.10-0.15 cm-1), but slightly longer T1 (~500 ms) and T2* (~1.2 ms) MR parameters compared to bone (T1 ~ 300 ms, T2* ~ 0.4 ms). Doping with the iodinated agent resulted in increased attenuation with minimal perturbation to the MR parameters. Doping with a gadolinium chelate greatly reduced T1 and T2*, resulting in extremely short T1 values when the target T2* values were reached, while the attenuation coefficient was unchanged. Doping with copper sulfate was more selective for T2* shortening and achieved comparable T1 and T2* values to bone (after 1 week of drying), while the attenuation coefficient was unchanged. Conclusions: Plaster doped with copper sulfate is a promising bone material analogue for a PET/MRI phantom, mimicking the MR properties (T1 and T2*) and 511 keV attenuation coefficient of human cortical bone

Pragmatic fully 3D image reconstruction for the MiCES mouse imaging PET scanner

We present a pragmatic approach to image reconstruction for data from the micro crystal elements system (MiCES) fully 3D mouse imaging positron emission tomography (PET) scanner under construction at the University of Washington. Our approach is modelled on fully 3D image reconstruction used in clinical PET scanners, which is based on Fourier rebinning (FORE) followed by 2D iterative image reconstruction using ordered-subsets expectation-maximization (OSEM). The use of iterative methods allows modelling of physical effects (e.g., statistical noise, detector blurring, attenuation, etc), while FORE accelerates the reconstruction process by reducing the fully 3D data to a stacked set of independent 2D sinograms. Previous investigations have indicated that non-stationary detector point-spread response effects, which are typically ignored for clinical imaging, significantly impact image quality for the MiCES scanner geometry. To model the effect of non-stationary detector blurring (DB) in the FORE+OSEM(DB) algorithm, we have added a factorized system matrix to the ASPIRE reconstruction library. Initial results indicate that the proposed approach produces an improvement in resolution without an undue increase in noise and without a significant increase in the computational burden. The impact on task performance, however, remains to be evaluated.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/48978/2/pmb4_19_008.pd