Scatter correction improves concordance in SPECT MPI with a dedicated cardiac SPECT solid-state camera

Purpose: Correction for photon attenuation and scatter improves image quality with conventional NaI-based gamma cameras but evaluation of these corrections for novel solid-state dedicated cardiac cameras is limited. In this study, we assess the accuracy of dual-energy-window (DEW) scatter correction (SC) applied to clinically acquired 99mTc-tetrofosmin myocardial perfusion images obtained on a dedicated multi-pinhole camera with cadmium-zinc-telluride (CZT) detectors (GE Discovery NM530) compared to DEW scatter-corrected images from our conventional SPECT camera (GE Infinia Hawkeye 4; INF).Methods: A modified DEW SC method was formulated to account for the detection of primary photons in the lower energy window (120 keV ± 5%) with CZT detectors, in addition to estimating the scattered photons detected in the photopeak window (140 keV ± 10%). Phantom experiments were used to estimate the DEW correction parameters. Data from 108 patients, acquired using a standard rest/stress Tc-99m-tetrofosmin SPECT/CT protocol on both cameras, were reconstructed with no correction (NC), attenuation correction (AC), and AC with DEW-SC. Images were compared based on the summed stress/rest/difference scores (SSS/SRS/SDS) calculated by clinical software.Results: The correlation between SSS/SRS for the two cameras was excellent (r ≥ 0.94). The mean difference between cameras was  .1).Conclusions: DEW-SC on the CZT camera was feasible and produced images that are not significantly different from those acquired on the INF camera. Although use of SC on CZT images does increase noise, the resultant noise does not introduce bias relative to the INF camera

Will the Effects of Sea-Level Rise Create Ecological Traps for Pacific Island Seabirds?

<div><p>More than 18 million seabirds nest on 58 Pacific islands protected within vast U.S. Marine National Monuments (1.9 million km²). However, most of these seabird colonies are on low-elevation islands and sea-level rise (SLR) and accompanying high-water perturbations are predicted to escalate with climate change. To understand how SLR may impact protected islands and insular biodiversity, we modeled inundation and wave-driven flooding of a globally important seabird rookery in the subtropical Pacific. We acquired new high-resolution Digital Elevation Models (DEMs) and used the Delft3D wave model and ArcGIS to model wave heights and inundation for a range of SLR scenarios (+0.5, +1.0, +1.5, and +2.0 m) at Midway Atoll. Next, we classified vegetation to delineate habitat exposure to inundation and identified how breeding phenology, colony synchrony, and life history traits affect species-specific sensitivity. We identified 3 of 13 species as highly vulnerable to SLR in the Hawaiian Islands and quantified their atoll-wide distribution (Laysan albatross, <i>Phoebastria immutabilis</i>; black-footed albatross, <i>P</i>. <i>nigripes</i>; and Bonin petrel, <i>Pterodroma hypoleuca</i>). Our models of wave-driven flooding forecast nest losses up to 10% greater than passive inundation models at +1.0 m SLR. At projections of + 2.0 m SLR, approximately 60% of albatross and 44% of Bonin petrel nests were overwashed displacing more than 616,400 breeding albatrosses and petrels. Habitat loss due to passive SLR may decrease the carrying capacity of some islands to support seabird colonies, while sudden high-water events directly reduce survival and reproduction. This is the first study to simulate wave-driven flooding and the combined impacts of SLR, groundwater rise, and storm waves on seabird colonies. Our results highlight the need for early climate change planning and restoration of higher elevation seabird refugia to prevent low-lying protected islands from becoming ecological traps in the face of rising sea levels.</p></div