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Title: Simulation study of respiratory-induced errors in cardiac positron emission tomography/computed tomography

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.2211708· OSTI ID:20853388
;  [1]
  1. Department of Nuclear Medicine London, Lawson Health Research Institute, St. Joseph's Health Care, London, Ontario, N6A 4V2 (Canada) and University of Western Ontario, London, Ontario, N6A 5B8 (Canada)

Heart disease is a leading killer in Canada and positron emission tomography (PET) provides clinicians with in vivo metabolic information for diagnosing heart disease. Transmission data are usually acquired with {sup 68}Ge, although the advent of PET/CT scanners has made computed tomography (CT) an alternative option. The fast data acquisition of CT compared to PET may cause potential misregistration problems, leading to inaccurate attenuation correction (AC). Using Monte Carlo simulations and an anthropomorphic dynamic computer phantom, this study determines the magnitude and location of respiratory-induced errors in radioactivity uptake measured in cardiac PET/CT. A homogeneous tracer distribution in the heart was considered. The AC was based on (1) a time-averaged attenuation map (2) CT maps from a single phase of the respiratory cycle, and (3) CT maps phase matched to the emission data. Circumferential profiles of the heart uptake were compared and differences of up to 24% were found between the single-phase CT-AC method and the true phantom values. Simulation results were supported by a PET/CT canine study which showed differences of up to 10% in the heart uptake in the lung-heart boundary region when comparing {sup 68}Ge- to CT-based AC with the CT map acquired at end inhalation.

OSTI ID:
20853388
Journal Information:
Medical Physics, Vol. 33, Issue 8; Other Information: DOI: 10.1118/1.2211708; (c) 2006 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
Country of Publication:
United States
Language:
English