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B M Tsui

Publications and source records attributed to B M Tsui.

53 records · Page 3Linked to original sources
PubMed1989

Correction of nonuniform attenuation in cardiac SPECT imaging.

Correction for photon attenuation in cardiac SPECT imaging using a measured attenuation distribution with an iterative expectation maximization (EM) algorithm and an iterative Chang algorithm were compared with the conventional filtered backprojection and an iterative EM algorithm without attenuation correction. The attenuation distribution was determined from a transmission computed tomography study that was obtained using an external collimated sheet source. The attenuation of the emitting photons was modeled in the EM algorithm by an attenuated projector-backprojector that used the estimated attenuation distribution to calculate attenuation factors for each pixel along each projection and backprojection ray. Results from a heart-lung phantom study and a 201Tl patient study demonstrated that the iterative EM algorithm with attenuation correction provided improved image quality in terms of reduced streak artifacts and noise, and more accurate quantitative information in terms of improved radioactivity distribution uniformity where uniformity existed, and better anatomic object definition.

Algorithms↗
PubMed1988

Determination of the optimum filter function for SPECT imaging.

An observer study was performed in order to evaluate several filters used in SPECT imaging. The filters were applied to the simulated projection data of a uniform activity density cylinder which contained a cold, spherical lesion, 2 cm in diameter. The data incorporated the effects of the detector and scatter response functions, photon attenuation, and noise. Reconstructed transaxial images were used in 2AFC and ROC observer studies testing lesion detectability. In the 2AFC experiment, the Hanning filter scored lowest and did not show a optimum cutoff frequency. The Butterworth filter performed better and showed a well-defined optimum cutoff frequency at 0.15 cycles/pixel. The Metz filter performed as well as the optimum Butterworth but did not show an optimum power factor. In the ROC study, a high power Metz filter demonstrated an ROC curve of lower Az index and different shape from a lower power Metz filter and the optimum Butterworth filter.

Filtration↗
PubMed1986

Design and clinical utility of a fan beam collimator for SPECT imaging of the head.

A long bore fan beam collimator for imaging the head was designed and constructed for a SPECT system with a rotating scintillation camera. In order to avoid the patient's shoulder during rotation of the camera with a thick camera housing, the long bore design is necessary to allow the collimator to get close to the patient's head for improved spatial resolution. Operating at the minimum radius of rotation, the prototype fan beam collimator provides about the same spatial resolution as the high resolution collimator, while the geometric efficiency is equal to approximately 85% of that of the general purpose and approximately 55% higher than the high resolution collimator. Images from a phantom study demonstrate good image quality and are void of artifacts. Comparative clinical studies on temporomandibular joints (TMJ) between the LEGP and fan beam collimators also confirm the superior image quality obtained with the fan beam collimator.

Equipment Design↗
PubMed1983

Optimum detector spatial resolution for discriminating between tumour uptake distributions in scintigraphy.

The optimum detector spatial resolution has been determined for a scintigraphic decision task in which the observer must discriminate between two different distributions of radioactivity in tumours. The two kinds of tumour used are: (i) a solid sphere of increased uptake relative to background, and (ii) a thin spherical shell with high uptake in the shell and no radioactivity within the shell. Both tumours are embedded at the same depth within a cylinder of tissue-equivalent material containing a uniform distribution of radioactivity. On the basis of statistical decision theory, the optimum detector spatial resolution for discriminating between the two tumour activity distributions is predicted. The result of an observer performance experiment substantially agreed with the theoretical prediction, though some discrepancy was found, apparently due to a decrease in observer efficiency at poorer spatial resolution. The experimental result suggests that the optimum FWHM of detector spatial response for the discrimination task considered is about 65% of the tumour radius.

Decision Theory↗
PubMed1981

Analysis of recorded image noise in nuclear medicine.

The concepts of autocovariance function and Wiener spectrum have been applied to describe the recorded image noise in nuclear medicine. They were derived as functions of the expected detected count density and the detector and exposure point spread functions. It was shown that the detector system affects only the noise magnitude, whereas the recorder system affects both noise magnitude and texture. In experimental studies, the autocovariance function and Wiener spectrum of recorded image noise were measured by one-dimensional time-series analysis. Due to the non-linearity of the recording film, the best agreement between the theoretical predictions and the experimental results is found when the detected count density is sufficiently high and the size of the exposure spot is sufficiently large for the density fluctuations in the recorded noise image to be relatively low.

Models, Theoretical↗
PubMed1978

A comparison of optimum detector spatial resolution in nuclear imaging based on statistical theory and on observer performance.

An expression for the expected image of a spherical tumour in a uniform background was derived in terms of background thickness and concentration of radioactivity, the tumour size, depth and uptake ratio, the gamma-ray energy and the detector response function. Three models of human observer performance for tumour detection were developed from different signal-to-noise ratio measures based on the statistical theory of detection. The optimum detector spatial resolution predicted by each model was then compared to that obtained from an observer performance study in which the subjects viewed computer-simulated scintigrams. The predictions from two of these models seem to be consistent with the results of the observer performance study. Model II involves a comparison of the counts integrated over the tumour region with the counts integrated over a background region of the same area. Model III compares the count density estimates of signal-plus-background and background obtained from application of non-uniform weighting functions to the image data.

Gamma Rays↗
PubMedDate not supplied

Attenuation compensation for cardiac single-photon emission computed tomographic imaging: Part 1. Impact of attenuation and methods of estimating attenuation maps.

Attenuation is believed to be one of the major causes of false-positive cardiac single-photon emission computed tomographic (SPECT) perfusion images. This article reviews the physics of attenuation, the artifacts produced by attenuation, and the need for scatter correction in combination with attenuation correction. The review continues with a comparison of the various configurations for transmission imaging that could be used to estimate patient specific attenuation maps, and an overview of how these are being developed for use on multiheaded SPECT systems, including discussions of truncation, noise, and spatial resolution of the estimated attenuation maps. Ways of estimating patient specific attenuation maps besides transmission imaging are also discussed.

Artifacts↗
PubMedDate not supplied

A Monte Carlo investigation of artifacts caused by liver uptake in single-photon emission computed tomography perfusion imaging with technetium 99m-labeled agents.

BACKGROUND: Significant hepatobiliary accumulation of technetium 99m-labeled cardiac perfusion agents has been shown to cause alterations in the apparent localization of the agents in the cardiac walls. A Monte Carlo study was conducted to investigate the hypothesis that the cardiac count changes are due to the inconsistencies in the projection data input to reconstruction, and that correction of the causes of these inconsistencies before reconstruction, or including knowledge of the physics underlying them in the reconstruction algorithm, would virtually eliminate these artifacts. METHODS AND RESULTS: The SIMIND Monte Carlo package was used to simulate 64 x 64 pixel projection images at 128 angles of the three-dimensional mathematical cardiac-torso (MCAT) phantom. Simulations were made of (1) a point source in the liver, (2) cardiac activity only, and (3) hepatic activity only. The planar projections and reconstructed point spread functions (PSFs) of the point source in the liver were investigated to study the nature of the inconsistencies introduced into the projections by imaging, and how these affect the distribution of counts in the reconstructed slices. Bull's eye polar maps of the counts at the center of the left ventricular wall of filtered back-projection (FBP) and maximum-likelihood expectation-maximization (MLEM) reconstructions of projections with solely cardiac activity, and with cardiac activity plus hepatic activity scaled to have twice the cardiac concentration, were compared to determine the magnitude and location of apparent changes in cardiac activity when hepatic activity is present. Separate simulations were made to allow the investigation of stationary spatial resolution, distance-dependent spatial resolution, attenuation, and scatter. The point source projections showed significant inconsistencies as a function of projection angle with the largest effect being caused by attenuation. When consistent projections were simulated, no significant impact of hepatic activity on cardiac counts was noted with FBP, or 100 iterations of MLEM. With inconsistent projections, reconstruction of 180 degrees resulted in greater apparent cardiac count losses than did 360 degrees reconstruction for both FBP and MLEM. The incorporation of attenuation correction in MLEM reconstruction reduced the changes in cardiac counts to that seen in simulations in which attenuation was not included, but resulted in increased apparent localization of activity in the posterior wall of the left ventricle when scatter was present in the simulated images. CONCLUSIONS: The apparent alterations in cardiac counts when significant hepatic localization is present is due to the inconsistency of the projections inherent in imaging. Prior correction of these, or accounting for them in the reconstruction algorithm, will virtually eliminate them as causes of artifactual changes in localization. Attenuation correction and scatter correction are both required to overcome the major sources of apparent count changes in the heart associated with hepatic uptake.

Artifacts↗
PubMedDate not supplied

Attenuation compensation for cardiac single-photon emission computed tomographic imaging: Part 2. Attenuation compensation algorithms.

Attenuation is believed to be one of the major causes of false-positive cardiac single-photon emission computed tomographic perfusion images. This article provides an introduction to the approaches used to correct for nonuniform attenuation once a patient-specific attenuation map is available. Comparison is made of specific attenuation-correction algorithms from each of three major categories of compensation methods that are or will be available commercially. Examples of the use of the algorithms on simulated projections of a mathematic phantom modeling the anatomy of the upper torso are used to illustrate the ability of the methods to compensate for attenuation. The advantages and disadvantages of each approach are summarized, as well as areas that need further investigation.

Algorithms↗
PubMedDate not supplied

Quantitative myocardial perfusion SPECT.

In recent years, there has been much interest in the clinical application of attenuation compensation to myocardial perfusion single photon emission computed tomography (SPECT) with the promise that accurate quantitative images can be obtained to improve clinical diagnoses. The different attenuation compensation methods that are available create confusion and some misconceptions. Also, attenuation-compensated images reveal other image-degrading effects including collimator-detector blurring and scatter that are not apparent in uncompensated images. This article presents basic concepts of the major factors that degrade the quality and quantitative accuracy of myocardial perfusion SPECT images, and includes a discussion of the various image reconstruction and compensation methods and misconceptions and pitfalls in implementation. The differences between the various compensation methods and their performance are demonstrated. Particular emphasis is directed to an approach that promises to provide quantitative myocardial perfusion SPECT images by accurately compensating for the 3-dimensional (3-D) attenuation, collimator-detector response, and scatter effects. With advances in the computer hardware and optimized implementation techniques, quantitatively accurate and high-quality myocardial perfusion SPECT images can be obtained in clinically acceptable processing time. Examples from simulation, phantom, and patient studies are used to demonstrate the various aspects of the investigation. We conclude that quantitative myocardial perfusion SPECT, which holds great promise to improve clinical diagnosis, is an achievable goal in the near future.

Algorithms↗
PubMedDate not supplied

An investigation of the estimation of ejection fractions and cardiac volumes by a quantitative gated SPECT software package in simulated gated SPECT images.

BACKGROUND: The purpose of this investigation was to determine the accuracy of the estimation of ejection fractions (EFs) and left ventricular volumes from a commercially available software package (Quantitative Gated SPECT [QGS]) as a function of different true EFs, count level in the acquisitions, severity and location of perfusion defects, increasing hepatic activity, and modified wall motion. METHODS AND RESULTS: The dynamic mathematic cardiac-torso digital phantom was used to create three-dimensional source and attenuation maps representing the distribution of a technetium-99m-labeled cardiac perfusion agent in the chest. Three hearts with varying end-systolic volumes were used to investigate different EFs. Perfusion defects were created as localized uptake within selected portions of the cardiac walls, scaled to the desired fraction of the normal wall uptake, and subtracted from the normal distribution. The hepatic uptake was increased up to five times of the normal heart uptake to investigate the influence of a "hot" liver. Alteration of lateral wall motion was also investigated. A three-dimensional projector that included the influence of distance-dependent spatial resolution and nonuniform attenuation was then used to create projection images. The projections were scaled to the desired acquisition count level, and Poisson noise was added. Automatic determination of EF slightly overestimated the true EF for normal count levels by 3% to 7% of the true EF and underestimated the true EF by up to 9% for very low count levels for 180-degree reconstructions. The accuracy for determining the volumes was not as high as for the EFs (an average error of 12% was observed). The calculated EFs were relatively accurate for perfusion defects of 50% or less. When perfusion defects exceeded 50%, extracardiac counts were included in the heart contours, causing larger underestimations of EF. With removal of the extracardiac counts, the EFs increased. With a hepatic uptake of two or more times the heart uptake, no meaningful EF could be obtained. Either drawing a single region of interest for every slice or use of the manual mode with constrain option could remarkably improve the estimation. The accuracy of the calculation of EF and volumes for the heart with stationary wall was fairly high but decreased significantly when coupled with perfusion defects. CONCLUSION: It is concluded that the QGS program evaluates the functional parameter of EF accurately. The biggest limitations occurred in determining the appropriate cardiac contour if areas with very high extracardiac counts were present in the heart slices, and when a greater than 50% decrease occurred in uptake for perfusion defects.

Cardiac Volume↗
PubMedDate not supplied

MR flow imaging in projection through a stationary surround.

A magnetic resonance imaging technique is discussed which, by cyclic inversion of the longitudinal magnetization, produces boli of moving material with alternating sign of the magnetization. At periodic spacings along the flow direction, the signal strength from magnetization of positive sign is equal to that of negative sign. This results in a minimum in the intensity distribution. A banded intensity structure results reflecting the distribution of flow velocities across the imaged vessel. The inversion of the longitudinal magnetization causes an inherent suppression of the signal from stationary material allowing the collection of flow images in projection through a stationary surround without the need for image subtraction.

Blood Flow Velocity↗
PubMedDate not supplied

Velocity imaging by rapid cycle tagging.

The unique abilities of magnetic resonance imaging (MRI) to provide detailed images of blood flow in the body, and without resorting to the injection of contrast agents, has provided the stimulus for the keen interest in this subject. In this paper we discuss a technique aimed at providing quantitative information on the distribution of velocity of blood flow across the lumen of a vessel. The technique is designed to reduce the signal from stationary material allowing for a much more accurate determination of the signal from moving material. A particular feature is that the physical phenomenon sensitized is time-of-flight displacements or "fresh spin inflow," and the technique does not rely upon phase-sensitive modulations. Further this technique produces a steady-state spatial distribution of magnetization, and hence a signal, which reflects both the time at which material enters the selected slice and how long the material remains in the slice. In this way, a single image will provide the information necessary to extract information on the velocities of interest.

Blood Flow Velocity↗
PubMedDate not supplied

Reconstruction for fan beam with an angular-dependent displaced center-of-rotation.

A convolutional backprojection algorithm is derived for a fan beam geometry that has an angular-dependent displacement in its center-of-rotation from the midline of the fan beam. In both x-ray computed tomography and single photon emission computed tomography, misalignment can occur when the mechanical center-of-rotation is not colinear with midline of the fan beam. In some cases the shift in the center-of-rotation is constant for every angle, whereas, in other cases it varies with angular position. Standard reconstruction algorithms, which directly filter and backproject the fan beam data without rebinning into parallel beam geometry, have been derived for a geometry having its center-of-rotation at the midline of the fan beam. However, in the case of any misalignment of the center-of-rotation, if these conventional reconstruction algorithms are used to reconstruct the fan beam projections, structured artifacts and a loss of resolution will result. Simulations are performed that illustrate these artifacts and demonstrate how the new algorithm corrects for this misalignment. A method for estimating the parameters of the fan beam geometry, including the angular-dependent shift in the center-of-rotation, is also described.

Algorithms↗
PubMedDate not supplied

Estimation of geometrical parameters and collimator evaluation for cone beam tomography.

A method is presented for estimating the geometrical parameters for a cone beam detector geometry from the coordinates of the centroid of a projected point source sampled over 360 degrees. Nonlinear expressions are derived for the coordinates of the centroids in terms of the geometrical parameters which include: the two-dimensional coordinates of the projection of the center of rotation onto the detector image plane; the focal length; the distance from the focal point to the center of rotation; and the spatial coordinates of the point source itself. Experimental data were obtained using a rotating gamma camera with a symmetrically converging collimator. The Marquardt algorithm was used to estimate the parameters for this particular cone beam geometry. The method was able to estimate the geometrical parameters and evaluate the accuracy of the collimator construction.

Evaluation Studies as Topic↗
PubMedDate not supplied

Performance characteristics of transmission imaging using a uniform sheet source with parallel-hole collimation.

Transmission imaging is receiving increasing attention in SPECT due to the need to compensate for nonuniform attenuation in cardiac-chest SPECT. The quality of a transmission image has an important effect on the measured attenuation distribution. To improve image quality, knowledge of the performance characteristics of a transmission imaging system is essential. The characteristics, spatial resolution, detection efficiency, photon flux, and exposure to the object, of a transmission imaging system consisting of a gamma camera and a uniform sheet source have been studied. The results demonstrate that spatial resolution of a transmission imaging system can be improved by use of a high-resolution source collimator at the price of a moderate decrease in detection efficiency, in comparison to the uncollimated case. Also, the source collimator significantly reduces the photon flux and exposure to the object. This investigation suggests that a high-resolution collimator be used with an intense sheet source to improve spatial resolution and reduce statistical noise with low exposure to the patient. This research further suggests that the amount of source activity is determined by the requirement of image quality, detection geometry, and allowed absorbed dose to the patient.

Humans↗