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Biomedical subjects

I Buvat

Publications and source records attributed to I Buvat.

16 recordsLinked to original sources

Two-dimensional statistical model for regularized backprojection in SPECT.

In SPECT, both the noise affecting the data and the discretization of the inverse Radon transform are responsible for the ill-posed nature of the reconstruction. To constrain the problem, we propose a regularized backprojection method (RBP) which takes advantage of the relationships existing between the continuity properties of the projections and those of the reconstructed object. The RBP method involves two stages: first, a statistical model (the fixed-effect model) is used to estimate the noise-free part of the projections. Then, the filtered projections are reconstructed using a backprojection algorithm (spline filtered backprojection) which ensures that the reconstructed object belongs to a space consistent with that containing the projections. The method is illustrated using analytical simulations, and the RBP approach is compared to the conventional filtered backprojection. The effect on the reconstructed slices of the parameters involved in RBP is studied in terms of spatial resolution, homogeneity in uniform regions and quantification. It is shown that appropriate combinations of these parameters yield a better compromise between homogeneity and spatial resolution than conventional FBP, with similar quantification performances.

Algorithms

Statistical distribution of factors and factor images in factor analysis of medical image sequences.

From a time or energy image sequence, factor analysis of medical image sequences (FAMIS) estimates factors, representing kinetics or spectra in a given physiological compartment, and associated factor images, showing the compartments corresponding to each curve. In this paper, we show that the statistical properties of factor images and associated factors can be determined using a well known result from elementary probability theory. Numerical experiments are conducted to demonstrate that the variance observed in factor images can be predicted when the statistical properties of the original data are known. It is shown how these theoretical results can be used to relax the non-negativity constraints during FAMIS oblique analysis and to improve the quantitative interpretation of the factor images by associating a confidence interval with each pixel value.

Biophysical Phenomena

Impact of scatter correction in planar scintimammography: a phantom study.

UNLABELLED: This study examines how scatter correction might affect lesion detection and quantitation of tumor-to-normal breast tissue activity ratio in planar scintimammography. METHODS: Forty-one phantom acquisitions were performed to mimic a wide variety of scintimammographic imaging conditions in which lesions would be close to the chest wall. For each acquisition, the images corresponding to a 10% energy window (110) and two scatter correction methods [the Jaszczak (JA) method and a factor analysis (FA)-based method] were obtained in addition to the conventional 20% image (120). A total of 368 images in which detection of the "tumor" was judged borderline were selected, and 10 independent observers were asked to detect lesions in these images. Receiver operating curve analyses were performed to assess detection performance. Tumor-to-normal tissue activity ratios were calculated for quantitative analysis. RESULTS: Detection performance significantly improved for the I10, JA and FA images compared to the 120 images, with an increase in sensitivity up to 8% for FA images. Sensitivity was especially increased for small lesions (13- and 16-mm3 spheres) and true heart-to-normal tissue activity ratios of > 12. Scatter correction also increased the certainty with which the readers gave their judgment. The tumor-to-normal tissue activity ratio was approximately 8% larger on JA or FA images and 1% larger on the I10 images compared to the 120 images. For a given image, the variability with which this ratio was estimated was reduced by approximately 4% on JA and FA images. CONCLUSION: Based on these phantom results, scatter correction might be used with benefit in scintimammography.

Breast

Implications of dual-energy-window (DEW) scatter correction inaccuracies for 111In quantitative geometric mean imaging.

There is increasing clinical interest in the use of quantitative imaging for radiopharmaceuticals labelled with 111In. Dual-energy-window (DEW) scatter correction is a frequently used component of planar geometric mean quantitative imaging, but it is known that the scatter multiplier k suffers from significant dependence on the characteristics of the scatter medium. Phantom studies with a variety of source geometries were carried out to determine the clinical impact of this dependence on the quantitative accuracy of tumour imaging carried out in conjunction with attenuation correction. Spheres of various sizes (5-20 ml volumes) containing approximately 3.7 MBq (100 microCi) 111In were imaged at a variety of depths (4.8-10.5 cm) within an elliptical water-filled phantom, as well as in air. Geometric mean emission images were acquired using a 20% photopeak window at 247 keV and a 10% scatter window at 205 keV. These emission images were corrected for attenuation using measured 99Tcm transmission data that were scaled to 111In photon energies. Scatter correction was performed in two ways: (1) using the standard DEW method and (2) using a modified DEW method that takes into account benign scatter in the detector crystal. Errors in the activity estimates ranged from -4% to +3% for method 1 in water, and -5% to +3% for method 2 in water. In air, method 1 ranged from -13% to -5%, and method 2 ranged from -10% to -1%. Method 1 was found to yield an accuracy equivalent to that of method 2, except in conditions of very low patient scatter, when the modified method behaved significantly better. We conclude that in a variety of realistic geometries, variations in scatter fraction as determined by the DEW scatter correction method combined with appropriate attenuation correction need not inhibit accurate absolute quantitation of spherical 'tumours' labelled with 111In when using planar imaging.

Gamma Cameras

A "hybrid" method for measuring myocardial wall thickening from gated PET/SPECT images.

UNLABELLED: We introduce a hybrid index, HYB, which combines counts with geometric information to measure wall thickening from PET/SPECT gated images. Its accuracy is compared with that of a count-based index (MAX) and a geometric index (FWHM). METHODS: For each index, the index values versus thickness and the estimated thickening values versus true thickening were investigated using theoretical analyses, realistic simulated data obtained from clinical gated MR scans, phantom measurements and preliminary gated MRI and PET patient studies. Each index was studied for different spatial resolutions and noise and background conditions. The performance of each index was quantified using a parameter "Q" reflecting bias and variability of thickening estimates. RESULTS: HYB varied more linearly with thickness than MAX and FWHM, resulting in a better Q value than with MAX and FWHM for all noise, background and spatial resolutions. ROC analysis confirmed that HYB significantly increases the sensitivity and specificity for detection of wall thickening abnormalities (sensitivity = 100%; specificity = 85% for HYB, 95% and 50% for MAX and 100% and 0% for FWHM, respectively). CONCLUSION: Use of the hybrid index instead of conventional count-based or geometric indices should improve the classification of normal/abnormal wall thickening values in gated SPECT and PET.

Heart

A new correction method for gamma camera non-uniformity due to energy response variability.

We present a new uniformity correction (Fourier energy correction) which is designed to correct for gamma camera non-uniformity caused by variations of the energy response function within a wide spectral range. A convolution model is used to describe the spatial distortions of the energy response function. The model is solved in Fourier space. A preliminary flood acquisition is required to obtain energy-dependent Fourier weights which are used to correct subsequent acquisitions. The influence of the parameters involved in the correction procedure is studied and the Fourier energy correction is compared to a conventional multiplicative energy correction for different acquisition geometries. The Fourier energy correction appears especially useful when the energy information associated with each detected photon is analysed using a fine sampling, or when windows different from the photopeak window are used.

Biophysical Phenomena

Comparative assessment of nine scatter correction methods based on spectral analysis using Monte Carlo simulations.

UNLABELLED: We compared nine scatter correction methods based on spectral analysis which process SPECT projections. METHODS: Monte Carlo simulation was used to generate histories of photons emitted from a realistic 99mTc phantom. A particular projection was considered. Information regarding the history, location and energy of the photons detected in this projection was analyzed to test the assumptions underlying each scatter correction method. Relative and absolute quantification and signal-to-noise ratio were assessed for each scatter corrected image. RESULTS: For the simulated data, two methods do not enable activity quantification. Among the methods requiring some parameters to be calibrated, the dual-energy window method shows the best compromise between accuracy and ease of implementation but introduces a bias in relative quantification. In this respect, a triple-energy window technique is more accurate than the dual-window method. A factor analysis approach results in more stable quantitative accuracy (error approximately 10%) for a wide range of activity but requires a more sophisticated acquisition mode (30 energy windows). CONCLUSION: These results show that a scatter correction method using spectral analysis can be used to substantially improve accurate quantification.

Humans

A comparative study of scatter correction methods for scintigraphic images.

Phantom studies have demonstrated that factor analysis of medical image sequences using target apex-seeking (FAMIS-TAS) applied to spectral scintigraphic image sequences is an efficient adaptive scatter correction method. We assessed the improvement in quality of clinical images using FAMIS-TAS as compared with two other scatter correction techniques: conventional 20% photopeak window (PW) and scatter window subtraction (SWS). Thirty normal technetium-99m hydroxymethylene diphosphonate bone scans were processed. Bone to soft tissue contrasts and signal-to-noise and contrast-to-noise ratios were measured. The overall image quality was evaluated using an observer testing questionnaire submitted to four physicians. Quantitative parameters showed that FAMIS-TAS images displayed the best bone to soft tissue contrasts and contrast-to-noise ratios, but the lowest signal-to-noise ratios. PW images presented the lowest contrasts and contrast-to-noise ratios, and the highest signal-to-noise ratios. SWS gave intermediate results. According to the observer testing results, PW images showed the lowest bone to soft tissue contrasts and the highest signal-to-noise ratios. FAMIS-TAS images showed the lowest signal-to-noise ratios. The images processed by the three methods displayed the same anatomical information.

Adolescent

Scatter correction in scintigraphy: the state of the art.

In scintigraphy, the detection of scattered photons degrades both visual image analysis and quantitative accuracy. Many methods have been proposed and are still under investigation to cope with scattered photons. The main features of the problem of scattering in radionuclide imaging are presented first, to provide a sound foundation for a critical review of the existing scatter correction techniques. These are described using a classification relating to their aims and principles. Their theoretical potentials are analysed, as well as the difficulties of their practical implementation. Finally, the problems of their evaluation and comparison are discussed.

Humans

Target apex-seeking in factor analysis of medical image sequences.

The aim of factor analysis of medical image sequences (FAMIS) is to estimate a limited number of physical or physiological fundamental functions. Its oblique rotation stage strongly affects the quality and the interpretation of the resulting estimates (factors and factor images). A new target apex-seeking method which integrates physical or physiological knowledge in this stage is described. This knowledge concerns some of the fundamental functions and reacts on the determination of all the factors. A simulated spectral study illustrates the method. We discuss its properties in comparison with the other approaches using a priori physical or physiological information.

Computer Simulation

A statistical model for the determination of the optimal metric in factor analysis of medical image sequences (FAMIS).

A statistical model is added to the conventional physical model underlying factor analysis of medical image sequences (FAMIS). It allows a derivation of the optimal metric to be used for the orthogonal decomposition involved in FAMIS. The oblique analysis of FAMIS is extended to take this optimal metric into account. The case of scintigraphic image sequences is used. We derive in this case that the optimal decomposition is obtained by correspondence analysis. A scintigraphic dynamic study illustrates the practical consequences of the use of the optimal metric in FAMIS.

Factor Analysis, Statistical

Extraction of functional volumes from medical dynamic volumetric data sets.

A method based on factor analysis is presented to process dynamic volumetric (t + 3D) data sets acquired for flow, excretion, or metabolic studies. It estimates a reduced number of underlying physiological kinetics and their associated spatial distributions, corresponding to functional volumes, using dedicated algorithms. The global (t + 3D) approach is shown to be superior to the conventional one, which repeats estimations on each (t + 2D) data set, obtained for each slice or projection of the volume.

Algorithms

Attenuation correction in cardiac positron emission tomography and single-photon emission computed tomography.

Quantitation in cardiac positron emission tomography (PET) and single-photon emission computed tomography (SPECT) depends on being able to correct for several physical factors that tend to distort the data. One of the most important of these corrections is the correction for attenuation. For PET, cardiac attenuation correction is a reality, although certain problems remain to be solved. For SPECT, recent developments in gamma camera hardware and reconstruction methods have finally made it possible to attempt attenuation correction in a clinical setting. This article reviews the methods available to perform attenuation correction in both PET and SPECT, with emphasis on the commonality between the problems encountered and solutions proposed for each modality.

Heart

Measurement of myocardial wall thickening from PET/SPECT images: comparison of two methods.

PURPOSE: We compared two methods for measuring myocardial wall thickening from nuclear medicine perfusion scans. The first method uses the percent change in peak activity, and the second method models a profile measured across the myocardium. METHOD: Mathematical simulations of the myocardium were used. In addition, images with PET or SPECT resolution were created from real MR images. Known amounts of noise were then added. RESULTS: The percent peak thickening (% PT) is nonlinear with true percent thickening, especially for PET resolutions [7 mm full width at half-maximum (FWHM)]. For the peak method, low levels of noise (10%) introduced an error of 8%PT for PET and of 16%PT for SPECT. Additional smoothing reduced these errors. For the fitted model, at 10% noise, the error in thickening was large: 2.3 mm for PET and 7.8 mm for SPECT. CONCLUSION: The fitted model works well only with good resolution and low noise (e.g., 7 mm FWHM and 10%). The peak method is also sensitive to noise, especially for poorer resolutions. Additional smoothing gives more reliable results for the peak method but not the fitted method. The peak method is therefore the more generally reliable, but even this method may only allow classification of myocardial thickening into broad categories.

Adult

Realignment of emission contaminated attenuation maps with uncontaminated attenuation maps for attenuation correction in PET.

PURPOSE: We investigated aligning a transmission (T) scan with a subsequent emission contaminated transmission (T+E) scan. This would permit correction for patient motion and thereby use of a single T scan to correct E scans taken hours or days apart. METHOD: Scans from 15 patients were used to produce 200 T scans contaminated with two levels of either [18F]fluorodeoxyglucose or [13N]ammonia E data. Known misalignments were introduced between each T+E scan and the corresponding T scan, and each pair was subsequently realigned. Realignment errors were compared with those obtained for uncontaminated T scans. RESULTS: The realignment errors increase with the contamination level and depend slightly on the contaminant. However, even at the highest level of contamination studied, the mean absolute translation errors remained less than the voxel size and the mean absolute rotation errors were < 2.5 degrees. CONCLUSION: AT+E scan can be accurately realigned with a T scan. This suggests that attenuation correction could be performed by using a high quality T scan taken days or hours earlier and aligning this T scan with a short T scan taken immediately after E imaging.

Heart