Maike E. Lindemann1, Jan Ole Blumhagen2, and Harald H. Quick1,3
1High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Essen, Germany
Synopsis
In
quantitative PET-imaging, it is essential to correct the attenuation of photons
in tissue. In combined PET/MR-imaging the attenuation correction (AC) is based
on MR-data and subsequent tissue class segmentation. The MR-FOV is limited due
to B0-inhomogeneities and gradient nonlinearities. Therefore, the
AC-map is truncated and reconstructed PET-data are biased. HUGE (B0-Homogenization
using gradient enhancement), which determines an optimal readout gradient to
compensate gradient nonlinearities, is evaluated in phantom experiments and
applied to MR-imaging of volunteers. The extension of the MR-FOV for MR-based AC
showed an improvement of PET-quantification in integrated PET/MR-imaging by
reducing the truncated areas of the AC-map.Introduction
To achieve
quantitative PET imaging, it is essential to correct the attenuation of photons
in human tissue. In combined PET/MR hybrid imaging the attenuation correction
(AC) is based on MR data and subsequent tissue class segmentation [1]. In MR
imaging, the field-of-view (FOV) is limited to a diameter of typically
50 cm in x-y direction due
to B
0 inhomogeneities and gradient nonlinearities. Therefore, the AC
map (umap) might be truncated or geometrically distorted at the edges of the
FOV, and hence the reconstructed PET data may be biased. In this work, a method
called HUGE [2] (B
0-Homogenization using gradient enhancement),
which determines an optimal readout gradient in x-direction to locally
compensate the gradient nonlinearities, is evaluated in phantom experiments and
applied to MR-imaging of volunteers.
Materials and Methods
All
measurements were performed on an integrated whole-body PET/MR system (Biograph
mMR, Siemens Healthcare, Erlangen, Germany). For quantitative PET imaging a
NEMA IQ phantom (PTW,
Freiburg, Germany) was used. To simulate patient arms, two cylindrical
structure phantoms (diameter 12.5 cm, length 65 cm) were built. All phantoms
were filled with MR-signal-producing fluid and placed on a low-attenuating Styrofoam
block to ensure exact and reproducible repositioning (Fig.1). The MR-based AC
map was measured with a standard Dixon VIBE sequence. A modified HASTE sequence
with continuous table movement was acquired to obtain MR signal from the
extended FOV (HUGE) [3]. The HUGE MR data is used to complete the truncated Dixon-AC
map by filling the missing parts with a linear attenuation coefficient of 0.1 cm
-1.
The phantom setup was scanned by a dual-source CT scanner (SOMATOM Definition Flash,
Siemens Healthcare) to provide a CT-based umap of all phantom components,
serving as reference standard. For converting CT data with an
energy level of 140 keV to the PET energy level of 511 keV, a bilinear function
was used [4]. All AC maps are shown in Fig. 2. The PET measurements with
18F
were accomplished by NU 2-2007 standard with a sphere-background-ratio 8:1,
total activity 51.32 MBq and 12 min per bed position [5]. All PET
reconstructions were performed with e7 tools (Siemens Molecular Imaging,
Knoxville, USA). Five volunteers (mean age 44 y ± 19 y, mean BMI 21.4 ± 2.5)
were imaged with Dixon VIBE and HUGE sequences. To evaluate the quantitative effect
in phantom measurements of limited and extended AC maps on PET data compared to
CT-based AC, ROIs were analyzed in the reconstructed PET images (Fig. 3).
Fusion images of Dixon VIBE umap and HUGE MR data of five volunteers were
generated (Fig. 4).
Results
The
Dixon VIBE umap shows truncations at the edges of the FOV (arms, Fig. 2A),
while the CT-based AC, serving as standard of reference, images the entire
phantom setup with fluid filling and phantom housing and is not hampered by
truncation artifacts (Fig. 2B). In Fig. 2C, the Dixon VIBE-based umap extended
by HUGE shows less distortion at the edges of the FOV. The calculated SNR of
activity concentration in the hot spheres using different umaps for attenuation
correction benefits from extended AC correction, but there is still an
underestimation in PET signal when compared to the CT reference (Fig. 3B). Nevertheless,
relative differences in counts up to 5.2% in HUGE corrected images in
comparison to limited Dixon VIBE AC show an improvement in MR-based AC. The
remaining difference to the CT-based activity values can be explained by the
fact, that the MR-based AC techniques Dixon and HUGE do not display and
consider the PET signal attenuating phantom housing as the CT-based umap does. Volunteer scans (Fig. 4) also show the improvement in extended AC maps. While
segmented AC map of the Dixon VIBE sequence shows signal truncations along the
arms, MR-based HUGE data and fusion images depict added body volume along the
arms by applying HUGE.
Discussion and Conclusion
In phantom
measurements the extension of the MR FOV using HUGE for MR-based attenuation
correction showed an improvement of PET quantification in integrated PET/MR
imaging by reducing the otherwise truncated areas of the phantom umap in
MR-based Dixon imaging. The phantom results were in good agreement with the CT
reference scan, with the difference that in the CT-based umap also the phantom
housing and its attenuating effect is additionally considered. The volunteer
measurements demonstrate that the proposed method of using HUGE and image
segmentation to complete the MR-based umap can reduce the distortion at
off-center position and therefore has the potential to improve MR-based AC in
PET/MR hybrid imaging.
Acknowledgements
No acknowledgement found.References
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