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arXiv 2103.10541physics.med-ph
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低剂量PET成像和重建后平滑的定量研究

Quantitative investigation of low-dose PET imaging and post-reconstruction smoothing

Behnoush Sanaei, Reza Faghihi, Hossein Arabi

摘要:

本研究采用18F-FDG PET/CT脑扫描对50例头颈部恶性肿瘤患者进行了系统评价,(标准剂量的10%、8%、6%、5%、4%、3%、2%和1%)和通过测量标准图像质量指标获得的图像质量(峰值信噪比(PSNR)、结构相似性指数(SSIM)、均方根误差(RMSE)和标准摄取值(SUV)偏差)。此外,我们评估了重建后高斯滤波对PET图像的影响,以降低噪声,提高不同低剂量水平下的信噪比。随着注射剂量降低超过5%,观察到PET图像质量和肿瘤可检测性显著降低,导致RMSE从0.173 SUV(5%)显著增加至1.454 SUV(1%)。恶性病变的定量研究表明,SUVmax偏差大大增加低剂量PET图像(特别是在1%,2%,3%的水平)应用后重建滤波器之前,而应用高斯滤波器的低剂量PET图像导致SUVmax偏差显着降低。在低剂量PET图像中,恶性病变内的SUV平均偏倚可忽略不计(小于1%);然而,在应用重建后滤波器后,该偏倚显著增加。总之,强烈建议在应用重建后Guassain滤波器之前和之后分别考虑低剂量PET图像中的SUVmax偏倚和SUVmean偏倚。

英文摘要:

In this study, 18F-FDG PET/CT brain scans of 50 patients with head and neck malignant lesions were employed to systematically assess the relationship between the amount of injected dose (10%, 8%, 6%, 5%, 4%, 3%, 2%, and 1% of standard dose) and the image quality through measuring standard image quality metrics (peak-signal-to-noise-ration (PSNR), structural similarity index (SSIM), root mean square error (RMSE), and standard uptake value (SUV) bias) for the whole head region as well as within the malignant lesions, considering the standard-dose PET images as reference. Furthermore, we evaluated the impact of post-reconstruction Gaussian filtering on the PET images in order to reduce noise and improve the signal-to-noise ratio at different low-dose levels. Significant degradation of PET image quality and tumor detectability was observed with a decrease in the injected dose by more than 5%, leading to a remarkable increase in RMSE from 0.173 SUV (at 5%) to 1.454 SUV (at 1%). The quantitative investigation of the malignant lesions demonstrated that SUVmax bias greatly increased in low-dose PET images (in particular at 1%, 2%, 3% levels) before applying the post-reconstruction filter, while applying the Gaussian filter on low-dose PET images led to a significant reduction in SUVmax bias. The SUVmean bias within the malignant lesions was negligible (less than 1%) in low-dose PET images; however, this bias increased significantly after applying the post-reconstruction filter. In conclusion, it is strongly recommended that the SUVmax bias and SUVmean bias in low-dose PET images should be considered prior to and following the application of the post-reconstruction Guassain filter, respectively.

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