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arXiv 2107.00740physics.med-ph
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用于α粒子发射放射性药物治疗的投影域低计数定量SPECT方法

A projection-domain low-count quantitative SPECT method for alpha-particle emitting radiopharmaceutical therapy

Zekun Li, Nadia Benabdallah, Diane S. Abou, Brian C. Baumann, Farrokh Dehdashti, David H. Ballard, Jonathan Liu, Uday Jammalamadaka, Richard Laforest, Richard L… 展开作者

Zekun Li, Nadia Benabdallah, Diane S. Abou, Brian C. Baumann, Farrokh Dehdashti, David H. Ballard, Jonathan Liu, Uday Jammalamadaka, Richard Laforest, Richard L. Wahl, Daniel L. J. Thorek, Abhinav K. Jha

摘要:

单光子发射计算机断层成像(SPECT)提供了一种机制,用于估计α粒子发射放射性药物治疗(α-RPT)给药后病变和高危器官的局部同位素摄取。然而,由于复杂的发射光谱、检测到的计数的非常低的数量、在这些低计数下的杂散辐射相关噪声的影响以及SPECT中的多个图像退化过程,该估计任务是具有挑战性的。传统的基于重建的定量方法被观察到是错误的α-RPT SPECT。为了解决这些挑战,我们开发了一种低计数定量SPECT(LC-QSPECT)方法,该方法直接估计来自投影数据的区域活性摄取,补偿杂散辐射相关噪声以及放射性同位素和SPECT物理学。该方法进行了验证的背景下,三维SPECT与223 Ra。使用真实模拟研究(包括虚拟临床试验)和合成和拟人物理体模研究进行确认。在所有研究中,LC-QSPECT方法产生了可靠的区域摄取估计,并且优于传统的基于有序子集期望最大化(OSEM)的重建和基于几何传递矩阵(GTM)的重建后部分体积补偿方法。此外,该方法在不同的病变大小、对比度和不同水平的病变内异质性上产生了可靠的摄取。此外,估计吸收的方差接近Cramé-Rao边界定义的理论极限。

英文摘要:

Single-photon emission computed tomography (SPECT) provides a mechanism to estimate regional isotope uptake in lesions and at-risk organs after administration of α-particle-emitting radiopharmaceutical therapies (α-RPTs). However, this estimation task is challenging due to the complex emission spectra, the very low number of detected counts, the impact of stray-radiation-related noise at these low counts, and the multiple image-degrading processes in SPECT. The conventional reconstruction-based quantification methods are observed to be erroneous for α-RPT SPECT. To address these challenges, we developed a low-count quantitative SPECT (LC-QSPECT) method that directly estimates the regional activity uptake from the projection data, compensates for stray-radiation-related noise, and for the radioisotope and SPECT physics. The method was validated in the context of three-dimensional SPECT with 223 Ra. Validation was performed using both realistic simulation studies, including a virtual clinical trial, and synthetic and anthropomorphic physical-phantom studies. Across all studies, the LC-QSPECT method yielded reliable regional-uptake estimates and outperformed the conventional ordered subset expectation maximization (OSEM)-based reconstruction and geometric transfer matrix (GTM)-based post-reconstruction partial-volume compensation methods. Further, the method yielded reliable uptake across different lesion sizes, contrasts, and different levels of intra-lesion heterogeneity. Additionally, the variance of the estimated uptake approached the Cramé-Rao bound-defined theoretical limit.

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