Pierre Gantet

Iterative three-dimensional expectation maximization restoration of single photon emission computed tomography images: application in striatal imaging.

Single photon emission computed tomography imaging suffers from poor spatial resolution and high statistical noise. Consequently, the contrast of small structures is reduced, the visual detection of defects is limited and precise quantification is difficult. To improve the contrast, it is possible to include the spatially variant point spread function of the detection system into the iterative reconstruction algorithm. This kind of method is well known to be effective, but time consuming. We have developed a faster method to account for the spatial resolution loss in three dimensions, based on a postreconstruction restoration method. The method uses two steps. First, a noncorrected iterative ordered subsets expectation maximization (OSEM) reconstruction is performed and, in the second step, a three-dimensional (3D) iterative maximum likelihood expectation maximization (ML-EM) a posteriori spatial restoration of the reconstructed volume is done. In this paper, we compare to the standard OSEM-3D method, in three studies (two in simulation and one from experimental data). In the two first studies, contrast, noise, and visual detection of defects are studied. In the third study, a quantitative analysis is performed from data obtained with an anthropomorphic striatal phantom filled with 123-I. From the simulations, we demonstrate that contrast as a function of noise and lesion detectability are very similar for both OSEM-3D and OSEM-R methods. In the experimental study, we obtained very similar values of activity-quantification ratios for different regions in the brain. The advantage of OSEM-R compared to OSEM-3D is a substantial gain of processing time. This gain depends on several factors. In a typical situation, for a 128 x 128 acquisition of 120 projections, OSEM-R is 13 or 25 times faster than OSEM-3D, depending on the calculation method used in the iterative restoration. In this paper, the OSEM-R method is tested with the approximation of depth independent resolution. For the striatum this approximation is appropriate, but for other clinical situations we will need to include a spatially varying response. Such a response is already included in OSEM-3D.

Evaluation of O-(2-[18F]-Fluoroethyl)-L-Tyrosine in the Diagnosis of Glioblastoma

OBJECTIVE To assess the feasibility of synthesis of O-(2-[(18)F]-fluoroethyl)-l-tyrosine (FET), a new positron emission tomographic (PET) tracer described in several studies but not yet considered standard in management of glioma, in routine practice and to determine FET uptake in a homogeneous group of patients with suspected high-grade glioma. DESIGN Prospective nonrandomized trial. PATIENTS Twelve patients with suspicion of high-grade glioma. RESULTS The mean (SD) FET uptake ratio was 3.15 (0.72) for the 12 patients and 3.16 (0.75) for the 11 patients with glioblastoma. CONCLUSION The initial results are promising and indicate that FET PET is a valuable and applicable tool for the imaging of high-grade glioma.

A simulation method for studying scintillation camera collimators

This paper presents a computer simulation of photon interaction with collimator septa, which allows the point spread function of scintillation camera collimators to be calculated. The method simulates photon attenuation along their propagation direction in a determinist way. Using this simulation, the spatial resolution, geometric efficiency and penetration index of collimators may be easily assessed. Results obtained with this method are presented and compared with those obtained from standard formulae. We show the usefulness of the simulation which precisely accounts for effects of septum penetration. Measurements performed on two collimators with 131I and 99Tcm point sources provide results consistent with those obtained from the simulation method. In conclusion we show that this method is an accurate tool to assist conception of collimators for nuclear medicine.

Collimators calculation for a single slice SPECT system

The authors assess different collimation modes for a single slice single photon emission tomograph designed in their department. A computer simulation of the gamma ray path through the collimators was implemented to investigate the performance of focusing parallel, focusing convergent, focusing single-slot-aperture and focusing multi-slot-aperture collimators. The method allows the study and comparison of spatial resolution and geometric efficiency for collimators presenting the same spatial resolution at the tomograph rotation centre depth. The results show that, compared with standard focusing parallel collimation, the focusing convergent and focusing single-slot-aperture collimations multiply efficiency by, respectively, 1.6 and 1.2 at the rotation centre depth. Focusing multi-slot-aperture collimation looks very attractive in terms of efficiency but raises difficult problems of reconstruction because of projection superimposition. Efficiency measurements performed on two collimators, focusing parallel and single-slot-aperture collimators, provide results consistent with those obtained from the simulation method. In conclusion, the authors show that this simulation method is an accurate tool to assess the performance of specially designed collimators for which currently available formulae are not suitable.

Etude en simulation de l'influence des défauts des collimateurs sur l'uniformité des images scintigraphiques

The mechanical tolerances in building collimators for scintillation cameras are studied. A simulation method has been used to quantify the effects of defects in hole inclination and hole diameter on the uniformity of planar and tomographic images. The calculation takes into account the geometry of the hexagonal hole collimator, the camera intrinsic resolution, the object size, the pixel size, the effect of low-pass filtering, as well as the type, size and position of the defect. For instance, a 0.03 mm diameter defect on several holes located in the central region of a very high resolution collimator can result in a 12% uniformity artefact in tomographic imaging of an 18 cm diameter cylinder, using a 3.45 mm resolution camera, 4.5 mm pixel size, and Hamming filtering with a Nyquist frequency cut-off. A 0.17 degree inclination defect of a few holes can result in the same uniformity artefact. These results show that the building of a collimator has to be very precise.

Etude en simulation de l'influence des défauts des collimateurs sur l'uniformité des images scintigraphiquesSimulation study of the influence of collimator defects on the uniformity of scintigraphic images

The mechanical tolerances in building collimators for scintillation cameras are studied. A simulation method has been used to quantify the effects of defects in hole inclination and hole diameter on the uniformity of planar and tomographic images. The calculation takes into account the geometry of the hexagonal hole collimator, the camera intrinsic resolution, the object size, the pixel size, the effect of low-pass filtering, as well as the type, size and position of the defect. For instance, a 0.03 mm diameter defect on several holes located in the central region of a very high resolution collimator can result in a 12% uniformity artefact in tomographic imaging of an 18 cm diameter cylinder, using a 3.45 mm resolution camera, 4.5 mm pixel size, and Hamming filtering with a Nyquist frequency cut-off. A 0.17 degree inclination defect of a few holes can result in the same uniformity artefact. These results show that the building of a collimator has to be very precise.

Caractérisation de la réponse des collimateurs à trous parallèles hexagonaux des caméras à scintillation Characterization of the response of hexagonal parallel-hole collimators of scintillation cameras

This paper presents a formulation of the frequency response of hexagonal parallel-hole collimator scintillation cameras. To describe this response, we propose an equation determined semi-empirically from a great number of simulations. The utility of the equation is that it enables the simple calculation of the response from collimator characteristics by taking into account the collimators hexagonal structure. Because the equation does not assume translation invariance, the results can be directly compared with experimental measurements obtained with a point source. It is particularly interesting for collimators with large holes, like the medium-resolution ones used for high-energy radiation. Quality control and physical performance measurements are thus facilitated for this kind of collimator. Also, we present a new parameter that gives a quantitative assessment of the importance of partition penetration. This parameter is measured directly from the collimator frequency response. It has been studied by simulation, taking into account gamma photon attenuation in collimator partitions. The experimental measurements that have been made are in accord with the proposed equations.