[18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity

The aim of the study was to assess the quality and reproducibility of reducing the injected [18F] sodium fluoride ([18F]NaF) dose while maintaining diagnostic imaging quality in bone imaging in a preclinical skeletal model using digital photon counting PET (dPET) detector technology. Beagles (n = 9)...

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Main Authors: Maria I. Menendez, Richard R. Moore, Mahmoud Abdel-Rasoul, Chadwick L. Wright, Soledad Fernandez, Rebecca D. Jackson, Michael V. Knopp
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.725118/full
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author Maria I. Menendez
Richard R. Moore
Mahmoud Abdel-Rasoul
Chadwick L. Wright
Soledad Fernandez
Rebecca D. Jackson
Michael V. Knopp
author_facet Maria I. Menendez
Richard R. Moore
Mahmoud Abdel-Rasoul
Chadwick L. Wright
Soledad Fernandez
Rebecca D. Jackson
Michael V. Knopp
author_sort Maria I. Menendez
collection DOAJ
description The aim of the study was to assess the quality and reproducibility of reducing the injected [18F] sodium fluoride ([18F]NaF) dose while maintaining diagnostic imaging quality in bone imaging in a preclinical skeletal model using digital photon counting PET (dPET) detector technology. Beagles (n = 9) were administered three different [18F]NaF doses: 111 MBq (n = 5), 20 MBq (n = 5), and 1.9 MBq (n = 9). Imaging started ≃45 min post-injection for ≃30 min total acquisition time. Images were reconstructed using Time-of-Flight, ultra-high definition (voxel size of 1 × 1 × 1 mm3), with 3 iterations and 3 subsets. Point spread function was modeled and Gaussian filtering was applied. Skeleton qualitative and quantitative molecular image assessment was performed. The overall diagnostic quality of all images scored excellent (61%) and acceptable (39%) by all the reviewers. [18F]NaF SUVmean showed no statistically significant differences among the three doses in any of the region of interest assessed. This study demonstrated that a 60-fold [18F]NaF dose reduction was not significantly different from the highest dose, and it had not significant effect on overall image quality and quantitative accuracy. In the future, ultra-low dose [18F]NaF dPET/CT imaging may significantly decrease PET radiation exposure to preclinical subjects and personnel.
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spelling doaj.art-1791536044594d539b7b6e27649f3a982022-12-21T19:48:50ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-01-01810.3389/fmed.2021.725118725118[18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic ActivityMaria I. Menendez0Richard R. Moore1Mahmoud Abdel-Rasoul2Chadwick L. Wright3Soledad Fernandez4Rebecca D. Jackson5Michael V. Knopp6Department of Radiology, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesDepartment of Radiology, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesCenter for Biostatistics, College of Medicine, The Ohio State University, Columbus, OH, United StatesDepartment of Radiology, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesCenter for Biostatistics, College of Medicine, The Ohio State University, Columbus, OH, United StatesDepartment of Internal Medicine, Endocrinology, Diabetes and Metabolism, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesDepartment of Radiology, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesThe aim of the study was to assess the quality and reproducibility of reducing the injected [18F] sodium fluoride ([18F]NaF) dose while maintaining diagnostic imaging quality in bone imaging in a preclinical skeletal model using digital photon counting PET (dPET) detector technology. Beagles (n = 9) were administered three different [18F]NaF doses: 111 MBq (n = 5), 20 MBq (n = 5), and 1.9 MBq (n = 9). Imaging started ≃45 min post-injection for ≃30 min total acquisition time. Images were reconstructed using Time-of-Flight, ultra-high definition (voxel size of 1 × 1 × 1 mm3), with 3 iterations and 3 subsets. Point spread function was modeled and Gaussian filtering was applied. Skeleton qualitative and quantitative molecular image assessment was performed. The overall diagnostic quality of all images scored excellent (61%) and acceptable (39%) by all the reviewers. [18F]NaF SUVmean showed no statistically significant differences among the three doses in any of the region of interest assessed. This study demonstrated that a 60-fold [18F]NaF dose reduction was not significantly different from the highest dose, and it had not significant effect on overall image quality and quantitative accuracy. In the future, ultra-low dose [18F]NaF dPET/CT imaging may significantly decrease PET radiation exposure to preclinical subjects and personnel.https://www.frontiersin.org/articles/10.3389/fmed.2021.725118/full[18F] sodium fluoridePET/CTdigital photon countingbone imagingbone metabolismsodium fluoride dose reduction
spellingShingle Maria I. Menendez
Richard R. Moore
Mahmoud Abdel-Rasoul
Chadwick L. Wright
Soledad Fernandez
Rebecca D. Jackson
Michael V. Knopp
[18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity
Frontiers in Medicine
[18F] sodium fluoride
PET/CT
digital photon counting
bone imaging
bone metabolism
sodium fluoride dose reduction
title [18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity
title_full [18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity
title_fullStr [18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity
title_full_unstemmed [18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity
title_short [18F] Sodium Fluoride Dose Reduction Enabled by Digital Photon Counting PET/CT for Evaluation of Osteoblastic Activity
title_sort 18f sodium fluoride dose reduction enabled by digital photon counting pet ct for evaluation of osteoblastic activity
topic [18F] sodium fluoride
PET/CT
digital photon counting
bone imaging
bone metabolism
sodium fluoride dose reduction
url https://www.frontiersin.org/articles/10.3389/fmed.2021.725118/full
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