Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study

Abstract Background Although quantitative analysis using standardized uptake value (SUV) becomes realistic in clinical single-photon emission computed tomography/computed tomography (SPECT/CT) imaging, reconstruction parameter settings can deliver different quantitative results among different SPECT...

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Main Authors: Tadaki Nakahara, Hiromitsu Daisaki, Yasushi Yamamoto, Takashi Iimori, Kazuyuki Miyagawa, Tomoya Okamoto, Yoshiki Owaki, Nobuhiro Yada, Koichi Sawada, Ryotaro Tokorodani, Masahiro Jinzaki
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Language:English
Published: SpringerOpen 2017-06-01
Series:EJNMMI Research
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Online Access:http://link.springer.com/article/10.1186/s13550-017-0300-5
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author Tadaki Nakahara
Hiromitsu Daisaki
Yasushi Yamamoto
Takashi Iimori
Kazuyuki Miyagawa
Tomoya Okamoto
Yoshiki Owaki
Nobuhiro Yada
Koichi Sawada
Ryotaro Tokorodani
Masahiro Jinzaki
author_facet Tadaki Nakahara
Hiromitsu Daisaki
Yasushi Yamamoto
Takashi Iimori
Kazuyuki Miyagawa
Tomoya Okamoto
Yoshiki Owaki
Nobuhiro Yada
Koichi Sawada
Ryotaro Tokorodani
Masahiro Jinzaki
author_sort Tadaki Nakahara
collection DOAJ
description Abstract Background Although quantitative analysis using standardized uptake value (SUV) becomes realistic in clinical single-photon emission computed tomography/computed tomography (SPECT/CT) imaging, reconstruction parameter settings can deliver different quantitative results among different SPECT/CT systems. This study aims to propose a use of the digital reference object (DRO), which is a National Electrical Manufacturers Association (NEMA) phantom-like object developed by the Quantitative Imaging Biomarker Alliance (QIBA) fluorodeoxyglucose-positron emission tomography technical committee, for the purpose of harmonizing SUVs in Tc-99m SPECT/CT imaging. Methods The NEMA body phantom with determined Tc-99m concentration was scanned with the four state-of-the-art SPECT/CT systems. SPECT data were reconstructed using different numbers of the product of subset and iteration numbers (SI) and the width of 3D Gaussian filter (3DGF). The mean (SUVmean), maximal (SUVmax), and peak (SUVpeak) SUVs for six hot spheres (10, 13, 17, 22, 28, and 37 mm) were measured after converting SPECT count into SUV using Becquerel calibration factor. DRO smoothed by 3DGF with a FWHM of 17 mm (DRO17 mm) was generated, and the corresponding SUVs were measured. The reconstruction condition to yield the lowest root mean square error (RMSE) of SUVmeans for all the spheres between DRO17 mm and actual phantom images was determined as the harmonized condition for each SPECT/CT scanner. Then, inter-scanner variability in all quantitative metrics was measured before (i.e., according to the manufacturers’ recommendation or the policies of their own departments) and after harmonization. Results RMSE was lowest in the following reconstruction conditions: SI of 100 and 3DGF of 13 mm for Brightview XCT, SI of 160 and 3DGF of 3 pixels for Discovery NM/CT, SI of 60 and 3DGF of 2 pixels for Infinia, and SI of 140 and 3DGF of 15 mm for Symbia. In pre-harmonized conditions, coefficient of variations (COVs) among the SPECT/CT systems were greater than 10% for all quantitative metrics in three of the spheres, SUVmax and SUVmean, in one of the spheres. In contrast, all metrics except SUVmax in the 17-mm sphere yielded less than 10% of COVs after harmonization. Conclusions Our proposed method clearly reduced inter-scanner variability in SUVs. A digital phantom developed by QIBA would be useful for harmonizing SUVs in multicenter trials using SPECT/CT.
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spelling doaj.art-32fa77ab0bda46dca15aa9c90e20b2892022-12-21T19:31:38ZengSpringerOpenEJNMMI Research2191-219X2017-06-017111010.1186/s13550-017-0300-5Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter studyTadaki Nakahara0Hiromitsu Daisaki1Yasushi Yamamoto2Takashi Iimori3Kazuyuki Miyagawa4Tomoya Okamoto5Yoshiki Owaki6Nobuhiro Yada7Koichi Sawada8Ryotaro Tokorodani9Masahiro Jinzaki10Department of Radiology, Keio University School of MedicineDepartment of Radiological Technology, Gunma Prefectural College of Health SciencesDepartment of Radiology, Shimane University HospitalDepartment of Radiology, Chiba University HospitalDepartment of Radiology, Kochi Medical HospitalDepartment of Radiology, Tsugaru General HospitalDepartment of Radiology, Keio University School of MedicineDepartment of Radiology, Shimane University HospitalDepartment of Radiology, Chiba University HospitalDepartment of Radiology, Kochi Medical HospitalDepartment of Radiology, Keio University School of MedicineAbstract Background Although quantitative analysis using standardized uptake value (SUV) becomes realistic in clinical single-photon emission computed tomography/computed tomography (SPECT/CT) imaging, reconstruction parameter settings can deliver different quantitative results among different SPECT/CT systems. This study aims to propose a use of the digital reference object (DRO), which is a National Electrical Manufacturers Association (NEMA) phantom-like object developed by the Quantitative Imaging Biomarker Alliance (QIBA) fluorodeoxyglucose-positron emission tomography technical committee, for the purpose of harmonizing SUVs in Tc-99m SPECT/CT imaging. Methods The NEMA body phantom with determined Tc-99m concentration was scanned with the four state-of-the-art SPECT/CT systems. SPECT data were reconstructed using different numbers of the product of subset and iteration numbers (SI) and the width of 3D Gaussian filter (3DGF). The mean (SUVmean), maximal (SUVmax), and peak (SUVpeak) SUVs for six hot spheres (10, 13, 17, 22, 28, and 37 mm) were measured after converting SPECT count into SUV using Becquerel calibration factor. DRO smoothed by 3DGF with a FWHM of 17 mm (DRO17 mm) was generated, and the corresponding SUVs were measured. The reconstruction condition to yield the lowest root mean square error (RMSE) of SUVmeans for all the spheres between DRO17 mm and actual phantom images was determined as the harmonized condition for each SPECT/CT scanner. Then, inter-scanner variability in all quantitative metrics was measured before (i.e., according to the manufacturers’ recommendation or the policies of their own departments) and after harmonization. Results RMSE was lowest in the following reconstruction conditions: SI of 100 and 3DGF of 13 mm for Brightview XCT, SI of 160 and 3DGF of 3 pixels for Discovery NM/CT, SI of 60 and 3DGF of 2 pixels for Infinia, and SI of 140 and 3DGF of 15 mm for Symbia. In pre-harmonized conditions, coefficient of variations (COVs) among the SPECT/CT systems were greater than 10% for all quantitative metrics in three of the spheres, SUVmax and SUVmean, in one of the spheres. In contrast, all metrics except SUVmax in the 17-mm sphere yielded less than 10% of COVs after harmonization. Conclusions Our proposed method clearly reduced inter-scanner variability in SUVs. A digital phantom developed by QIBA would be useful for harmonizing SUVs in multicenter trials using SPECT/CT.http://link.springer.com/article/10.1186/s13550-017-0300-5SPECT/CTHarmonizationSUVMulticenter study
spellingShingle Tadaki Nakahara
Hiromitsu Daisaki
Yasushi Yamamoto
Takashi Iimori
Kazuyuki Miyagawa
Tomoya Okamoto
Yoshiki Owaki
Nobuhiro Yada
Koichi Sawada
Ryotaro Tokorodani
Masahiro Jinzaki
Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study
EJNMMI Research
SPECT/CT
Harmonization
SUV
Multicenter study
title Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study
title_full Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study
title_fullStr Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study
title_full_unstemmed Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study
title_short Use of a digital phantom developed by QIBA for harmonizing SUVs obtained from the state-of-the-art SPECT/CT systems: a multicenter study
title_sort use of a digital phantom developed by qiba for harmonizing suvs obtained from the state of the art spect ct systems a multicenter study
topic SPECT/CT
Harmonization
SUV
Multicenter study
url http://link.springer.com/article/10.1186/s13550-017-0300-5
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