Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study

Abstract Background To explore the feasibility of short-time-window Ki imaging using a population-based arterial input function (IF) and optimized Bayesian penalized likelihood (BPL) reconstruction as a practical alternative to long-time-window Ki imaging with an individual patient-based IF. Myocard...

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Main Authors: Takato Tanaka, Masatoyo Nakajo, Hirofumi Kawakami, Eriko Motomura, Tomofumi Fujisaka, Satoko Ojima, Yasumasa Saigo, Takashi Yoshiura
Format: Article
Language:English
Published: SpringerOpen 2022-09-01
Series:EJNMMI Research
Subjects:
Online Access:https://doi.org/10.1186/s13550-022-00933-8
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author Takato Tanaka
Masatoyo Nakajo
Hirofumi Kawakami
Eriko Motomura
Tomofumi Fujisaka
Satoko Ojima
Yasumasa Saigo
Takashi Yoshiura
author_facet Takato Tanaka
Masatoyo Nakajo
Hirofumi Kawakami
Eriko Motomura
Tomofumi Fujisaka
Satoko Ojima
Yasumasa Saigo
Takashi Yoshiura
author_sort Takato Tanaka
collection DOAJ
description Abstract Background To explore the feasibility of short-time-window Ki imaging using a population-based arterial input function (IF) and optimized Bayesian penalized likelihood (BPL) reconstruction as a practical alternative to long-time-window Ki imaging with an individual patient-based IF. Myocardial Ki images were generated from 73 dynamic 18F-FDG-PET/CT scans of 30 patients with cardiac sarcoidosis. For each dynamic scan, the Ki images were obtained using the IF from each individual patient and a long time window (10–60 min). In addition, Ki images were obtained using the normalized averaged population-based IF and BPL algorithms with different beta values (350, 700, and 1000) with a short time window (40–60 min). The visual quality of each image was visually rated using a 4-point scale (0, not visible; 1, poor; 2, moderate; and 3, good), and the Ki parameters (Ki-max, Ki-mean, Ki-volume) of positive myocardial lesions were measured independently by two readers. Wilcoxon’s rank sum test, McNemar’s test, or linear regression analysis were performed to assess the differences or relationships between two quantitative variables. Results Both readers similarly rated 51 scans as positive (scores = 1–3) and 22 scans as negative (score = 0) for all four Ki images. Among the three types of population-based IF Ki images, the proportion of images with scores of 3 was highest with a beta of 1000 (78.4 and 72.5%, respectively) and lowest with a beta of 350 (33.3 and 23.5%) for both readers (all p < 0.001). The coefficients of determination between the Ki parameters obtained with the individual patient-based IF and those obtained with the population-based IF were highest with a beta of 1000 for both readers (Ki-max, 0.91 and 0.92, respectively; Ki-mean, 0.91 and 0.92, respectively; Ki-volume, 0.75 and 0.60, respectively; and all p < 0.001). Conclusions Short-time-window Ki images with a population-based IF reconstructed using the BPL algorithm and a high beta value were closely correlated with long-time-window Ki images generated with an individual patient-based IF. Short-time-window Ki images using a population-based IF and BPL reconstruction might represent practical alternatives to long-time-window Ki images generated using an individual patient-based IF.
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spelling doaj.art-46cb272a543341b2b879a0aa67944a4d2022-12-22T03:13:00ZengSpringerOpenEJNMMI Research2191-219X2022-09-0112111010.1186/s13550-022-00933-8Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility studyTakato Tanaka0Masatoyo Nakajo1Hirofumi Kawakami2Eriko Motomura3Tomofumi Fujisaka4Satoko Ojima5Yasumasa Saigo6Takashi Yoshiura7Department of Radiation Technology, Kagoshima University HospitalDepartment of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima UniversityAcademic Department, GE Healthcare JapanDepartment of Radiation Technology, Kagoshima University HospitalDepartment of Radiation Technology, Kagoshima University HospitalDepartment of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima UniversityDepartment of Radiation Technology, Kagoshima University HospitalDepartment of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima UniversityAbstract Background To explore the feasibility of short-time-window Ki imaging using a population-based arterial input function (IF) and optimized Bayesian penalized likelihood (BPL) reconstruction as a practical alternative to long-time-window Ki imaging with an individual patient-based IF. Myocardial Ki images were generated from 73 dynamic 18F-FDG-PET/CT scans of 30 patients with cardiac sarcoidosis. For each dynamic scan, the Ki images were obtained using the IF from each individual patient and a long time window (10–60 min). In addition, Ki images were obtained using the normalized averaged population-based IF and BPL algorithms with different beta values (350, 700, and 1000) with a short time window (40–60 min). The visual quality of each image was visually rated using a 4-point scale (0, not visible; 1, poor; 2, moderate; and 3, good), and the Ki parameters (Ki-max, Ki-mean, Ki-volume) of positive myocardial lesions were measured independently by two readers. Wilcoxon’s rank sum test, McNemar’s test, or linear regression analysis were performed to assess the differences or relationships between two quantitative variables. Results Both readers similarly rated 51 scans as positive (scores = 1–3) and 22 scans as negative (score = 0) for all four Ki images. Among the three types of population-based IF Ki images, the proportion of images with scores of 3 was highest with a beta of 1000 (78.4 and 72.5%, respectively) and lowest with a beta of 350 (33.3 and 23.5%) for both readers (all p < 0.001). The coefficients of determination between the Ki parameters obtained with the individual patient-based IF and those obtained with the population-based IF were highest with a beta of 1000 for both readers (Ki-max, 0.91 and 0.92, respectively; Ki-mean, 0.91 and 0.92, respectively; Ki-volume, 0.75 and 0.60, respectively; and all p < 0.001). Conclusions Short-time-window Ki images with a population-based IF reconstructed using the BPL algorithm and a high beta value were closely correlated with long-time-window Ki images generated with an individual patient-based IF. Short-time-window Ki images using a population-based IF and BPL reconstruction might represent practical alternatives to long-time-window Ki images generated using an individual patient-based IF.https://doi.org/10.1186/s13550-022-00933-8Dynamic 18F-FDG-PET/CTPatlak Ki imagePopulation-based input functionIndividual patient-based input functionBayesian penalized likelihood reconstruction
spellingShingle Takato Tanaka
Masatoyo Nakajo
Hirofumi Kawakami
Eriko Motomura
Tomofumi Fujisaka
Satoko Ojima
Yasumasa Saigo
Takashi Yoshiura
Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study
EJNMMI Research
Dynamic 18F-FDG-PET/CT
Patlak Ki image
Population-based input function
Individual patient-based input function
Bayesian penalized likelihood reconstruction
title Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study
title_full Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study
title_fullStr Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study
title_full_unstemmed Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study
title_short Short-time-window Patlak imaging using a population-based arterial input function and optimized Bayesian penalized likelihood reconstruction: a feasibility study
title_sort short time window patlak imaging using a population based arterial input function and optimized bayesian penalized likelihood reconstruction a feasibility study
topic Dynamic 18F-FDG-PET/CT
Patlak Ki image
Population-based input function
Individual patient-based input function
Bayesian penalized likelihood reconstruction
url https://doi.org/10.1186/s13550-022-00933-8
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