Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT

Thesis (S.M. and S.B.)--Massachusetts Institute of Technology, Dept. of Nuclear Science and Engineering, 2011.

Bibliographic Details
Main Author: Pérez-Gutiérrez, José P. (José Pablo Andrés)
Other Authors: Jinsong Ouyang.
Format: Thesis
Language:eng
Published: Massachusetts Institute of Technology 2013
Subjects:
Online Access:http://hdl.handle.net/1721.1/77066
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author Pérez-Gutiérrez, José P. (José Pablo Andrés)
author2 Jinsong Ouyang.
author_facet Jinsong Ouyang.
Pérez-Gutiérrez, José P. (José Pablo Andrés)
author_sort Pérez-Gutiérrez, José P. (José Pablo Andrés)
collection MIT
description Thesis (S.M. and S.B.)--Massachusetts Institute of Technology, Dept. of Nuclear Science and Engineering, 2011.
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spelling mit-1721.1/770662019-04-11T06:54:44Z Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT Pérez-Gutiérrez, José P. (José Pablo Andrés) Jinsong Ouyang. Massachusetts Institute of Technology. Dept. of Nuclear Science and Engineering. Massachusetts Institute of Technology. Dept. of Nuclear Science and Engineering. Nuclear Science and Engineering. Thesis (S.M. and S.B.)--Massachusetts Institute of Technology, Dept. of Nuclear Science and Engineering, 2011. In title on title-page, double underscored "m" appears superscript. Cataloged from PDF version of thesis. Includes bibliographical references (p. 54-57). Simultaneous ⁹⁹m̳̳Tc-MDP/ ¹²³I-MIBG SPECT has the potential to replace current clinical sequential acquisitions of ⁹⁹m̳Tc-MDP and ¹²³-MIBG SPECT studies, and therefore has great potential to reduce imaging time, sedation time, and injection dose on patients with neuroblastoma. Simultaneous ⁹⁹m̳Tc/¹²³ imaging is challenging because of the crosstalk between the ⁹⁹m̳Tc and ¹²³I photo-peak windows due to down-scatter of ¹²³I photons (159keV) to the ⁹⁹m̳Tc (140keV) photo-peak window and limited energy resolution of the scanner. Additionally, the counts of detected photons are limited because the injection dose as well as scan time are limited for neuroblastoma patients and scan acquisition cannot be performed for at least 24 hours after ¹²³I-MIBG injection. These factors hinder the separation of images of these two radionuclides. An enhanced fast Monte Carlo based joint ordered-subset expectation maximization (MC-JOSEM) reconstruction algorithm has been been developed for simultaneous ⁹⁹m̳Tc/¹²³ imaging by Ouyang, El Fakhri, and Moore (2007). MC-JOSEM incorporates attenuation into a full system matrix to greatly improve image accuracy and include both primary and scattered photons in the reconstruction process to significantly reduce image noise. Separate ⁹⁹m̳Tc-MDP and ¹²³I-MIBG Monte Carlo simulations were performed. For each isotope, noise-free projection data sets were generated first. Lesions were then added to the ⁹⁹m̳Tc and ¹²³I data separately. Mimicked dual-isotope data were then generated by combining the ⁹⁹m̳Tc and ¹²³I data. Images for single-isotope and dual-isotope were reconstructed by using standard clinical single-isotope OSEM and MC-JOSEM, respectively. Channel Hotelling observer (CHO) was used to calculate lesion detectability. On average, the CHO SNR obtained from dual-isotope studies is close to that of single-isotope studies for each radionuclide. (SNR: 3.521 for dual-isotope versus 3.828 for single-isotope). Hence, simultaneous ⁹⁹m̳Tc-MDP/ ¹²³-MIBG has the potential to replace sequential ⁹⁹m̳Tc-MDP and ¹²³I-MIBG for neuroblastoma imaging. by José P. Pérez-Gutiérrez. S.M.and S.B. 2013-02-14T19:15:11Z 2013-02-14T19:15:11Z 2011 2011 Thesis http://hdl.handle.net/1721.1/77066 824618736 eng M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. http://dspace.mit.edu/handle/1721.1/7582 57 p. application/pdf Massachusetts Institute of Technology
spellingShingle Nuclear Science and Engineering.
Pérez-Gutiérrez, José P. (José Pablo Andrés)
Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT
title Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT
title_full Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT
title_fullStr Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT
title_full_unstemmed Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT
title_short Simultaneous ⁹⁹m̳Tc-MDP/¹²³I-MIBG imaging of neuroblastoma using SPECT-CT
title_sort simultaneous ⁹⁹mtc mdp ¹²³i mibg imaging of neuroblastoma using spect ct
topic Nuclear Science and Engineering.
url http://hdl.handle.net/1721.1/77066
work_keys_str_mv AT perezgutierrezjosepjosepabloandres simultaneous99mtcmdp123imibgimagingofneuroblastomausingspectct