Using an external gating signal to estimate noise in PET with an emphasis on tracer avid tumors Journal Article


Authors: Schmidtlein, C. R.; Beattie, B. J.; Bailey, D. L.; Akhurst, T. J.; Wang, W.; Gonen, M.; Kirov, A. S.; Humm, J. L.
Article Title: Using an external gating signal to estimate noise in PET with an emphasis on tracer avid tumors
Abstract: The purpose of this study is to establish and validate a methodology for estimating the standard deviation of voxels with large activity concentrations within a PET image using replicate imaging that is immediately available for use in the clinic. To do this, ensembles of voxels in the averaged replicate images were compared to the corresponding ensembles in images derived from summed sinograms. In addition, the replicate imaging noise estimate was compared to a noise estimate based on an ensemble of voxels within a region. To make this comparison two phantoms were used. The first phantom was a seven-chamber phantom constructed of 1 liter plastic bottles. Each chamber of this phantom was filled with a different activity concentration relative to the lowest activity concentration with ratios of 1:1, 1:1, 2:1, 2:1, 4:1, 8:1 and 16:1. The second phantom was a GE Well-Counter phantom. These phantoms were imaged and reconstructed on a GE DSTE PET/CT scanner with 2D and 3D reprojection filtered backprojection (FBP), and with 2D-and 3D-ordered subset expectation maximization (OSEM). A series of tests were applied to the resulting images that showed that the region and replicate imaging methods for estimating standard deviation were equivalent for backprojection reconstructions. Furthermore, the noise properties of the FBP algorithms allowed scaling the replicate estimates of the standard deviation by a factor of 1/√N, where N is the number of replicate images, to obtain the standard deviation of the full data image. This was not the case for OSEM image reconstruction. Due to nonlinearity of the OSEM algorithm, the noise is shown to be both position and activity concentration dependent in such a way that no simple scaling factor can be used to extrapolate noise as a function of counts. The use of the Well-Counter phantom contributed to the development of a heuristic extrapolation of the noise as a function of radius in FBP. In addition, the signal-to-noise ratio for high uptake objects was confirmed to be higher with backprojection image reconstruction methods. These techniques were applied to several patient data sets acquired in either 2D or 3D mode, with 18F (FLT and FDG). Images of the standard deviation and signal-to-noise ratios were constructed and the standard deviations of the tumors' uptake were determined. Finally, a radial noise extrapolation relationship deduced in this paper was applied to patient data. © 2010 Institute of Physics and Engineering in Medicine.
Keywords: positron emission tomography; methodology; neoplasm; neoplasms; metabolism; algorithms; algorithm; image quality; three dimensional imaging; imaging, three-dimensional; positron-emission tomography; scintiscanning; radioactive tracers; tracer; phantoms, imaging; image processing, computer-assisted; image processing; computer program; software; biological transport; transport at the cellular level
Journal Title: Physics in Medicine and Biology
Volume: 55
Issue: 20
ISSN: 0031-9155
Publisher: IOP Publishing Ltd  
Date Published: 2010-10-21
Start Page: 6299
End Page: 6326
Language: English
DOI: 10.1088/0031-9155/55/20/016
PUBMED: 20924132
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: PHMBA" - "Source: Scopus"
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MSK Authors
  1. Wei Wang
    3 Wang
  2. Mithat Gonen
    1029 Gonen
  3. Timothy J Akhurst
    139 Akhurst
  4. John Laurence Humm
    433 Humm
  5. Assen Kirov
    89 Kirov
  6. Bradley Beattie
    131 Beattie