Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography

Background/Objectives: Calculating the radiation dose from CT in <sup>18</sup>F-PET/CT examinations poses a significant challenge. The objective of this study is to develop a deep learning-based automated program that standardizes the measurement of radiation doses. Methods: The torso CT...

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Main Authors: Yujin Eom, Yong-Jin Park, Sumin Lee, Su-Jin Lee, Young-Sil An, Bok-Nam Park, Joon-Kee Yoon
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Tomography
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Online Access:https://www.mdpi.com/2379-139X/10/12/151
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author Yujin Eom
Yong-Jin Park
Sumin Lee
Su-Jin Lee
Young-Sil An
Bok-Nam Park
Joon-Kee Yoon
author_facet Yujin Eom
Yong-Jin Park
Sumin Lee
Su-Jin Lee
Young-Sil An
Bok-Nam Park
Joon-Kee Yoon
author_sort Yujin Eom
collection DOAJ
description Background/Objectives: Calculating the radiation dose from CT in <sup>18</sup>F-PET/CT examinations poses a significant challenge. The objective of this study is to develop a deep learning-based automated program that standardizes the measurement of radiation doses. Methods: The torso CT was segmented into six distinct regions using TotalSegmentator. An automated program was employed to extract the necessary information and calculate the effective dose (ED) of PET/CT. The accuracy of our automated program was verified by comparing the EDs calculated by the program with those determined by a nuclear medicine physician (n = 30). Additionally, we compared the EDs obtained from an older PET/CT scanner with those from a newer PET/CT scanner (n = 42). Results: The CT ED calculated by the automated program was not significantly different from that calculated by the nuclear medicine physician (3.67 ± 0.61 mSv and 3.62 ± 0.60 mSv, respectively, <i>p</i> = 0.7623). Similarly, the total ED showed no significant difference between the two calculation methods (8.10 ± 1.40 mSv and 8.05 ± 1.39 mSv, respectively, <i>p</i> = 0.8957). A very strong correlation was observed in both the CT ED and total ED between the two measurements (r<sup>2</sup> = 0.9981 and 0.9996, respectively). The automated program showed excellent repeatability and reproducibility. When comparing the older and newer PET/CT scanners, the PET ED was significantly lower in the newer scanner than in the older scanner (4.39 ± 0.91 mSv and 6.00 ± 1.17 mSv, respectively, <i>p</i> < 0.0001). Consequently, the total ED was significantly lower in the newer scanner than in the older scanner (8.22 ± 1.53 mSv and 9.65 ± 1.34 mSv, respectively, <i>p</i> < 0.0001). Conclusions: We successfully developed an automated program for calculating the ED of torso <sup>18</sup>F-PET/CT. By integrating a deep learning model, the program effectively eliminated inter-operator variability.
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series Tomography
spelling doaj-art-1af06a2d491a4f41a3bd9b97ad0f00a92025-08-20T02:43:41ZengMDPI AGTomography2379-13812379-139X2024-12-0110122144215710.3390/tomography10120151Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed TomographyYujin Eom0Yong-Jin Park1Sumin Lee2Su-Jin Lee3Young-Sil An4Bok-Nam Park5Joon-Kee Yoon6Department of AI Mobility Engineering, Ajou University, Suwon 16499, Republic of KoreaDepartment of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon 16499, Republic of KoreaDepartment of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine, Suwon 16499, Republic of KoreaBackground/Objectives: Calculating the radiation dose from CT in <sup>18</sup>F-PET/CT examinations poses a significant challenge. The objective of this study is to develop a deep learning-based automated program that standardizes the measurement of radiation doses. Methods: The torso CT was segmented into six distinct regions using TotalSegmentator. An automated program was employed to extract the necessary information and calculate the effective dose (ED) of PET/CT. The accuracy of our automated program was verified by comparing the EDs calculated by the program with those determined by a nuclear medicine physician (n = 30). Additionally, we compared the EDs obtained from an older PET/CT scanner with those from a newer PET/CT scanner (n = 42). Results: The CT ED calculated by the automated program was not significantly different from that calculated by the nuclear medicine physician (3.67 ± 0.61 mSv and 3.62 ± 0.60 mSv, respectively, <i>p</i> = 0.7623). Similarly, the total ED showed no significant difference between the two calculation methods (8.10 ± 1.40 mSv and 8.05 ± 1.39 mSv, respectively, <i>p</i> = 0.8957). A very strong correlation was observed in both the CT ED and total ED between the two measurements (r<sup>2</sup> = 0.9981 and 0.9996, respectively). The automated program showed excellent repeatability and reproducibility. When comparing the older and newer PET/CT scanners, the PET ED was significantly lower in the newer scanner than in the older scanner (4.39 ± 0.91 mSv and 6.00 ± 1.17 mSv, respectively, <i>p</i> < 0.0001). Consequently, the total ED was significantly lower in the newer scanner than in the older scanner (8.22 ± 1.53 mSv and 9.65 ± 1.34 mSv, respectively, <i>p</i> < 0.0001). Conclusions: We successfully developed an automated program for calculating the ED of torso <sup>18</sup>F-PET/CT. By integrating a deep learning model, the program effectively eliminated inter-operator variability.https://www.mdpi.com/2379-139X/10/12/151<sup>18</sup>F-FDGpositron emission tomographycomputed tomographyeffective dosedeep learning
spellingShingle Yujin Eom
Yong-Jin Park
Sumin Lee
Su-Jin Lee
Young-Sil An
Bok-Nam Park
Joon-Kee Yoon
Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
Tomography
<sup>18</sup>F-FDG
positron emission tomography
computed tomography
effective dose
deep learning
title Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
title_full Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
title_fullStr Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
title_full_unstemmed Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
title_short Automated Measurement of Effective Radiation Dose by <sup>18</sup>F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography
title_sort automated measurement of effective radiation dose by sup 18 sup f fluorodeoxyglucose positron emission tomography computed tomography
topic <sup>18</sup>F-FDG
positron emission tomography
computed tomography
effective dose
deep learning
url https://www.mdpi.com/2379-139X/10/12/151
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