On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT

Abstract Background The topic of the effect of the patient table on attenuation in myocardial perfusion imaging (MPI) SPECT is gaining new relevance due to deep learning methods. Existing studies on this effect are old, rare and only consider phantom measurements, not patient studies. This study inv...

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Main Authors: Tamino Huxohl, Gopesh Patel, Wolfgang Burchert
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:EJNMMI Physics
Subjects:
Online Access:https://doi.org/10.1186/s40658-024-00713-4
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author Tamino Huxohl
Gopesh Patel
Wolfgang Burchert
author_facet Tamino Huxohl
Gopesh Patel
Wolfgang Burchert
author_sort Tamino Huxohl
collection DOAJ
description Abstract Background The topic of the effect of the patient table on attenuation in myocardial perfusion imaging (MPI) SPECT is gaining new relevance due to deep learning methods. Existing studies on this effect are old, rare and only consider phantom measurements, not patient studies. This study investigates the effect of the patient table on attenuation based on the difference between reconstructions of phantom scans and polar maps of patient studies. Methods Jaszczak phantom scans are acquired according to quality control and MPI procedures. An algorithm is developed to automatically remove the patient table from the CT for attenuation correction. The scans are then reconstructed with attenuation correction either with or without the patient table in the CT. The reconstructions are compared qualitatively and on the basis of their percentage difference. In addition, a small retrospective cohort of 15 patients is examined by comparing the resulting polar maps. Polar maps are compared qualitatively and based on the segment perfusion scores. Results The phantom reconstructions look qualitatively similar in both the quality control and MPI procedures. The percentage difference is highest in the lower part of the phantom, but it always remains below 17.5%. Polar maps from patient studies also look qualitatively similar. Furthermore, the segment scores are not significantly different (p=0.83). Conclusions The effect of the patient table on attenuation in MPI SPECT is negligible.
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spelling doaj-art-67e05af3b5174372aa678fe546670d342025-01-26T12:53:08ZengSpringerOpenEJNMMI Physics2197-73642025-01-011211910.1186/s40658-024-00713-4On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECTTamino Huxohl0Gopesh Patel1Wolfgang Burchert2Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia, University Hospital (Ruhr University Bochum), Medical Faculty OWL (Bielefeld University)Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia, University Hospital (Ruhr University Bochum), Medical Faculty OWL (Bielefeld University)Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia, University Hospital (Ruhr University Bochum), Medical Faculty OWL (Bielefeld University)Abstract Background The topic of the effect of the patient table on attenuation in myocardial perfusion imaging (MPI) SPECT is gaining new relevance due to deep learning methods. Existing studies on this effect are old, rare and only consider phantom measurements, not patient studies. This study investigates the effect of the patient table on attenuation based on the difference between reconstructions of phantom scans and polar maps of patient studies. Methods Jaszczak phantom scans are acquired according to quality control and MPI procedures. An algorithm is developed to automatically remove the patient table from the CT for attenuation correction. The scans are then reconstructed with attenuation correction either with or without the patient table in the CT. The reconstructions are compared qualitatively and on the basis of their percentage difference. In addition, a small retrospective cohort of 15 patients is examined by comparing the resulting polar maps. Polar maps are compared qualitatively and based on the segment perfusion scores. Results The phantom reconstructions look qualitatively similar in both the quality control and MPI procedures. The percentage difference is highest in the lower part of the phantom, but it always remains below 17.5%. Polar maps from patient studies also look qualitatively similar. Furthermore, the segment scores are not significantly different (p=0.83). Conclusions The effect of the patient table on attenuation in MPI SPECT is negligible.https://doi.org/10.1186/s40658-024-00713-4SPECTMyocardial perfusion imaging (MPI)Attenuation correctionPatient table
spellingShingle Tamino Huxohl
Gopesh Patel
Wolfgang Burchert
On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT
EJNMMI Physics
SPECT
Myocardial perfusion imaging (MPI)
Attenuation correction
Patient table
title On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT
title_full On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT
title_fullStr On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT
title_full_unstemmed On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT
title_short On the Effect of the Patient Table on Attenuation in Myocardial Perfusion Imaging SPECT
title_sort on the effect of the patient table on attenuation in myocardial perfusion imaging spect
topic SPECT
Myocardial perfusion imaging (MPI)
Attenuation correction
Patient table
url https://doi.org/10.1186/s40658-024-00713-4
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