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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SpringerOpen
2025-01-01
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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. |
format | Article |
id | doaj-art-67e05af3b5174372aa678fe546670d34 |
institution | Kabale University |
issn | 2197-7364 |
language | English |
publishDate | 2025-01-01 |
publisher | SpringerOpen |
record_format | Article |
series | EJNMMI Physics |
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 |
work_keys_str_mv | AT taminohuxohl ontheeffectofthepatienttableonattenuationinmyocardialperfusionimagingspect AT gopeshpatel ontheeffectofthepatienttableonattenuationinmyocardialperfusionimagingspect AT wolfgangburchert ontheeffectofthepatienttableonattenuationinmyocardialperfusionimagingspect |