Blog
About

7
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      A quantitative phantom analysis of artifacts due to hepatic activity in technetium-99m myocardial perfusion SPECT studies.

      Journal of nuclear medicine : official publication, Society of Nuclear Medicine

      Artifacts, Heart, radionuclide imaging, Humans, Liver, metabolism, Models, Structural, Technetium, diagnostic use, Tomography, Emission-Computed, Single-Photon

      Read this article at

      ScienceOpenPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          We have observed that filtered backprojection may cause artifactual decreased myocardial wall uptake in the reconstructed images if the hepatic-to-cardiac activity ratio (HCR) in 99mTc clinical myocardial SPECT studies is sufficiently high (> 1). To quantitatively relate hepatic uptake to this phenomenon, a commercial chest and heart phantom was modified with the addition of a customized liver insert, which was filled with various concentrations of 99mTc to simulate HCRs of 0:1, 1:1 and 2:1. The phantom was imaged with a high-sensitivity, three-detector camera, low-energy, high-resolution (LEHR) collimation and 180 degrees noncircular orbits. Quantitative circumferential profile analysis of the reoriented SPECT images demonstrated artifactual inferior/inferoseptal maximal activity decreases of 17.8% and 46.2% for the 1:1 and 2:1 HCRs, compared to the 0:1 HCR. Hepatic scatter probably partly mitigates the decrease. Smoothing the projection data before reconstruction worsened the artifacts' severity. Using Butterworth filters of order 5 and cutoff frequencies of 0.1, 0.2 and 0.215 Nyquist (clinical standard) resulted in artifactual inferior wall activity decreases of 5%, 8% and 16%, compared to using the same filter with a cutoff of 0.3 for an HCR of 2:1. These data indicate that if count statistics are good and liver uptake is high, higher frequency cutoffs in pre-reconstruction filters may improve specificity in 99mTc-labeled myocardial perfusion SPECT studies.

          Related collections

          Author and article information

          Journal
          8295010

          Comments

          Comment on this article