Abstract
Purpose
In an Asian international multicenter phase II trial conducted in patients with peripheral T-cell lymphoma (PTCL), [F-18]FDG-PET/CT was used for evaluation of the therapeutic response. Standardization of the PET/CT scanners was necessary before patient enrollment. We therefore standardized the scanners by phantom tests based on the profile approved by the Quantitative Imaging Biomarkers Alliance (QIBA) of Radiological Society of North America (RSNA).
Materials and methods
The tests were conducted on 12 scanners in 12 facilities in compliance with the QIBA Profile and used National Electrical Manufacturers Association (NEMA) International Electrotechnical Commission (IEC) body phantoms. We measured three parameters (standardized uptake value [SUV], resolution and noise) and adjusted the imaging parameter values. The indexes recommended in the Japanese Society of Nuclear Medicine (JSNM) guideline were also evaluated.
Results
In a total of 12 facilities, 6 facilities required no change in imaging conditions and 6 facilities required changes in imaging parameters. After revision, the three measurements (SUV, resolution and noise) met QIBA criteria at all sites, but 10 of the 12 scanners did not meet JSNM criteria.
Conclusion
We standardized imaging conditions using phantoms as required in the RSNA-QIBA profile for response evaluation by [F-18]FDG PET/CT images in a multicenter study.
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Acknowledgements
We gratefully appreciate the cooperation of the following members and institutions, JoonYoung Choi (Samsung Medical Center), SeokKi Kim (National Cancer Center), Jin Suck Ryu, JeongSu Oh (Asan Medical Center), MiJin Yun (Severance Hospital), Byeong-Il Kim (Korea Cancer Center Hospital), JungJun Min, SeongYoung Kwon (Chonnam National University Hwasun Hospital), Ruoh-Fang Yen (National Taiwan University Hospital), Wen-Sheng Huang, Bang-Hung Yang (Taipei Veterans General Hospital), Chien Lin, Wen-Cheng Huang (Chang Gung Memorial Hospital Linkou), Te-Chun Hsieh (China Medical University Hospital), Nan-Tsing Chiu (National Cheng Kung University Hospital), and Yang Kwok Wai, Michael (Hong Kong Integrated Oncology Centre). We have also been given helpful suggestions by Edward Jackson, PhD and Alexander Guimaraes, MD, PhD, Steering Committee, Quantitative Imaging Biomarkers Alliance (QIBA), Radiological Society of North America (RSNA).
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Bae, H., Tsuchiya, J., Okamoto, T. et al. Standardization of [F-18]FDG PET/CT for response evaluation by the Radiologic Society of North America-Quantitative Imaging Biomarker Alliance (RSNA-QIBA) profile: preliminary results from the Japan-QIBA (J-QIBA) activities for Asian international multicenter phase II trial. Jpn J Radiol 36, 686–690 (2018). https://doi.org/10.1007/s11604-018-0780-x
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DOI: https://doi.org/10.1007/s11604-018-0780-x