Molecular Imaging and Biology

, Volume 19, Issue 4, pp 626–635 | Cite as

The Effect of Defective PET Detectors in Clinical Simultaneous [18F]FDG Time-of-Flight PET/MR Imaging

  • Edwin E. G. W. ter Voert
  • Gaspar Delso
  • Felipe de Galiza Barbosa
  • Martin Huellner
  • Patrick Veit-Haibach
Research Article

Abstract

Purpose

The purpose of this study was to evaluate the effect of defective positron emission tomography (PET) detectors on clinical PET image quality in simultaneous PET/magnetic resonance imaging (MRI) for both time-of-flight (TOF) and non-TOF reconstructed images.

Procedures

A total of six patients with various malignant tumors were included and underwent a 2-deoxy-2-[18F]fluoro-d-glucose PET scan in a fully functional simultaneous TOF PET/MRI. TOF and non-TOF PET images were reconstructed before and after simulating defective detector units. All images were clinically assessed and scored. In addition, a quantitative assessment was performed. Differences were ascertained and compared using the Wilcoxon matched pairs signed-rank test.

Results

Without TOF, the image artifacts introduced by one defective detector unit already started to degrade the overall image quality. It reduced the confidence and could lead to a change in diagnosis. Simulating three or five defective detector units resulted in more artifacts and further reduced overall image quality and confidence. By including TOF information, the effects were mitigated: Images reconstructed with one defective detector unit had similar scores as the ones without defective units. The average absolute percentage error for one, three, and five defective detector units were respectively 8, 20, and 37 % for the non-TOF cases and only 5, 11, and 19 % for the TOF cases.

Conclusion

Our study indicates that PET image artifacts due to (simulated) defective detectors are significantly mitigated with the integration of TOF information in simultaneous PET/MR. One defective detector unit introduces, on average, a 5 % absolute percentage error. However, in TOF imaging, even in cases with one or three defective units for head and neck imaging and one defective unit for chest and abdominal imaging, overall image quality, artifact scoring, and reader confidence are not significantly degraded.

Key words

Defective detectors Time-of-flight PET/MR Clinical Simulation 

Notes

Compliance with Ethical Standards

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

Patrick Veit-Haibach received investigator-initiated study grants from Bayer Healthcare, Siemens Healthcare, and Roche Pharmaceuticals and speaker fees from GE Healthcare. G. Delso is an employee of GE Healthcare. The remaining authors declare having no conflict of interest.

Supplementary material

11307_2016_1023_MOESM1_ESM.pdf (500 kb)
ESM 1 (PDF 499 kb)

References

  1. 1.
    Buchert R, Bohuslavizki KH, Mester J, Clausen M (1999) Quality assurance in PET: evaluation of the clinical relevance of detector defects. J. Nucl. Med. 40:1657–1665PubMedGoogle Scholar
  2. 2.
    Elhami E, Samiee M, Demeter S et al (2011) On the significance of defective block detectors in clinical 18F-FDG PET/CT imaging. Mol. Imaging Biol. 13:265–274CrossRefPubMedGoogle Scholar
  3. 3.
    Zito F, De Bernardi E, Schiavini M et al (2007) Analysis of different detector and electronics defects on F18-FDG images. Nucl. Instrum. Methods Phys. Res., Sect. A 571:493–497CrossRefGoogle Scholar
  4. 4.
    Boellaard R, Quick HH (2015) Current image acquisition options in PET/MR. Semin. Nucl. Med. 45:192–200CrossRefPubMedGoogle Scholar
  5. 5.
    Delso G, Ter Voert E, Veit-Haibach P (2015) How does PET/MR work? Basic physics for physicians. Abdom. Imaging 40:1352–1357CrossRefPubMedGoogle Scholar
  6. 6.
    Delso G, Fürst S, Jakoby B et al (2011) Performance measurements of the Siemens mMR integrated whole-body PET/MR scanner. J. Nucl. Med. 52:1914–1922CrossRefPubMedGoogle Scholar
  7. 7.
    Zaidi H, Del Guerra A (2011) An outlook on future design of hybrid PET/MRI systems. Med. Phys. 38:5667–5689CrossRefPubMedGoogle Scholar
  8. 8.
    Levin C, Glover G, Deller T et al (2013) Prototype time-of-flight PET ring integrated with a 3 T MRI system for simultaneous whole-body PET/MR imaging. J Nucl Med Meeting Abstracts 54:148Google Scholar
  9. 9.
    Haemisch Y, Frach T, Degenhardt C, Thon A (2012) Fully digital arrays of silicon photomultipliers (dSiPM)—a scalable alternative to vacuum photomultiplier tubes (PMT). Phys. Procedia 37:1546–1560CrossRefGoogle Scholar
  10. 10.
    Moses WW (2003) Time of flight in PET revisited. Nuclear Science, IEEE Transactions on 50:1325–1330CrossRefGoogle Scholar
  11. 11.
    Moses WW (2007) Recent advances and future advances in time-of-flight PET. Nucl Instrum Methods Phys Res A 580:919–924CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Surti S (2015) Update on time-of-flight PET imaging. J. Nucl. Med. 56:98–105CrossRefPubMedGoogle Scholar
  13. 13.
    Karp JS, Surti S, Daube-Witherspoon ME, Muehllehner G (2008) Benefit of time-of-flight in PET: experimental and clinical results. J. Nucl. Med. 49:462–470CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Surti S, Kuhn A, Werner ME et al (2007) Performance of Philips Gemini TF PET/CT scanner with special consideration for its time-of-flight imaging capabilities. J. Nucl. Med. 48:471–480PubMedGoogle Scholar
  15. 15.
    Daube-Witherspoon ME, Surti S, Perkins AE, Karp JS (2014) Determination of accuracy and precision of lesion uptake measurements in human subjects with time-of-flight PET. J. Nucl. Med. 55:602–607CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    El Fakhri G, Surti S, Trott CM et al (2011) Improvement in lesion detection with whole-body oncologic time-of-flight PET. J. Nucl. Med. 52:347–353CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Surti S, Karp JS (2009) Experimental evaluation of a simple lesion detection task with time-of-flight PET. Phys. Med. Biol. 54:373–384CrossRefPubMedGoogle Scholar
  18. 18.
    Conti M (2011) Why is TOF PET reconstruction a more robust method in the presence of inconsistent data? Phys. Med. Biol. 56:155–168CrossRefPubMedGoogle Scholar
  19. 19.
    Boellaard R, Hofman MB, Hoekstra OS, Lammertsma AA (2014) Accurate PET/MR quantification using time of flight MLAA image reconstruction. Mol. Imaging Biol. 16:469–477CrossRefPubMedGoogle Scholar
  20. 20.
    Davison H, ter Voert EE, de Galiza BF, Veit-Haibach P, Delso G (2015) Incorporation of time-of-flight information reduces metal artifacts in simultaneous positron emission tomography/magnetic resonance imaging: a simulation study. Investig. Radiol. 50:423–429CrossRefGoogle Scholar
  21. 21.
    Mehranian A, Zaidi H (2015) Impact of time-of-flight PET on quantification errors in MR imaging-based attenuation correction. J. Nucl. Med. 56:635–641CrossRefPubMedGoogle Scholar
  22. 22.
    Rua Q, Manjeshwar RM, Ambwani S, Wollenweber SD (2012) Truncation completion of MR-based PET attenuation maps using time-of-flight non-attenuation-corrected PET images [abstract]. 2773-2775P.Google Scholar
  23. 23.
    ter Voert E, Delso G, Ahn S, et al. (2014) The effect of TOF on PET reconstructions in patients with (metal) implants in simultaneous TOF PET/MR scanning [abstract]. SSK18-06P.Google Scholar
  24. 24.
    Turkington TG, Wilson JM (2009) Attenuation artifacts and time-of-flight PET [abstract]. 2997-2999P.Google Scholar
  25. 25.
    de Galiza Barbosa F, Delso G, Zeimpekis KG, et al. (2015) Evaluation and clinical quantification of neoplastic lesions and physiological structures in TOF-PET/MRI and non-TOF/MRI—a pilot study. Q J Nucl Med Mol Imaging.Google Scholar
  26. 26.
    Vontobel J, Liga R, Possner M et al (2015) MR-based attenuation correction for cardiac FDG PET on a hybrid PET/MRI scanner: comparison with standard CT attenuation correction. Eur. J. Nucl. Med. Mol. Imaging 42:1574–1580CrossRefPubMedGoogle Scholar
  27. 27.
    Delso G, Khalighi M, Ter Voert E et al (2016) Effect of time-of-flight information on PET/MR reconstruction artifacts: comparison of free-breathing versus breath-hold MR-based attenuation correction. Radiology:152509Google Scholar
  28. 28.
    Surti S, Karp JS (2008) Design considerations for a limited angle, dedicated breast, TOF PET scanner. Phys. Med. Biol. 53:2911–2921CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Nguyen NC, Vercher-Conejero JL, Sattar A et al (2015) Image quality and diagnostic performance of a digital PET prototype in patients with oncologic diseases: initial experience and comparison with analog PET. J. Nucl. Med. 56:1378–1385CrossRefPubMedGoogle Scholar
  30. 30.
    Wollenweber SD, Ambwani S, Lonn AHR et al (2013) Comparison of 4-class and continuous fat/water methods for whole-body, MR-based PET attenuation correction. IEEE Trans. Nucl. Sci. 60:3391–3398CrossRefGoogle Scholar
  31. 31.
    Wollenweber SD, Ambwani S, Delso G et al (2013) Evaluation of an atlas-based PET head attenuation correction using PET/CT & MR patient data. IEEE Trans. Nucl. Sci. 60:3383–3390CrossRefGoogle Scholar
  32. 32.
    Surti S, Karp JS, Popescu LM, Daube-Witherspoon ME, Werner M (2006) Investigation of time-of-flight benefit for fully 3-D PET. IEEE Trans. Med. Imaging 25:529–538CrossRefPubMedGoogle Scholar

Copyright information

© World Molecular Imaging Society 2016

Authors and Affiliations

  • Edwin E. G. W. ter Voert
    • 1
    • 2
  • Gaspar Delso
    • 3
  • Felipe de Galiza Barbosa
    • 1
    • 2
  • Martin Huellner
    • 1
    • 2
    • 4
  • Patrick Veit-Haibach
    • 1
    • 2
    • 5
  1. 1.Department of Nuclear MedicineUniversity Hospital ZurichZurichSwitzerland
  2. 2.University of ZurichZurichSwitzerland
  3. 3.GE HealthcareWaukeshaUSA
  4. 4.Department of NeuroradiologyUniversity Hospital ZurichZurichSwitzerland
  5. 5.Department of Diagnostic and Interventional RadiologyUniversity Hospital ZurichZurichSwitzerland

Personalised recommendations