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Feasibility of simultaneous PET/MR imaging in the head and upper neck area

European Radiology volume 21, pages 1439–1446 (2011)Cite this article

Abstract

Objective

The aim of this pilot study was to test and demonstrate the feasibility of simultaneous positron emission tomography (PET) and magnetic resonance imaging (MRI) of the head and upper neck area using a new hybrid PET/MRI system.

Methods

Eight patients with malignant head and neck tumours were included in the pilot study. Directly after routine PET/CT imaging with a whole-body system using the glucose derivative 2-[18F]fluoro-2deoxy-D-glucose (FDG) as a radiotracer additional measurements were performed with a prototype PET/MRI system for simultaneous PET and MR imaging. Physiological radiotracer uptake within regular anatomical structures as well as tumour uptake were evaluated visually and semiquantitatively (metabolic ratios) in relation to cerebellar uptake on the PET/MRI and PET/CT systems.

Results

The MR datasets showed excellent image quality without any recognisable artefacts caused by the inserted PET system. PET images obtained with the PET/MRI system exhibited better detailed resolution and greater image contrast in comparison to those from the PET/CT system. An excellent agreement between metabolic ratios obtained with both PET systems was found: R = 0.99 for structures with physiological tracer uptake, R = 0.96 for tumours.

Conclusion

Simultaneous PET/MRI of the head and upper neck area is feasible with the new hybrid PET/MRI prototype.

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Acknowledgements

We would like to thank the staff of the cyclotron and radiochemistry facilities of Tübingen University and all contributing members of Siemens Healthcare for the continuous support. Furthermore, we acknowledge Heinz-Peter Schlemmer, Thomas Nägele, Roland Bares, Ulrike Ernemann, Martin Heuschmid, Matthias Hofmann, Matthias Reimold and Frédéric Mantlik for their contributions. Financial research support was provided through the “Deutsche Forschungsgemeinschaft” (grants PI771/5-1 and PI771/1-1, and SFB 656 Münster, project C6) as well as through the Swiss Werner Siemens-Foundation. Part of this work was supported by the Herzzentrum Münster e.V. (travel grant to L.S.).

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tübingen, Germany

    Andreas Boss, Lars Stegger, Nina Schwenzer, Claus D. Claussen & Christina Pfannenberg

  2. Laboratory for Preclinical Imaging and Imaging Technology of the Werner Siemens-Foundation, Department for Preclinical Imaging and Radiopharmacy, Tübingen, Germany

    Andreas Boss, Armin Kolb & Bernd J. Pichler

  3. Department of Nuclear Medicine and Institute for Molecular Imaging, University of Münster, Münster, Germany

    Lars Stegger

  4. Department of Diagnostic and Interventional Neuroradiology, Eberhard-Karls University, Tübingen, Germany

    Sotirios Bisdas

  5. Department of Otolaryngology, Head and Neck Surgery, Eberhard-Karls University, Tübingen, Germany

    Markus Pfister

  6. Department of Diagnostic and Interventional Radiology, University Hospital of Zurich, Rämistr. 100, 8091, Zurich, Switzerland

    Andreas Boss

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  1. Andreas Boss
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  2. Lars Stegger
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  7. Claus D. Claussen
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  8. Bernd J. Pichler
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  9. Christina Pfannenberg
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Corresponding author

Correspondence to Andreas Boss.

Additional information

Andreas Boss and Lars Stegger equally contributed in the authorship.

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Boss, A., Stegger, L., Bisdas, S. et al. Feasibility of simultaneous PET/MR imaging in the head and upper neck area. Eur Radiol 21, 1439–1446 (2011). https://doi.org/10.1007/s00330-011-2072-z

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  • DOI: https://doi.org/10.1007/s00330-011-2072-z

Keywords

  • PET/MRI
  • Hybrid imaging
  • Head and neck tumours
  • Oncology