Abstract
Objective
We evaluated the accuracy of amplitude gating PET (AG-PET) compared with phase gating PET (PG-PET) in relation to respiratory motion patterns based on a phantom analysis.
Method
We used a NEMA IEC body phantom filled with an 18F solution with a 4:1 sphere-to-background radioactivity ratio (12.6 and 2.97 kBq/mL). PET/CT scans were acquired in a motionless and moving state on a Biograph mCT. The respiratory movements were simulated by four different waveform patterns consisting of ideal breathing, breathing with a pause period, breathing with a variable amplitude and breathing with a changing baseline. AG-PET selects the narrow bandwidth containing 20 % of the respiratory cycle. PG-PET was reconstructed with five gates. The image quality was physically assessed using the percent contrast (Q H,10mm), background variability (N 10mm) recovery coefficient (RC), and sphere volumes.
Result
In regular motion patterns with ideal breathing and breathing with a pause period, the Q H,10mm, RC and sphere volumes were not different between AG-PET and PG-PET. In the variable amplitude pattern, the Q H,10mm of AG-PET was higher than that of PG-PET (35.8 vs 28.2 %), the RC of AG-PET was higher than that of PG-PET and sphere volume of AG-PET was smaller than that of PG-PET (6.4 vs 8.6 mL). In the changing baseline pattern, the Q H,10mm of AG-PET was higher than that of PG-PET (42.4 vs 16.7 %), the RC of AG-PET was higher than that of PG-PET and sphere volume of AG-PET was smaller than that of PG-PET (6.2 vs 9.8 mL). The N 10mm did not differ between AG-PET and PG-PET, irrespective of the motion pattern.
Conclusion
Amplitude gating PET is considered to be more accurate than phase gating PET for examining unstable respiratory motion patterns, such as those involving a variable amplitude or changing baseline.
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References
Lardinois D, Weder W, Hany TF, Kamel EM, Korom S, Seifert B, et al. Staging of non-small-cell lung cancer with integrated positron-emission tomography and computed tomography. N Engl J Med. 2003;348:2500–7.
Hicks RJ, Kalff V, MacManus MP, Ware RE, McKenzie AF, Matthews JP, et al. The utility of 18F-FDG PET for suspected recurrent non-small cell lung cancer after potentially curative therapy: impact on management and prognostic stratification. J Nucl Med. 2001;42:1605–13.
Oyen WJ, Bussink J, Verhagen AF, Corstens FH, Bootsma GP. Role of FDG-PET in the diagnosis and management of lung cancer. Expert Rev Anticancer Ther. 2004;4:561–7.
Vansteenkiste J, Fischer BM, Dooms C, Ortensen J. Positron-emission tomography in prognostic and therapeutic assessment of lung cancer: systematic review. Lancet Oncol. 2004;5:531–40.
Dwamena BA, Sennad SS, Angobaldo JO, Wahl RL. Metastases from non-small cell lung cancer: mediastinal staging in the 1990s-meta-analytic comparison of PET and CT. Radiology. 1999;213:530–6.
Eschmann SM, Friedel G, Paulsen F, Reimond M, Hehr T, Budach W, et al. Is standardised 18F-FDG uptake value an outcome predictor in patients with stage III non-small cell lung cancer. Eur J Nucl Med Mol Imaging. 2006;33:263–9.
Aerts HJ, van Baardwijk AA, Petit SF, Offermann C, Loon JV, Houben R, et al. Identification of residual metabolic-active areas within individual NSCLC tumours using a pre-radiotherapy 18Fluorodeoxyglucose-PET-CT scan. Radiother Oncol. 2009;91:386–92.
van Baardwijk A, Bosmans G, Dekker A, van Kroonenburgh M, Boersma L, Wanders S, et al. Time trends in the maximal uptake of FDG on PET scan during thoracic radiotherapy. A prospective study in locally advanced non-small cell lung cancer (NSCLC) patients. Radiother Oncol. 2007;82:145–52.
Mawlawi O, Kappadath SC, Pan T, Rohren E, Macapinlac HA. Factors affecting quantification in PET/CT imaging. Current Med Imaging Rev. 2008;4:34–45.
Goerres GW, Kamel E, Heidelberg TN, Schwitter MR, Burger C, von Schulthess GK. PET–CT image co-registration in the thorax: influence of respiration. Eur J Nucl Med. 2002;29:351–60.
Cohade C, Osman M. Marshall LN, Wahl RN: PET–CT: accuracy of PET and CT spatial registration of lung lesions. Eur J Nucl Med Mol Imaging. 2003;30:721–6.
Erdi YE, Nehmeh SA, Pan T, Pevsner A, Rosenzweig KE, Mageras G, et al. The CT motion quantitation of lung lesions and its impact on PET-measured SUVs. J Nucl Med. 2004;45:1287–92.
Nehmeh SA, Erdi YE, Ling CC, Rosenzweig KE, Squire OD, Braban LE, et al. Effect of respiratory gating on reducing lung motion artifacts in PET imaging of lung cancer. Med Phys. 2002;29:366–71.
Vines DC, Keller H, Hoisak JDP, Breen SL. Quantitative PET comparing gated with nongated acquisitions using a NEMA phantom with respiratory-simulated motion. J Nucl Med Technol. 2007;35:246–351.
Didierlaurent D, Ribes S, Batatia H, Jaudet C, Dierickx LO, Zerdoud S, et al. The retrospective binning method improves the consistency of phase binning in respiratory-gated PET/CT. Phys Med Biol. 2012;57:7829–41.
Didierlaurent D, Ribes S, Caselles O, Jaudet C, Cazalet JM, Batatia H, et al. A new respiratory gating device to improve 4D PET/CT. Med Phys. 2013;40:032501.
Park SJ, Ionascu D, Killoran J, Mamede M, Gerbaudo VH, Chin L, et al. Evaluation of the combined effects of target size, respiratory motion and background activity on 3D and 4D PET/CT images. Phys Med Biol. 2008;53:3661–79.
Teo BK, Saboury B, Munbodh R, Scheuermann J, Torigian DA, Zaidi H, et al. The effect of breathing irregularities on quantitative accuracy of respiratory gated PET/CT. Med Phys. 2012;39:7390–7.
Dawood M, Buther F, Lang N, Schober O, Schafers KP. Respiratory gating in positron emission tomography: a quantitative comparison of different gating schemes. Med Phys. 2007;34:3067–75.
Chang G, Chang T, Clark JW Jr, Mawlawi OR. Design and performance of a respiratory amplitude gating device for PET/CT imaging. Med Phys. 2010;37:1408–12.
Chang G, Chang T, Pan T, Clark JW Jr, Mawlawi OR. Implementation of an automated respiratory amplitude gating technique for PET/CT: clinical evaluation. J Nucl Med. 2010;51:16–24.
van Elimpt W, Hamill J, Jones J, De Ruysscher D, Lambin P, Pllers M. Optimal gating compared to 3D and 4D PET reconstruction for characterization of lung tumors. Eur J Nucl Med Mol Imaging. 2011;38(5):843–55.
Jani SS, Robinson CG, Dahlobom M, White BM, Thomas DH, Gaudio S, et al. A comparison of amplitude-based and phase-based positron emission tomography gating algorithms for segmentation of internal target volumes of tumors subject to respiratory motion. Int J Radiat Oncol Biol Phys. 2013;87:562–9.
Sakaguchi Y, Mitsumoto T, Zhang T, Mitsumoto K, Tachiya Y, Ohya N, et al. Importance of gated CT acquisition for the quantitative improvement of the gated PET/CT in moving phantom. Ann Nucl Med. 2010;24:507–14.
Pevsner A, Nehmeh SA, Humm JL, Mageras GS, Erdi YE. Effect of motion on tracer activity determination in CT attenuation corrected PET images: a lung phantom study. Med Phys. 2005;32:2358–62.
Okubo M, Nishimura Y, Nakamatsu K, Okumura M, Shibata T, Kanamori S, et al. Static and moving phantom studies for radiation treatment planning in a positron emission tomography and computed tomography (PET/CT) system. Ann Nucl Med. 2008;22:579–86.
Killoran JH, Gerbaudo VH, Mamede M, Ionascu D, Park SJ, Berbeco R. Motion artifacts occurring at the lung/diaphragm interface using 4D CT attenuation correction of 4D PET scans. J Appl Clin Med Phys. 2011;12:3502.
Armstrong I, Williams HA, Matthews JC (2011) Accuracy and variability of quantitative measurements using PET with time-of-flight information and resolution modelling. In: NSS/MIC. p. 4167–70.
Acknowledgments
The authors thank the staff of the Department of Clinical Radiology and Medical Technology at Kyushu University Hospital and ANZAI MEDICAL Corporation for their valuable technical support.
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Tsutsui, Y., Kidera, D., Taniguchi, T. et al. Accuracy of amplitude-based respiratory gating for PET/CT in irregular respirations. Ann Nucl Med 28, 770–779 (2014). https://doi.org/10.1007/s12149-014-0870-5
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DOI: https://doi.org/10.1007/s12149-014-0870-5