An improved iterative thresholding method to delineate PET volumes using the delineation-averaged signal instead of the enclosed maximum signal.

Unlabelled: An improved thresholding method for segmentation of PET volumes is proposed that uses the delineation-averaged activity concentration (AC) within an iterative procedure instead of the enclosed maximum AC. Methods: The average-based iterative thresholding method (avg-ITM) needs the backgr...

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Publicado en:Journal of Nuclear Medicine Technology Vol. 43; no. 1; pp. 28 - 36
Autor principal: Jentzen, Walter
Formato: research Journal Article
Publicado: Society of Nuclear Medicine Mar2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2015
      vid: 43
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      pub: Society of Nuclear Medicine
      place: Reston, Virginia
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        atl: An improved iterative thresholding method to delineate PET volumes using the delineation-averaged signal instead of the enclosed maximum signal.
      aug:
        au: Jentzen, Walter
        affil: Klinik für Nuklearmedizin, Universität Duisburg-Essen, Essen, Germany walter.jentzen@uni-duisburg-essen.de.
      sug:
        subj:
          Image Processing, Computer Assisted Methods
          Tomography, Emission-Computed Methods
          Abdominal Neoplasms Radiography
          Pilot Studies
          Human
          Observer Bias
          Phantoms, Imaging
          Reproducibility of Results
          Thyroid Neoplasms Radiography
          Tomography, X-Ray Computed
          Uncertainty
      ab: Unlabelled: An improved thresholding method for segmentation of PET volumes is proposed that uses the delineation-averaged activity concentration (AC) within an iterative procedure instead of the enclosed maximum AC. Methods: The average-based iterative thresholding method (avg-ITM) needs the background-corrected relative boundary-reproducing threshold (BRT) curve applied to segment the tumor. On the basis of a previous study, which developed an iterative thresholding method using the maximum AC (max-ITM), the average-based BRT curve was derived from the AC profiles of a sphere model. Numerous phantom scans (using glass spheres, wax spheres, and bihemispheres) under different conditions were obtained to verify and assess the avg-ITM. Clinically, the avg-ITM was tested in 2 patients bearing tumors, and the interobserver and intraobserver variability in the volume segmentation was assessed using 5 tumors analyzed by 5 observers. In the entire study, the max-ITM was also applied to compare the respective results. Results: The phantom measurements verified the average-based BRT curve and demonstrated that spheric tumors down to a diameter equaling the spatial resolution could be delineated. In contrast to the max-ITM, the avg-ITM yielded reliable volumes (within the 95% confidence intervals) for standardized uptake values and signal-to-background ratios larger than 3. The volumes derived using the max-ITM were significantly underestimated for object sizes with diameters considerably larger than the spatial resolution. Phantom measurements using bihemispheres with decreasing AC ratios demonstrated that the avg-ITM was robust down to an AC ratio of 0.5 and, therefore, is less prone to nonuniformity than the max-ITM, which was corroborated by real tumor imaging. The observer-related variability was small (mean absolute relative SD < 4%). Conclusion: Compared with the max-ITM, the avg-ITM improves the segmentation results for large objects and is less sensitive against image noise and nonuniformity. A clinical comparison study is warranted to assess the benefits of the avg-ITM method compared with other segmentation methods.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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