Feasibility of PET-enabled dual-energy CT imaging: First physical phantom and initial patient study results.

Purpose: Dual-energy (DE) CT enables material decomposition by using two different x-ray energies and may be combined with PET for improved multimodality imaging. However, this increases radiation dose and may require a hardware upgrade due to the added second x-ray CT scan. The recently proposed PE...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 52; no. 5; pp. 1912 - 1924
Autores principales: Zhu, Yansong, Li, Siqi, Xie, Zhaoheng, Leung, Edwin K., Bayerlein, Reimund, Omidvari, Negar, Abdelhafez, Yasser G., Cherry, Simon R., Qi, Jinyi, Badawi, Ramsey D., Spencer, Benjamin A., Wang, Guobao
Formato: Journal Article
Publicado: Springer Nature Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00259-024-06975-5
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        atl: Feasibility of PET-enabled dual-energy CT imaging: First physical phantom and initial patient study results.
      aug:
        au:
          Zhu, Yansong
          Li, Siqi
          Xie, Zhaoheng
          Leung, Edwin K.
          Bayerlein, Reimund
          Omidvari, Negar
          Abdelhafez, Yasser G.
          Cherry, Simon R.
          Qi, Jinyi
          Badawi, Ramsey D.
          Spencer, Benjamin A.
          Wang, Guobao
        affil: https://ror.org/05q8kyc69 Department of Radiology, UC Davis Health, 95817, Sacramento, CA, USA
      sug:
      ab: Purpose: Dual-energy (DE) CT enables material decomposition by using two different x-ray energies and may be combined with PET for improved multimodality imaging. However, this increases radiation dose and may require a hardware upgrade due to the added second x-ray CT scan. The recently proposed PET-enabled DECT method allows dual-energy imaging using a conventional PET/CT scanner without the need to change scanner hardware or increase radiation exposure. Here we demonstrate the first-time physical phantom and patient data evaluation of this method. Methods: The PET-enabled DECT method reconstructs a gamma-ray CT (gCT) image at 511 keV from the time-of-flight PET data with the maximum-likelihood attenuation and activity (MLAA) approach and then combines this image with the low-energy x-ray CT images to form a dual-energy image pair for material decomposition. To improve the image quality of gCT, a kernel MLAA method was developed using the x-ray CT as a priori information. Here we developed a general open-source implementation for gCT reconstruction and used this implementation for the first real data validation using both physical phantom study and human-subject study. Results from PET-enabled DECT were compared using x-ray DECT as the reference. Further, we applied the PET-enabled DECT method in another patient study to evaluate bone lesions. Results: Compared to the standard MLAA, results from the kernel MLAA showed significantly improved image quality. PET-enabled DECT with the kernel MLAA was able to generate fractional images that were comparable to the x-ray DECT, with high correlation coefficients for both the phantom study and human subject study (R > 0.99). The application study also indicates that PET-enabled DECT has potential to characterize bone lesions. Conclusion: Results from this study have demonstrated the feasibility of this PET-enabled method for CT imaging and material decomposition. PET-enabled DECT shows promise to provide comparable results to x-ray DECT.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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