Fatemi-Ardekani Ali, Samavati Navid, Tang Jin, Kamath Markad V
Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario, Canada.
Crit Rev Biomed Eng. 2009;37(6):495-515. doi: 10.1615/critrevbiomedeng.v37.i6.30.
The development of integrated imaging systems for magnetic resonance imaging (MRI) and positron emission tomography (PET) is currently being explored in a number of laboratories and industrial settings. PET/MRI scanners for both preclinical and human research applications are being developed. PET/MRI overcomes many limitations of PET/computed tomography (CT), such as limited tissue contrast and high radiation doses delivered to the patient or the animal being studied. In addition, recent PET/MRI designs allow for simultaneous rather than sequential acquisition of PET and MRI data, which could not have been achieved through a combination of PET and CT scanners. In a combined PET/CT scanner, while both scanners share a common patient bed, they are hard-wired back-to-back and therefore do not allow simultaneous data acquisition. While PET/MRI offers the possibility of novel imaging strategies, it also creates considerable challenges for acquiring artifact-free images from both modalities. In this review, we discuss motivations, challenges, and potential research applications of developing PET/MRI technology. A brief overview of both MRI and PET is presented and preclinical and clinical applications of PET/MRI are identified. Finally, issues and concerns about image quality, clinical practice, and economic feasibility are discussed.
目前,许多实验室和工业机构都在探索用于磁共振成像(MRI)和正电子发射断层扫描(PET)的集成成像系统的开发。用于临床前和人体研究应用的PET/MRI扫描仪正在研制中。PET/MRI克服了PET/计算机断层扫描(CT)的许多局限性,如组织对比度有限以及给被研究的患者或动物带来高辐射剂量等问题。此外,最近的PET/MRI设计允许同时而非顺序采集PET和MRI数据,这是PET和CT扫描仪组合无法实现的。在组合式PET/CT扫描仪中,虽然两台扫描仪共用一张病床,但它们背靠背硬连接,因此不允许同时采集数据。虽然PET/MRI提供了采用新型成像策略的可能性,但它也给从两种模式获取无伪影图像带来了相当大的挑战。在这篇综述中,我们讨论了开发PET/MRI技术的动机、挑战和潜在的研究应用。简要介绍了MRI和PET,并确定了PET/MRI的临床前和临床应用。最后,讨论了有关图像质量、临床实践和经济可行性的问题和担忧。