Department of Nuclear Medicine, Scientific Institute San Raffaele, Milan, Italy.
Med Phys. 2011 Oct;38(10):5394-411. doi: 10.1118/1.3635220.
The aim of this work was the assessment of the physical performance of the new hybrid PET∕CT system: Discovery-690.
The Discovery-690 combines a lutetium-yttrium-orthosilicate (LYSO) block detector designed PET tomograph with a 64-slice CT scanner. The system is further characterized by a dedicated powerful computing platform implementing fully 3D-PET iterative reconstruction algorithms. These algorithms can account for time of flight (TOF) information and∕or a 3D model of the PET point spread function (PSF). PET physical performance was measured following NEMA NU-2-2007 procedures. Furthermore, specific tests were used: (i) to measure the energy and timing resolution of the PET system and (ii) to evaluate image quality, by using phantoms representing different clinical conditions (e.g., brain and whole body). Data processing and reconstructions were performed as required by standard procedures. Further reconstructions were carried out to evaluate the performance of the new reconstruction algorithms. In particular, four algorithms were considered for the reconstruction of the PET data: (i) HD = standard configuration, without TOF and PSF, (ii) TOF = HD + TOF, (iii) PSF = HD + PSF, and (iv) TOFPSF = HD + TOF + PSF.
The transverse (axial) spatial resolution values were 4.70 (4.74) mm and 5.06 (5.55) mm at 1 cm and 10 cm off axis, respectively. Sensitivity (average between 0 and 10 cm) was 7.5 cps∕kBq. The noise equivalent count rate (NECR) peak was 139.1 kcps at 29.0 kBq∕ml. The scatter fraction at the NECR peak was 37%. The correction accuracy for the dead time losses and random event counts had a maximum absolute error below the NECR peak of 2.09%. The average energy and timing resolution were 12.4% and 544.3 ps, respectively. PET image quality was evaluated with the NEMA IEC Body phantom by using four reconstruction algorithms (HD, TOF, PSF, and TOFPSF), as previously described. The hot contrast (after 3 iterations and for a lesion∕background activity ratio of 4:1) for the spheres of 10, 13, 17, and 22 mm was (HD) 29.8, 45.4, 55.4, and 68.1%; (TOF) 39.9, 53.5, 62.7, and 72.2%; (PSF) 28.3, 47.3, 60.4, and 71.8%; (TOFPSF) 43.8, 62.9, 70.6, and 76.4%. The cold contrast for the spheres of 28 and 37 mm was (HD) 62.4 and 65.2%; (TOF) 77.1 and 81.4%; (PSF) 62.0 and 65.2%; (TOFPSF) 77.3 and 81.6%. Similar hot and cold contrast trends were found during the analyses of other phantoms representing different clinical conditions (brain and whole body). Nevertheless, the authors observed a predominant role of either TOF or PSF, depending on the specific characteristics and dimensions of the phantoms.
Discovery-690 shows very good PET physical performance for all the standard NEMA NU-2-2007 measurements. Furthermore, the new reconstruction algorithms available for PET data (TOF and PSF) allow further improvements of the D-690 image quality performance both qualitatively and quantitatively.
本研究旨在评估新型混合 PET∕CT 系统 Discovery-690 的物理性能。
Discovery-690 将硅酸镥(LYSO)块探测器设计的 PET 断层扫描仪与 64 排 CT 扫描仪相结合。该系统的特点还包括一个专用的强大计算平台,该平台实现了完全 3D-PET 迭代重建算法。这些算法可以考虑飞行时间(TOF)信息和∕或 PET 点扩散函数(PSF)的 3D 模型。根据 NEMA NU-2-2007 程序测量 PET 物理性能。此外,还使用了特定的测试:(i)测量 PET 系统的能量和时间分辨率,(ii)使用代表不同临床情况的体模(如脑和全身)评估图像质量。根据标准程序进行数据处理和重建。进一步的重建用于评估新重建算法的性能。特别是,考虑了四种算法用于 PET 数据的重建:(i)HD = 标准配置,无 TOF 和 PSF,(ii)TOF = HD + TOF,(iii)PSF = HD + PSF,和(iv)TOFPSF = HD + TOF + PSF。
横向(轴向)空间分辨率值在 1 cm 和 10 cm 离轴时分别为 4.70(4.74)mm 和 5.06(5.55)mm。灵敏度(0 到 10 cm 之间的平均值)为 7.5 cps∕kBq。在 29.0 kBq∕ml 时,NECR 峰值为 139.1 kcps。NECR 峰值时的散射分数为 37%。对于死时间损失和随机事件计数的校正精度,在 NECR 峰值以下的最大绝对误差为 2.09%。平均能量和时间分辨率分别为 12.4%和 544.3 ps。使用四个重建算法(HD、TOF、PSF 和 TOFPSF)评估了 NEMA IEC 体模的 PET 图像质量,如前所述。对于 10、13、17 和 22 mm 的球体,热对比度(经过 3 次迭代,病变∕背景活动比为 4:1)为(HD)29.8、45.4、55.4 和 68.1%;(TOF)39.9、53.5、62.7 和 72.2%;(PSF)28.3、47.3、60.4 和 71.8%;(TOFPSF)43.8、62.9、70.6 和 76.4%。28 和 37 mm 球体的冷对比度为(HD)62.4 和 65.2%;(TOF)77.1 和 81.4%;(PSF)62.0 和 65.2%;(TOFPSF)77.3 和 81.6%。在分析代表不同临床情况(脑和全身)的其他体模时,也发现了类似的热和冷对比度趋势。然而,作者观察到,根据体模的具体特征和尺寸,TOF 或 PSF 起着主导作用。
Discovery-690 在所有标准的 NEMA NU-2-2007 测量中均表现出非常好的 PET 物理性能。此外,新的 PET 数据重建算法(TOF 和 PSF)可进一步提高 D-690 的图像质量性能,无论是定性还是定量。