Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Gordon Center for Medical Imaging, Massachusetts General Hospital, Boston, MA, USA.
Med Phys. 2019 Jul;46(7):3025-3033. doi: 10.1002/mp.13576. Epub 2019 May 31.
The GE Discovery MI PET/CT system has a modular digital detector design allowing three, four, or five detector block rings that extend the axial field-of-view (FOV) from 15 to 25 cm in 5 cm increments. This study investigated the performance of the 5-ring system and compared it to 3- and 4-ring systems; the GE Discovery IQ system that uses conventional photomultiplier tubes; and the GE Signa PET/MR system that has a reduced transaxial FOV.
PET performance was evaluated at three different institutions. Spatial resolution, sensitivity, counting rate performance, accuracy, and image quality were measured in accordance with National Electrical Manufacturers Association NU 2-2012 standards. The mean energy resolution, mean timing resolution, and PET/CT subsystem alignment were also measured. Phantoms were used to determine the effects of varying acquisition time and reconstruction parameters on image quality. Retrospective patient scans were reconstructed with various scan durations to evaluate the impact on image quality.
Results from all three institutions were similar. Radial/tangential/axial full width at half maximum spatial resolution measurements using the filtered back projection algorithm were 4.3/4.3/5.0 mm, 5.5/4.6/6.5 mm, and 7.4/5.0/6.6 mm at 1, 10, and 20 cm from the center of the FOV, respectively. Measured sensitivity at the center of the FOV (20.84 cps/kBq) was significantly higher than systems with reduced axial FOV. The peak noise-equivalent counting rate was 266.3 kcps at 20.8 kBq/ml, with a corresponding scatter fraction of 40.2%. The correction accuracy for count losses up to the peak noise-equivalent counting rate was 3.6%. For the 10-, 13-, 17-, 22-, 28-, and 37-mm spheres, contrast recoveries in the image quality phantom were measured to be 46.2%, 54.3%, 66.1%, 71.1%, 85.3%, and 89.3%, respectively. The mean energy and timing resolution were 9.55% and 381.7 ps, respectively. Phantom and patient images demonstrated excellent image quality, even at short acquisition times or low injected activity.
Compared to other PET/CT models, the extended axial FOV improved the overall PET performance of the 5-ring GE Discovery MI scanner. This system offers the potential to reduce scan times or injected activities through increased sensitivity.
GE Discovery MI PET/CT 系统采用模块化数字探测器设计,允许三个、四个或五个探测器模块环,将轴向视野(FOV)从 15 厘米扩展到 25 厘米,增量为 5 厘米。本研究对 5 环系统的性能进行了评估,并将其与 3 环和 4 环系统、使用传统光电倍增管的 GE Discovery IQ 系统以及具有较小横向 FOV 的 GE Signa PET/MR 系统进行了比较。
在三个不同的机构评估了 PET 的性能。根据国家电器制造商协会 NU 2-2012 标准,测量了空间分辨率、灵敏度、计数率性能、准确性和图像质量。还测量了平均能量分辨率、平均定时分辨率和 PET/CT 子系统对准。使用体模确定了不同采集时间和重建参数对图像质量的影响。使用各种扫描持续时间对回顾性患者扫描进行重建,以评估对图像质量的影响。
来自三个机构的结果都相似。使用滤波反投影算法测量的 FOV 中心的径向/切向/轴向半高全宽空间分辨率测量值分别为 4.3/4.3/5.0mm、5.5/4.6/6.5mm 和 7.4/5.0/6.6mm,分别在 FOV 中心距离 1、10 和 20cm 处。在 FOV 中心测量的灵敏度(20.84cps/kBq)明显高于轴向 FOV 减小的系统。在 20.8kBq/ml 时,最高噪声等效计数率为 266.3kcps,相应的散射分数为 40.2%。高达最高噪声等效计数率的计数损失校正精度为 3.6%。对于 10、13、17、22、28 和 37mm 球体,在图像质量体模中测量的对比度恢复分别为 46.2%、54.3%、66.1%、71.1%、85.3%和 89.3%。平均能量和定时分辨率分别为 9.55%和 381.7ps。体模和患者图像显示出出色的图像质量,即使在短采集时间或低注入活动下也是如此。
与其他 PET/CT 模型相比,扩展的轴向 FOV 提高了 5 环 GE Discovery MI 扫描仪的整体 PET 性能。该系统通过提高灵敏度有可能减少扫描时间或注入活动。