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为放射治疗计划的正电子发射断层扫描 - 磁共振成像同步开发质量保证测试。

Developing quality assurance tests for simultaneous Positron Emission Tomography - Magnetic Resonance imaging for radiotherapy planning.

作者信息

Wyatt Jonathan J, McCallum Hazel M, Maxwell Ross J

机构信息

Translational and Clinical Research Institute, Newcastle University, Newcastle, UK.

Northern Centre for Cancer Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.

出版信息

Phys Imaging Radiat Oncol. 2022 Apr 20;22:28-35. doi: 10.1016/j.phro.2022.03.003. eCollection 2022 Apr.

Abstract

Simultaneous Positron Emission Tomography - Magnetic Resonance (PET-MR) imaging can potentially improve radiotherapy by enabling more accurate tumour delineation and dose painting. The use of PET-MR imaging for radiotherapy planning requires a comprehensive Quality Assurance (QA) programme to be developed. This study aimed to develop the QA tests required and assess their repeatability and stability. QA tests were developed for: MR image quality, MR geometric accuracy, electromechanical accuracy, PET-MR alignment accuracy, Diffusion Weighted (DW)-MR Apparent Diffusion Coefficient (ADC) accuracy and PET Standard Uptake Value (SUV) accuracy. Each test used a dedicated phantom and was analysed automatically or semi-automatically, with in-house software. Repeatability was evaluated by three same-day measurements with independent phantom positions. Stability was assessed through 12 monthly measurements. The repeatability Standard Deviations (SDs) of distortion for the MR geometric accuracy test were . The repeatability SDs in ADC difference from reference were for the DW-MR accuracy test. The PET SUV difference from reference repeatability SD was . The stability SDs agreed within , 1 percentage point and 1.4 percentage points of the repeatability SDs for the geometric, ADC and SUV accuracy tests respectively. There were no monthly trends apparent. These results were representative of the other tests. QA Tests for radiotherapy planning PET-MR have been developed. The tests appeared repeatable and stable over a 12-month period. The developed QA tests could form the basis of a QA programme that enables high-quality, robust PET-MR imaging for radiotherapy planning.

摘要

同时正电子发射断层扫描-磁共振(PET-MR)成像通过实现更精确的肿瘤轮廓描绘和剂量描绘,有可能改善放射治疗。将PET-MR成像用于放射治疗计划需要制定一个全面的质量保证(QA)计划。本研究旨在开发所需的QA测试,并评估其可重复性和稳定性。针对以下方面开发了QA测试:MR图像质量、MR几何精度、机电精度、PET-MR对准精度、扩散加权(DW)-MR表观扩散系数(ADC)精度和PET标准摄取值(SUV)精度。每个测试都使用了专用体模,并通过内部软件进行自动或半自动分析。通过在同一天对独立的体模位置进行三次测量来评估可重复性。通过每月进行12次测量来评估稳定性。MR几何精度测试中失真的可重复性标准差为 。DW-MR精度测试中ADC与参考值差异的可重复性标准差为 。PET SUV与参考值差异的可重复性标准差为 。几何、ADC和SUV精度测试的稳定性标准差分别在可重复性标准差的 、1个百分点和1.4个百分点范围内一致。没有明显的月度趋势。这些结果代表了其他测试。已开发出用于放射治疗计划PET-MR的QA测试。这些测试在12个月期间表现出可重复性和稳定性。所开发的QA测试可以构成一个QA计划的基础,该计划能够实现用于放射治疗计划的高质量、稳健的PET-MR成像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b886/9048159/d9ae06a9468b/gr1.jpg

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