Department of Nuclear Medicine-Molecular Imaging, Hôpitaux Universitaires Paris-Saclay, AP-HP, DMU SMART IMAGING, CHU Bicêtre, Le Kremlin-Bicêtre, France.
School of Medicine, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
J Imaging Inform Med. 2024 Apr;37(2):842-850. doi: 10.1007/s10278-023-00965-z. Epub 2024 Jan 10.
Kinetic modeling represents the ultimate foundations of PET quantitative imaging, a unique opportunity to better characterize the diseases or prevent the reduction of drugs development. Primarily designed for research, parametric imaging based on PET kinetic modeling may become a reality in future clinical practice, enhanced by the technical abilities of the latest generation of commercially available PET systems. In the era of precision medicine, such paradigm shift should be promoted, regardless of the PET system. In order to anticipate and stimulate this emerging clinical paradigm shift, we developed a constructor-independent software package, called PET KinetiX, allowing a faster and easier computation of parametric images from any 4D PET DICOM series, at the whole field of view level. The PET KinetiX package is currently a plug-in for Osirix DICOM viewer. The package provides a suite of five PET kinetic models: Patlak, Logan, 1-tissue compartment model, 2-tissue compartment model, and first pass blood flow. After uploading the 4D-PET DICOM series into Osirix, the image processing requires very few steps: the choice of the kinetic model and the definition of an input function. After a 2-min process, the PET parametric and error maps of the chosen model are automatically estimated voxel-wise and written in DICOM format. The software benefits from the graphical user interface of Osirix, making it user-friendly. Compared to PMOD-PKIN (version 4.4) on twelve F-FDG PET dynamic datasets, PET KinetiX provided an absolute bias of 0.1% (0.05-0.25) and 5.8% (3.3-12.3) for Ki and Ki, respectively. Several clinical research illustrative cases acquired on different hybrid PET systems (standard or extended axial fields of view, PET/CT, and PET/MRI), with different acquisition schemes (single-bed single-pass or multi-bed multipass), are also provided. PET KinetiX is a very fast and efficient independent research software that helps molecular imaging users easily and quickly produce 3D PET parametric images from any reconstructed 4D-PET data acquired on standard or large PET systems.
动力学建模代表了 PET 定量成像的终极基础,这是更好地描述疾病或防止药物研发减少的独特机会。基于 PET 动力学建模的参数成像主要是为研究设计的,它可能会成为未来临床实践的现实,这得益于最新一代商业 PET 系统的技术能力。在精准医学时代,无论 PET 系统如何,都应该推动这种范式转变。为了预测和刺激这一新兴的临床范式转变,我们开发了一个独立于构建器的软件包,称为 PET KinetiX,它允许从任何 4D PET DICOM 系列在整个视场水平更快、更容易地计算参数图像。PET KinetiX 包目前是 Osirix DICOM 查看器的一个插件。该软件包提供了五个 PET 动力学模型:Patlak、Logan、1 组织室模型、2 组织室模型和首过血流。将 4D-PET DICOM 系列上传到 Osirix 后,图像处理只需很少的步骤:选择动力学模型和定义输入函数。经过 2 分钟的处理,所选模型的 PET 参数图和误差图会自动以体素为单位进行估计,并以 DICOM 格式写入。该软件受益于 Osirix 的图形用户界面,使其易于使用。与十二例 F-FDG PET 动态数据集上的 PMOD-PKIN(版本 4.4)相比,PET KinetiX 分别为 Ki 和 Ki 提供了 0.1%(0.05-0.25)和 5.8%(3.3-12.3)的绝对偏差。还提供了在不同的混合 PET 系统(标准或扩展轴向视场、PET/CT 和 PET/MRI)上获得的几个临床研究示例案例,以及不同的采集方案(单床单次通过或多床多次通过)。PET KinetiX 是一款非常快速高效的独立研究软件,可帮助分子成像用户轻松快速地从标准或大型 PET 系统上获取的任何重建 4D-PET 数据中生成 3D PET 参数图像。