OBJECTIVE: To evaluate the value of Bayesian penalized likelihood (BPL) reconstruction for improving lesion conspicuity of malignant lung tumors on 18F-fluoro-2-deoxy-D-glucose (FDG) positron emission tomography computed tomography (PET/CT) as compared with the ordered subset expectation maximization (OSEM) reconstruction incorporating time-of-flight (TOF) model and point-spread-function (PSF) correction. METHODS: Twenty-nine patients with primary or metastatic lung cancers who underwent 18F-FDG PET/CT were retrospectively studied. PET images were reconstructed with OSEM + TOF, OSEM + TOF + PSF, and BPL with noise penalty strength β-value of 200, 400, 600, and 800. The signal-to-noise ratio (SNR) was determined in normal liver parenchyma. Lung lesion conspicuity was evaluated in 50 lung lesions by using a 4-point scale (0, no visible; 1, poor; 2, good; 3, excellent conspicuity). Two observers were independently asked to choose the most preferred reconstruction for detecting the lung lesions on a per-patient level. The maximum standardized uptake value (SUVmax) was measured in each of the 50 lung lesions. RESULTS: Liver SNR on the images reconstructed by BPL with β-value of 600 and 800 (17.8 ± 3.7 and 22.5 ± 4.6, respectively) was significantly higher than that by OSEM + TOF + PSF (15.0 ± 3.4, p < 0.0001). BPL with β-value of 600 was chosen most frequently as the preferred reconstruction algorithm for lung lesion assessment by both observers. The conspicuity score of the lung lesions < 10 mm in diameter on images reconstructed by BPL with β-value of 600 was significantly greater than that with OSEM + TOF + PSF (2.2 ± 0.8 vs 1.6 ± 0.9, p < 0.0001), while the conspicuity score of the lesions ≥ 10 mm in diameter was not significantly different between BPL with β-value of 600 and OSEM + TOF + PSF. The mean SUVmax was increased by BPL with β-value of 600 for the lung lesions with < 10 mm in diameter, compared to OSEM + TOF + PSF (3.4 ± 3.1 to 4.2 ± 3.5, p = 0.001). In contrast, BPL with β-value of 600 did not provide increased SUVmax for the lesions ≥ 10 mm in diameter. CONCLUSION: BPL reconstruction significantly improves the detection of small inconspicuous malignant tumors in the lung, improving the diagnostic performance of PET/CT.
OBJECTIVE: To evaluate the value of Bayesian penalized likelihood (BPL) reconstruction for improving lesion conspicuity of malignant lung tumors on 18F-fluoro-2-deoxy-D-glucose (FDG) positron emission tomography computed tomography (PET/CT) as compared with the ordered subset expectation maximization (OSEM) reconstruction incorporating time-of-flight (TOF) model and point-spread-function (PSF) correction. METHODS: Twenty-nine patients with primary or metastatic lung cancers who underwent 18F-FDG PET/CT were retrospectively studied. PET images were reconstructed with OSEM + TOF, OSEM + TOF + PSF, and BPL with noise penalty strength β-value of 200, 400, 600, and 800. The signal-to-noise ratio (SNR) was determined in normal liver parenchyma. Lung lesion conspicuity was evaluated in 50 lung lesions by using a 4-point scale (0, no visible; 1, poor; 2, good; 3, excellent conspicuity). Two observers were independently asked to choose the most preferred reconstruction for detecting the lung lesions on a per-patient level. The maximum standardized uptake value (SUVmax) was measured in each of the 50 lung lesions. RESULTS: Liver SNR on the images reconstructed by BPL with β-value of 600 and 800 (17.8 ± 3.7 and 22.5 ± 4.6, respectively) was significantly higher than that by OSEM + TOF + PSF (15.0 ± 3.4, p < 0.0001). BPL with β-value of 600 was chosen most frequently as the preferred reconstruction algorithm for lung lesion assessment by both observers. The conspicuity score of the lung lesions < 10 mm in diameter on images reconstructed by BPL with β-value of 600 was significantly greater than that with OSEM + TOF + PSF (2.2 ± 0.8 vs 1.6 ± 0.9, p < 0.0001), while the conspicuity score of the lesions ≥ 10 mm in diameter was not significantly different between BPL with β-value of 600 and OSEM + TOF + PSF. The mean SUVmax was increased by BPL with β-value of 600 for the lung lesions with < 10 mm in diameter, compared to OSEM + TOF + PSF (3.4 ± 3.1 to 4.2 ± 3.5, p = 0.001). In contrast, BPL with β-value of 600 did not provide increased SUVmax for the lesions ≥ 10 mm in diameter. CONCLUSION:BPL reconstruction significantly improves the detection of small inconspicuous malignant tumors in the lung, improving the diagnostic performance of PET/CT.
Authors: Julian M M Rogasch; Frank Hofheinz; Lutz van Heek; Conrad-Amadeus Voltin; Ronald Boellaard; Carsten Kobe Journal: Diagnostics (Basel) Date: 2022-02-10
Authors: Julian M M Rogasch; Ronald Boellaard; Lucy Pike; Peter Borchmann; Peter Johnson; Jürgen Wolf; Sally F Barrington; Carsten Kobe Journal: Eur J Nucl Med Mol Imaging Date: 2021-05-14 Impact factor: 9.236