Assessment of patient selection criteria for quantitative imaging with respiratory-gated positron emission tomography

Stephen R. Bowen; Larry A. Pierce; Adam M. Alessio; Chi Liu; Scott D. Wollenweber; Charles W. Stearns; Paul E. Kinahan

doi:10.1117/1.JMI.1.2.026001

24 September 2014 Assessment of patient selection criteria for quantitative imaging with respiratory-gated positron emission tomography

Stephen R. Bowen, Larry A. Pierce, Adam M. Alessio, Chi Liu, Scott D. Wollenweber, Charles W. Stearns, Paul E. Kinahan

Author Affiliations +

Journal of Medical Imaging, Vol. 1, Issue 2, 026001 (September 2014). https://doi.org/10.1117/1.JMI.1.2.026001

Abstract

The objective of this investigation was to propose techniques for determining which patients are likely to benefit from quantitative respiratory-gated imaging by correlating respiratory patterns to changes in positron emission tomography (PET) metrics. Twenty-six lung and liver cancer patients underwent PET/computed tomography exams with recorded chest/abdominal displacements. Static and adaptive amplitude-gated [¹⁸F]fluoro-D-glucose (FDG) PET images were generated from list-mode acquisitions. Patients were grouped by respiratory pattern, lesion location, or degree of lesion attachment to anatomical structures. Respiratory pattern metrics were calculated during time intervals corresponding to PET field of views over lesions of interest. FDG PET images were quantified by lesion maximum standardized uptake value (SUV_max). Relative changes in SUV_max between static and gated PET images were tested for association to respiratory pattern metrics. Lower lung lesions and liver lesions had significantly higher changes in SUV_max than upper lung lesions (14 versus 3%, p<0.0001). Correlation was highest (0.42±0.10, r²=0.59, p<0.003) between changes in SUV_max and nonstandard respiratory pattern metrics. Lesion location had a significant impact on changes in PET quantification due to respiratory gating. Respiratory pattern metrics were correlated to changes in SUV_max, though sample size limited statistical power. Validation in larger cohorts may enable selection of patients prior to acquisition who would benefit from respiratory-gated PET imaging.

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Stephen R. Bowen, Larry A. Pierce, Adam M. Alessio, Chi Liu, Scott D. Wollenweber, Charles W. Stearns, and Paul E. Kinahan "Assessment of patient selection criteria for quantitative imaging with respiratory-gated positron emission tomography," Journal of Medical Imaging 1(2), 026001 (24 September 2014). https://doi.org/10.1117/1.JMI.1.2.026001

Published: 24 September 2014

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