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Cerenkov luminescence imaging (CLI) is a new preclinical molecular imaging tool allowing studying the bio-distribution of beta emitting radiotracers 1, 2, 3, 4, 5, 6, 7 using preclinical optical imaging devices. CLI is based on the detection of visible photons emitted by charged particles, as electrons and positrons, as they travel into the tissue with energy greater than Cerenkov threshold. The basic theory behind CLI was described in Ref. 2. The main goal of this work was to evaluate the performances of an unsupervised approach based on cluster analysis (CA) and principal component analysis (PCA) for the analysis of dynamic Cerenkov luminescence imaging (dCLI) data. The dCLI data can be used to study the bio-distribution both spatially and temporally of radiopharmaceuticals labeled with beta plus or beta minus emitters. In this work we presented two examples using both type of radioisotopes. In the first example attention was focused on measuring the bio-distribution of 32P-ATP. Such radiotracer has been widely used for in vitro biology experiments but (to our knowledge) only dCLI allow investigating the spatial localization and the time course of 32P-ATP uptake in a mouse. As will be presented in the rest of the paper, the use of CA allows us to obtain automatically the time activity curves (TAC) of different regions like: the background, liver, bladder, etc. and, at the same time, a segmented image where all these regions are distinguishable. We believe that is a robust user independent approach to obtain the planar localization and the temporal variation of radiopharmaceuticals. The second example included in the paper was the measurement of time activity curve of 2-[18F]fluoro-2-deoxy-D-glucose (FDG) in a tumor. Again we will show that also in this case CA allows us to correctly localize the tumor region and automatically obtain the FDG uptake curve. CA is a well-known mathematical approach allowing to group a large data set into a smaller number of clusters having similar properties;8 in our case pixels with a similar tracer kinetics. This is quite a useful tool since it allows to obtain an automatic unsupervised delineation of the different emission regions and also to extract the corresponding TAC. CA has been applied in the past to clinical9, 10, 11 and small animal dynamic positron emission tomography.12 CA can be performed by using several possible algorithms, in this work the k-means clustering algorithm13 has been applied by using the interactive data language14 ver. 8.1. Assuming that we are dealing with planar dCLI images with (pixel basis) m TACs taken at n different time points, the k-means algorithm13 is based on the minimization for K clusters of the following objective function: Eq. 1[TeX:] \documentclass[12pt]{minimal}\begin{document}\begin{equation} d_K = \sum\limits_{k = 1}^K {\sum\limits_{j \in C_k } {\| {I_j - c_k } \|^2 }}, \end{equation}\end{document}PCA15 is a technique developed to reduce the dimensionality of a large dataset, and dimension reduction is achieved by transforming the old variables to a new set of variables called principal components. The new variables are now uncorrelated and most of the variance of the data is typically contained in the first few components. PCA has been recently applied to in vivo small animals optical imaging using fluorescent dyes.16 In Ref. 16, the time activity curves for several regions of the mouse were obtained by drawing regions of interest (ROIs) using the PCA image as a guide. PCA analysis was performed using a routine written in MATLAB 7.1 and applied to each pixel of the images acquired at different time points. An RGB (red, blue, and green) image was then obtained by combining the first three PCA components after normalization. In this work a comparison between TAC obtained by using CA and by manually drawing ROI respectively on the dCLI and PCA image was presented. CLI images were acquired using the IVIS 200 optical imager (Caliper Life Sciences, Alameda, USA). The IVIS 200 is equipped with a back-thinned, back-illuminated CCD camera cooled at −90 °C. The CCD has an active array of 1920×1920 pixels with a dimension of 13 μm. The images were acquired with the following parameters: exposure time equal to 300 s, f = 1, binning B = 8 and with a field of view = 12.8 cm. The CLI data were acquired and analyzed with Living Image 4.1 (Caliper Life Sciences) and were corrected for dark measurements. As mentioned already, in order to investigate the performances of the CA when using dCLI, two distinct data sets acquired using two different radiotracers were analyzed. The first set of dCLI was obtained by injecting a control nude mouse with 10 ±1 MBq of a pure beta minus radiotracer like 32P-ATP.7 The second data set consisted in a BB1 tumor xenograft mouse model, in this case the animal was injected with 20 ±2 MBq of a pure beta plus radiotracer like FDG. Dynamic planar CLI scans were performed for 60 min after tracer injection, more precisely 10 images were acquired every 6 min. During injection and images acquisition the mouse was kept under gaseous anesthesia (2% of isoflurane and 1 l/min of oxygen). All the animal handling was approved by the Institutional Ethical Committee according to the regulations of the Italian Ministry of Health and to the European Communities Council (86/609/EEC) directives. Figures 1, 2 [panel (a)] present the original CLI images obtained after 1 h from tracer injection and the corresponding clustered image [panel (b)]. As one can notice by looking at all the panels of Figs. 1, 2, there is good agreement between regions such as the bladder and the liver of the CLI with the corresponding regions obtained with CA. In (b) and (c) are presented, respectively, the clustered images and the overlay of the two. In particular, Fig. 2b shows a good delineation of the tumor region. As mentioned previously, the second interesting aspect of using CA is that it is possible to obtain directly the TAC of the different emission regions. Figure 3 shows that the RGB image obtained by combining the first three PCA components allow a better delineation of mouse regions with different tracer kinetics. ROI analysis was performed by using PCA16 as a guide and the dCLI data in order to investigate the TAC differences with respect to CA. In Fig. 4 are plotted the TACs of the background, liver, bladder and tumor obtained by using CA, and manual ROI drawing. It is important to notice that the plots in figure 4 show a very good agreement between the TACs of the same regions obtained with CA and manual ROI using both dCLI and PCA images as a guide. However it is useful to remind here that CA allows automatic TACs measurements being each TAC the centroid of each cluster. In order to quantify the agreement between the CA and manual ROI a “worst case scenario” figure of merit f was calculated as follows: Eq. 2[TeX:] \documentclass[12pt]{minimal}\begin{document}\begin{equation} f = {\rm Max}\left({\frac{{\left| {c_k - c_{{\rm man}} } \right|}}{{c_{{\rm man}} }}} \right), \end{equation}\end{document}To summarize, the results presented in this work show that CA allows to perform unsupervised region segmentation of dCLI and to obtain the corresponding TAC. 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