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Quantitative and qualitative evaluation of sequential PET/MRI using a newly developed mobile PET system for brain imaging

Authors
  • Suzuki, Mizue1
  • Fushimi, Yasutaka1
  • Okada, Tomohisa1
  • Hinoda, Takuya1
  • Nakamoto, Ryusuke1
  • Arakawa, Yoshiki1
  • Sawamoto, Nobukatsu1
  • Togashi, Kaori1
  • Nakamoto, Yuji1
  • 1 Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan , Kyoto (Japan)
Type
Published Article
Journal
Japanese Journal of Radiology
Publisher
Springer Singapore
Publication Date
Feb 28, 2021
Volume
39
Issue
7
Pages
669–680
Identifiers
DOI: 10.1007/s11604-021-01105-9
Source
Springer Nature
Keywords
Disciplines
  • Original Article
License
Yellow

Abstract

PurposeTo evaluate the clinical feasibility of a newly developed mobile PET system with MR-compatibility (flexible PET; fxPET), compared with conventional PET (cPET)/CT for brain imaging.MethodsTwenty-one patients underwent cPET/CT with subsequent fxPET/MRI using 18F-FDG. As qualitative evaluation, we visually rated image quality of MR and PET images using a four-point scoring system. We evaluated overall image quality for MR, while we evaluated overall image quality, sharpness and lesion contrast. As quantitative evaluation, we compared registration accuracy between two modalities [(fxPET and MRI) and (cPET and CT)] measuring spatial coordinates. We also examined the accuracy of regional 18F-FDG uptake.ResultsAll acquired images were of diagnostic quality and the number of detected lesions did not differ significantly between fxPET/MR and cPET/CT. Mean misregistration was significantly larger with fxPET/MRI than with cPET/CT. SUVmax and SUVmean for fxPET and cPET showed high correlations in the lesions (R = 0.84, 0.79; P < 0.001, P = 0.002, respectively). In normal structures, we also showed high correlations of SUVmax (R = 0.85, 0.87; P < 0.001, P < 0.001, respectively) and SUVmean (R = 0.83, 0.87; P < 0.001, P < 0.001, respectively) in bilateral caudate nuclei and a moderate correlation of SUVmax (R = 0.65) and SUVmean (R = 0.63) in vermis.ConclusionsThe fxPET/MRI system showed image quality within the diagnostic range, registration accuracy below 3 mm and regional 18F-FDG uptake highly correlated with that of cPET/CT.

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