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PET, TOFPET & SPECT Chin-Tu Chen Chien-Min Kao, Christian Wietholt, Qingguo Xie, Yun Dong, Jeffrey Souris, Hsing-Tsuen Chen, Bill C. O’Brien-Penney, Patrick J. La Riviere, Xiaochuan Pan Department of Radiology & Committee on Medical Physics Pritzker School of Medicine & Division of Biological Sciences The University of Chicago

Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

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Page 1: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

PET, TOFPET & SPECTChin-Tu Chen

Chien-Min Kao, Christian Wietholt, Qingguo Xie, Yun Dong, Jeffrey Souris,

Hsing-Tsuen Chen, Bill C. O’Brien-Penney, Patrick J. La Riviere, Xiaochuan Pan

Department of Radiology & Committee on Medical PhysicsPritzker School of Medicine & Division of Biological Sciences

The University of Chicago

Page 2: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

PET Principle

P N + e+ + n + energy

E = mc2

Page 3: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

15O 13N11C18F64Cu82Rb124I

PET Isotopes

PET Tracers

[15O]-O2 [15O]-H2O

[15O]-H2O [15O]-CO

[13N]-NH3 [18F]-FDOPA

[13N]-glutamate [18F–]

[11C]-acetate [18F]-FDG

[11C]-palmitate

[11C]-methionine

Page 4: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Normal Alzheimer’ s Disease

RV LV

LIVER

LUNGSPM

AP PROJECTION

Page 5: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

PET/CT Imaging

Page 6: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained
Page 7: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained
Page 8: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

0

0.05

0.1

0.15

0.2

0 10 20 30 40 50

striatumcerebellum

cps

Time(min)

Biochemical Imaging with Small AnimalsBiochemical Imaging with Small Animals

microPETmicroPET

[11C]WIN 35,428

N

11CH3 O

F

OCH3

Page 9: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Human PET: 3-4mm; Target: 1-2mmAnimal PET: 1-2 mm; Target: <0.5mm

Page 10: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Siemens “Molecular Imaging”

Multi-Modality Integrative System

PET/MRIPET/SPECT/CT

ForAnimal Imaging

PET/SPECT

Page 11: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

A PET Scanner

TruesCoincidence

ScatterCoincidence

T

XS

Investigation of Scatter in PETUsing SimSET

Page 12: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Effect of scatter on image

Page 13: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Effect of scatter on image

Page 14: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

scanner: 7.5 cm inner radius, 15% resolution

510 keV

540 keV

450 keV

420 keV (Photon 2 pulse height)

480 keV

CylinderBoxSphere

TFF vs. object shape

Page 15: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

10% energy resolution, large scanner

510 KeV

450 keV

540 keV

540 keV

510 keV480 keV

480 keV

450 keV

Thin phantomObese phantom

TFF vs. object size

Page 16: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

10% energy resolution

540 keV

510 keV

480 keV

450 keV

Large ScannerSmall Scanner

thin phantom

TFF vs. scanner radius

Page 17: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Thin phantom in the large scanner

LLD = 150 keV

LLD = 350 keV

raw corrected

Page 18: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

LLD = 150 keV

LLD = 350 keV

raw corrected

Obese phantom in the small scanner

Page 19: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Dual-Head microPET PrototypeSimSET

Page 20: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Sensitivity

Page 21: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Flexible Configuration

Page 22: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Example ReconstructionExample Reconstruction

Noiseless data

Noisy data

5 cm

25.2 cm

~16 cm

Page 23: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Time-of-Flight TomographTime-of-Flight Tomograph

• Can localize source along line of flight - depends on timing resolution of detectors

• Time of flight information can improve signal-to-noise in images - weighted back-projection along line-of-response (LOR)

D

Δ x = uncertainty in position along LOR= c . Δt/2

Δ x

Karp, et al, UPenn

Page 24: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Benefit of TOFno TOF 300 ps TOF1

Mct

s5

Mct

s10

Mct

s

5Mcts1Mcts1Mcts TOF

5Mcts TOF

Better image qualityFaster scan time

Karp, et al, UPenn

Page 25: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Smaller CW reduces randoms, scatter, and trues, at different rates. Is it beneficial to employ CWs much smaller than those currently being used, even though it is much smaller than the object size?

In detector design, one could make a compromise between timing resolution and other performance characteristics such as energy resolution. Therefore: In TOF-PET imaging, is it possible to trade energy resolution for timing resolution in such ways not diminishing, or even leading to improved, image quality?

Questions

Page 26: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

MethodsGATE Simulation

PET:82.5 cm ring diameter, 16.2 cm axial length24 transaxial rings made of 6.45×6.45×25mm3 LSO crystals1mm thickness and 66.5mm length septa~60 cm diameter FOV

Phantom:40cm diameter, 16.2cm height cylindercontaining uniform activity of ~6.3KBq/cc

Data generation: Perfect timing and energy resolution single events were generated by GATE. We then re-sampled the arrival times and detected energies of the simulated single events with Gaussian distributions to obtain specific energy resolutions (ER) and timing resolutions (TR). Various coincidence windows (CWs) are applied to obtained coincidence events.

Page 27: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Table 2. TR300ps-ER30% vs. TR700ps-ER15% with CW600ps,1000ps,1400ps,2ns,4ns

SF is larger with the 300ps TR, 30% ER case.RF increases with the coincidence windowNEC reaches maximum at CW~1.4ns

Results

962248.1900283.10.2199670.2937860.2081260.27577541918967293239069461596714865041617618CW 4000ps

109525410526260.1243340.1729530.2081610.2756421847634992440449763674215386921673307CW 2000ps

109904611004100.0940440.1291290.2060730.27389615554324890638892863321414984031678664CW 1400ps

100062410561050.0785270.1040470.2019590.26689811411918153933888956912613391221563243CW 1000ps

737221.6830759.50.0680550.0861180.1968440.254749709611124232381624078129717411193024CW 600ps

TR 700psTR 300psTR 700psTR 300psTR 700psTR 300psTR 700psTR 300psTR 700psTR 300psTR 700psTR 300ps

NEC(T*T/(T+S+R))RFSFRST

Page 28: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained for TR=300ps, ER=30%, using CW=600ps or 4ns. All time bins are summed and these profiles correspond to the non-TOF case. The coincidence window is observed to affect spatial distributions of trues and scatter. The spatial distribution of the randoms remain spatially uniform with both coincidence windows.

Figure 1(a) T events

Results

Page 29: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Figure 1(c) R eventsFigure (b) S events

Results

Page 30: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

\

Reconstruction: the EM algorithm, 50 iterations, with attenuation correction and smoothing introduced during iteration

Cases considered:NON-TOF PET: CW=4nsTOF-PET: CW=600ps, 1ns, 1.4ns, 2ns

Images are obtained by usingtrues only (T images)trues+scatter (T+S images)trues+randoms (T+R images)trues+scatter+randoms (T+S+R images).subtraction of T images from T+S images (S images)subtraction of T images from T+R images (R images)

Reconstructed Image

Page 31: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

System 1, CW1400ps System 1, CW2000ps

Page 32: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

System 2, CW1400ps System 2, CW2000ps

Page 33: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Central intensity profiles of images obtained with System 1

Page 34: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained
Page 35: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

ROI Quantification

1.6106781.8831931.5415791.9137731.5690171.9969471.5772111.914509SNR(TSR) gain

1.5602531.8127721.568561.8782381.5607971.9090621.5436451.805024SNR(TR) gain

1.38041.5325911.3045561.5662671.3483091.6371131.3590371.541631SNR(TS) gain

1.4033621.5390181.3935271.6155521.4127441.6179391.3683571.485893SNR(T) gain

6.5710756.8492226.2891716.9604426.4011097.2629476.4345376.96312SNR(TSR)

7.2705478.1729747.3092558.4681327.2730828.6071057.1931568.138042SNR(TR)

6.9588957.4440496.5765527.6076186.7971187.9517256.8512017.487954SNR(TS)

7.5205948.670917.4678889.1021067.5708699.1155547.3338.371598SNR(T)

0.106030.0955990.1105350.0939290.1086930.0899530.109810.094732ROIRE(TSR)

0.125460.1082520.1245880.1044380.1249570.1025660.1271620.108763ROIRE(TR)

0.1073680.0961730.1134990.0939790.1100890.0899760.1104260.096345ROIRE(TS)

0.1329680.1153280.1339070.1098650.1320850.1097030.136370.119452ROIRE(T)

42.352945.2895431.4891931.4584322.3138321.7470613.730813.85816ROISD(TSR)

38.2782837.9541327.0945425.8574819.6386218.3508612.282711.8574ROISD(TR)

39.9925641.6706230.1131828.7822821.013819.8633312.8957512.88684ROISD(TS)

37.005635.7745826.51924.0564818.8661617.3272812.0484611.5266ROISD(T)

399.4418473.743284.8804334.918205.2919241.7592125.0411146.2879ROIM(TSR)

305.1034350.6079217.4726247.5878157.1629178.916896.59115109.0206ROIM(TR)

372.481433.2882265.3164306.2633190.8801220.7619116.7816133.7568ROIM(TS)

278.3041310.1981198.0409218.9646142.8333157.947888.3513696.49604ROIM(T)

S2S1S2S1S2S1S2S1

CW 2000psCW 1400psCW 1000psCW 600ps

Page 36: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Single-Photon Emission Computed

Tomography (SPECT)

Page 37: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Single-Photon Radionuclides

Name Τ1/2 γ or x-ray abundance(keV)

133Xe 5.3 days 81 0.3899mTc 6.0 hrs 140 0.89111In 2.8 days 171 0.90

245 0.94123I 13 hrs 159 0.9967Ga 3.3 days 92 0.38

184 0.23300 0.16

Page 38: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Ga-67 Citrate Tc-99m HDP In-111 Prostascint

Page 39: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained
Page 40: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Triple-Head SPECT Scannertransmission sources

collimators

chestphantom

Page 41: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained
Page 42: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Super-Resolution Imaging (J. Meng, UIUC) Single-Photon Emission Microscopy (SPEM)

Page 43: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Super-Resolution Imaging Single-Photon Emission Microscopy (SPEM)

Page 44: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Super-Resolution Imaging Single-Photon Emission Microscopy (SPEM)

Page 45: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Integrative SPEM and CT

Page 46: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

The Best Existing Technology

Page 47: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

The striatum is a complex structure, processing information from multiple cortical inputs

Page 48: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Super-Resolution Imaging Single-Photon Emission Microscopy (SPEM)

Page 49: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

120 60 40 30 20 120 60 40 30 20 60 30 20 120 60 40 30 20120 60 40 30 20 120 60 40 30 20 60 30 20 120 60 40 30 200.00

0.02

0.04

0.06

0.08

0.10

right straitumleft straitum

40 min 26 min 20 min 13 min

EM Scanning time

Views

Diff

eren

ce fr

om s

tand

ard

Few-View Image Reconstruction(Using GATE)

Page 50: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

EM 120v 60v 40 v 30v 20v

40

26

20

16

Page 51: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

Modeling of Edge Penetration in Pin-Hole SPECT (GATE)

Page 52: Chin-TuChen Chien-Min Kao, Christian Wietholt, QingguoXie ... · T S R SF RF NEC(T*T/(T+S+R)) Fig.1(a,b,c) Profiles of the trues (T), scatter (S), and randoms (R) profiles obtained

TOFPET DREAM30 picosec TOF

4.5 mm LOR Resolution10 picosec TOF

1.5 mm LOR Resolution3 pico-sec TOF

0.45 mm LOR Resolution

HistogrammingNo “Reconstruction”