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Physics and Technology of SPECT/CT

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Clinical Applications of SPECT-CT

Abstract

The introduction of combined SPECT (single-photon emission computed tomography) and X-ray CT (computed tomography) scanners has changed the practice of single-photon imaging in nuclear medicine forever. The original motivators to produce a combined SPECT/CT system were to provide improved anatomical localisation of the distribution of the SPECT radiopharmaceutical and to improve the capability of the SPECT scanner to produce images that can be corrected for the photon scattering and attenuation that causes degradation of the image.

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References

  1. Morozumi T, Nakajima M, Ogawa K, Yuta S. Attenuation correction methods using the information of attenuation distribution for single photon emission CT. Med Imag Tech. 1984;2:20–8.

    Google Scholar 

  2. Malko JA, Gullberg GT, Kowalsky WP, Van Heertum RL. A count-based algorithm for attenuation-corrected volume determination using data from an external flood source. J Nucl Med. 1985;26:194–200.

    PubMed  CAS  Google Scholar 

  3. Bailey DL, Hutton BF, Walker PJ. Improved SPECT using simultaneous emission and transmission tomography. J Nucl Med. 1987;28:844–51.

    PubMed  CAS  Google Scholar 

  4. Greer KL, Harris CC, Jaszczak RJ, Coleman RE, Hedland LW, Floyd CE, et al. Transmission computed tomography data acquisition with a SPECT system. J Nucl Med Tech. 1987;15:53–6.

    Google Scholar 

  5. Butler SP, Bailey DL, McLaughlin AF, Khafagi FA, Stephens FO. SPECT evaluation of arterial perfusion in regional chemotherapy. J Nucl Med. 1988;29:593–8.

    PubMed  CAS  Google Scholar 

  6. Bailey DL. Transmission scanning in emission tomography. Eur J Nucl Med. 1998;25:774–87.

    Article  PubMed  CAS  Google Scholar 

  7. Heller G, Links J, Bateman T, Ziffer J, Ficaro E, Cohen M, et al. American Society of Nuclear Cardiology and Society of Nuclear Medicine joint position statement: attenuation correction of myocardial perfusion SPECT scintigraphy. J Nucl Cardiol. 2004;11:229–30.

    Article  PubMed  Google Scholar 

  8. Moore SC. Attenuation compensation. In: Ell PJ, Holman BL, editors. Computed emission tomography. London: Oxford University Press; 1982. p. 339–60.

    Google Scholar 

  9. Fleming JS. A technique for using CT images in attenuation correction and quantification in SPECT. Nucl Med Commun. 1989;10:83–97.

    Article  PubMed  CAS  Google Scholar 

  10. Hasegawa BH, Gingold EL, Reilly SM, Liew SC, Cann C. Description of a simultaneous emission-transmission CT system. Proc SPIE. 1990;1231:50–60.

    Article  Google Scholar 

  11. Iwata K, Kwon S-I, Hasegawa BH, Bennett PR, Cirignano L, Shah KS. Description of a prototype combined CT-SPECT system with a single CdZnTe detector. In: IEEE Nuclear Science Symposium: IEEE; Lyon, France, 2000. p. 161–165.

    Google Scholar 

  12. Tang HR, Brown JK, Da Silva AJ, Matthay KK, Price DC, Huberty JP, et al. Implementation of a combined X-ray CT-scintillation camera imaging system for localizing and measuring radionuclide uptake: experiments in phantoms and patients. IEEE Trans Nucl Sci. 1999;46:551–7.

    Article  Google Scholar 

  13. Patton JA, Debelke D, Sandler MP. Image fusion using an integrated, dual-head coincidence cameras with X-ray tube-based attenuation maps. J Nucl Med. 2000;41:1364–8.

    PubMed  CAS  Google Scholar 

  14. Bailey DL, Roach PJ, Bailey EA, Hewlett J, Keijzers R. Development of a cost-effective modular SPECT/CT scanner. Eur J Nucl Med Mol Imaging. 2007;34:1415–26. doi:10.1007/s00259-006-0364-3.

    Article  PubMed  Google Scholar 

  15. Brown S, Bailey DL, Willowson K, Baldock CA. Investigation of the relationship between linear attenuation coefficients and CT Hounsfield units using radionuclides for SPECT. Appl Radiat Isot. 2008;66:1206–12.

    Article  PubMed  CAS  Google Scholar 

  16. Kinahan P, Defrise M, Clackdoyle R. Chapter 20. Analytical image reconstruction methods. In: Wernick MN, Aarsvold JN, editors. Emission tomography. London: Elsevier Academic Press; 2004.

    Google Scholar 

  17. Defrise M, Kinahan PE. Chapter 2. Data acquisition and image reconstruction for 3D PET. In: Bendriem B, Townsend DW, editors. The theory and practice of 3D PET. Dordecht: Kluwer Academic; 1998. p. 167.

    Google Scholar 

  18. Defrise M, Kinahan P, Michel C. Chapter 4. Image reconstruction algorithms in PET. In: Bailey DL, Townsend DW, Valk PE, Maisey MN, editors. Positron emission tomography: basic sciences. London: Springer; 2005.

    Google Scholar 

  19. Hudson HM, Larkin RS. Accelerated image reconstruction using ordered subsets of projection data. IEEE Trans Med Imag. 1994;MI-13:601–9.

    Article  Google Scholar 

  20. Chang LT. A method for attenuation correction in radionuclide computed tomography. IEEE Trans Nucl Sci. 1978;NS-25:638–43.

    Article  Google Scholar 

  21. Ichihara T, Ogawa K, Motomura N, Kubo A, Hashimoto S. Compton scatter compensation using the triple-energy window method for single- and dual-isotope SPECT. J Nucl Med. 1993;34:2216–21.

    PubMed  CAS  Google Scholar 

  22. Meikle SR, Hutton BF, Bailey DL. A transmission dependent method for scatter correction in SPECT. J Nucl Med. 1994;35:360–7.

    PubMed  CAS  Google Scholar 

  23. Beekman FJ, Kamphuis C, Frey EC. Scatter compensation methods in 3D iterative SPECT reconstruction: a simulation study. Phys Med Biol. 1997;42:1619–32.

    Article  PubMed  CAS  Google Scholar 

  24. Kadrmas DJ, Frey EC, Karimi SS, Tsui BM. Fast implementations of reconstruction-based scatter compensation in fully 3D SPECT image reconstruction. Phys Med Biol. 1998;43:857–73.

    Article  PubMed  CAS  Google Scholar 

  25. Abadi S, Brook OR, Rispler S, Frenkel A, Engel A, Keidar Z. Hybrid cardiac SPECT/64-slice CTA-derived LV function parameters: correlation and reproducibility assessment. Eur J Radiol. 2010;75:154–8. doi:10.1016/j.ejrad.2009.04.039. S0720-048X(09)00230-7 [pii].

    Article  PubMed  Google Scholar 

  26. Seo Y, Mari C, Hasegawa BH. Technological development and advances in single-photon emission computed tomography/computed tomography. Semin Nucl Med. 2008;38:177–98. doi:10.1053/j.semnuclmed.2008.01.001. S0720-048X(09)00230-7 [pii].

    Article  PubMed  Google Scholar 

  27. Willowson K, Bailey DL, Baldock C. Quantitative SPECT using CT-derived corrections. Phys Med Biol. 2008;53:3099–112.

    Article  PubMed  Google Scholar 

  28. Willowson K, Bailey DL, Baldock C. Quantifying lung shunting during planning for radio-embolization. Phys Med Biol. 2011;56:N145–52. doi:10.1088/0031-9155/56/13/N01. S0031-9155(11)88961-X [pii].

    Article  PubMed  Google Scholar 

  29. Zeintl J, Vija AH, Yahil A, Hornegger J, Kuwert T. Quantitative accuracy of clinical 99mTc SPECT/CT using ordered-subset expectation maximization with 3-dimensional resolution recovery, attenuation, and scatter correction. J Nucl Med. 2010;51:921–8.

    Article  PubMed  Google Scholar 

  30. Mariani G, Bruselli L, Kuwert T, Kim EE, Flotats A, Israel O, et al. A review on the clinical uses of SPECT/CT. Eur J Nucl Med Mol Imaging. 2010;37:1959–85.

    Article  PubMed  Google Scholar 

  31. Bailey DL, Willowson KP. An evidence-based review of quantitative SPECT imaging and potential clinical applications. J Nucl Med. 2013;54:83–9.

    Article  PubMed  Google Scholar 

  32. Seret A, Nguyen D, Bernard C. Quantitative capabilities of four state-of-the-art SPECT-CT cameras. EJNMMI Res. 2012;2:45. doi:10.1186/2191-219X-2-45. 2191-219X-2-45 [pii].

    Article  PubMed  Google Scholar 

  33. Ong Y-Y, Cohn D, Wijaya J, Roach PJ. The importance of renal localization with MIBG scintigraphy. Clin Nucl Med. 2002;27:479–82.

    Article  PubMed  Google Scholar 

  34. Sawyer LJ, Starritt HC, Hiscock SC, Evans MJ. Effective doses to patients from CT acquisitions on the GE Infinia Hawkeye: a comparison of calculation methods. Nucl Med Commun. 2008;29:144–9. doi:10.1097/MNM.0b013e3282f258ef. 00006231-200802000-00008 [pii].

    Article  PubMed  Google Scholar 

  35. Larkin AM, Serulle Y, Wagner S, Noz ME, Friedman K. Quantifying the increase in radiation exposure associated with SPECT/CT compared to SPECT alone for routine nuclear medicine examinations. Int J Mol Imaging. 2011;2011:897202. doi:10.1155/2011/897202.

    PubMed  Google Scholar 

  36. ICRP. ICRP publication 53: radiation dose to patients from radiopharmaceuticals. Ann ICRP. 1988;18:377.

    Google Scholar 

  37. Towson JEC. Radiation dosimetry and protection in PET. In: Valk P, Bailey DL, Townsend DW, Maisey MN, editors. Positron emission tomography: basic science and clinical practice. London: Springer; 2003.

    Google Scholar 

  38. Willowson KP, Bailey EA, Bailey DL. A retrospective evaluation of radiation dose associated with low dose FDG protocols in whole-body PET/CT. Australas Phys Eng Sci Med. 2012;35:49–53. doi:10.1007/s13246-011-0119-8.

    Article  PubMed  Google Scholar 

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Correspondence to Dale L. Bailey PhD .

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Bailey, D.L., Willowson, K.P. (2014). Physics and Technology of SPECT/CT. In: Ahmadzadehfar, H., Biersack, HJ. (eds) Clinical Applications of SPECT-CT. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35283-6_1

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  • DOI: https://doi.org/10.1007/978-3-642-35283-6_1

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