To investigate the optimal acquisition and reconstruction protocol of uMI780 positron emission tomography (PET)/computed tomography (CT) in the clinical application of
18
F-FDG for whole-body (head+body) imaging.
Methods:
A total of400 subjects from August 2017 to May 2018 were collected. The 400 subjects were applied with two levels of FDG injection dose
3 or 2 min for brain scan
2 or 1.5 min/bed for body scan
OSEM and FBP resulted brain images
and 2- or 3-iteration OSEM body images with two Gaussian kernel for post-smoothing. Image quality was evaluated qualitatively and quantitatively and scored by two clinical physicians.
Results:
The OSEM image quality was significantly better than that FBP (
P
<0.001)
but there was no significant difference in brain PET image quality between different injection doses or different scan times. When the injection doses of
18
F-FDG was injected with 2.96 MBq/kg
image quality of body PET imaging with 2 min/bed were significantly better than the 1.5 min/bed (
P
<0.05); but
when the injection was 3.70 MBq/kg
there was no difference in image quality of body between 2 and 1.5 min/bed. When scan time was 2 min/bed
there was no significant difference in between image qualities of using 3.70 MBq/kg and 2.96 MBq/kg; but for 1.5 min/bed
the image quality of 3.70 MBq/kg was better than 2.96 MBq/kg. Two-iteration OSEM image quality of body were significantly better than that of 3 iterations (
P
<0.01). Image quality by using 4 mm FWHM Gaussian was significantly better than 3 mm Gaussian (
P
<0.01).
Conclusion:
By the study
we
could obtain two optimal image and reconstruction protocols of
18
F-FDG for uMI780 PET/CT in clinical application: ① 2.96 MBq/kg injection dose; 2 min brain scan
2 min/bed body scan with 2-iteration OSEM reconstruction with 4 mm Gaussian smoothing; ② 3.70 MBq/kg injection dose; 2 min brain scan
1.5 min/bed body scan with 2-iteration OSEM reconstruction with 4 mm Gaussian smoothing.