AUTHOR=Wanek Thomas , Schöllbauer Lara , Filip Thomas , Mairinger Severin , Sauberer Michael , Blaickner Matthias , Kuntner Claudia 

TITLE=Impact of Attenuation Correction on Quantification Accuracy in Preclinical Whole-Body PET Images

JOURNAL=Frontiers in Physics

VOLUME=8

YEAR=2020

URL=https://www.frontiersin.org/journals/physics/articles/10.3389/fphy.2020.00123

DOI=10.3389/fphy.2020.00123

ISSN=2296-424X

ABSTRACT=<p><bold>Background:</bold> Whole-body PET images can be obtained by using the “step-and-shoot” (SaS) method (using multiple bed positions) or continuous bed motion (CBM). As transmission scans are not always feasible, an alternative method where attenuation data can be generated via emission-based attenuation correction (AC) maps is of interest. The aim of this preclinical study was to investigate the influence of the acquisition method and AC on the quantitation accuracy of [<sup>18</sup>F]FDG-PET.</p><p><bold>Methods:</bold> [<sup>18</sup>F]FDG-PET phantom images were acquired using either SaS or CBM. Transmission scans were recorded for the SaS method using a <sup>57</sup>Co-point source. Emission-based attenuation sinograms were obtained from the images after segmentation and inverse Fourier rebinning. PET images were reconstructed without AC, transmission based (TX-AC) and emission-based (EM-AC) attenuation correction. Moreover, [<sup>18</sup>F]FDG-PET scans of rats bearing mammary carcinomas acquired using either SaS or CBM were analyzed retrospectively and quantification in tissues was compared.</p><p><bold>Results:</bold> Phantom recovery coefficients (<italic>R</italic><sub><italic>C</italic></sub>) varied greatly, ranging from 0.49 ± 0.01 to 1.15 ± 0.07, dependent on acquisition method, reconstruction algorithm and AC method. In CBM acquired images, EM-AC improved quantification accuracy when compared to no-AC images in the phantom studies (<italic>R</italic><sub><italic>C</italic></sub> 0.79 ± 0.02 vs. 0.49 ± 0.01, respectively) and in tumors of rats (DMBA model: 1.16±0.42 SUV vs. 0.86±0.28 SUV, respectively).</p><p><bold>Conclusion:</bold> The method of AC has a strong influence on the quantification of [<sup>18</sup>F]FDG. Our data indicates that EM-AC improves quantification in images obtained by CBM and SaS. However, the obtained values were still underestimated when compared to TX-AC corrected images.</p>