Abstract
Purpose
MR-based attenuation correction (AC) will become an integral part of combined PET/MR systems. Here, we propose a toolbox to validate MR-AC of clinical PET/MRI data sets.
Methods
Torso scans of ten patients were acquired on a combined PET/CT and on a 1.5-T MRI system. MR-based attenuation data were derived from the CT following MR–CT image co-registration and subsequent histogram matching. PET images were reconstructed after CT- (PETCT) and MR-based AC (PETMRI). Lesion-to-background (L/B) ratios were estimated on PETCT and PETMRI.
Results
MR–CT histogram matching leads to a mean voxel intensity difference in the CT- and MR-based attenuation images of 12% (max). Mean differences between PETMRI and PETCT were 19% (max). L/B ratios were similar except for the lung where local misregistration and intensity transformation leads to a biased PETMRI.
Conclusion
Our toolbox can be used to study pitfalls in MR-AC. We found that co-registration accuracy and pixel value transformation determine the accuracy of PETMRI.
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Acknowledgements
We thank our technologists from the Department of Radiology and Nuclear Medicine for their support in acquiring the clinical data.
The selection, validation and implementation of the co-registration algorithms were supported by the German Research Foundation (DFG): BE 3169/2-2.
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Beyer, T., Weigert, M., Quick, H.H. et al. MR-based attenuation correction for torso-PET/MR imaging: pitfalls in mapping MR to CT data. Eur J Nucl Med Mol Imaging 35, 1142–1146 (2008). https://doi.org/10.1007/s00259-008-0734-0
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DOI: https://doi.org/10.1007/s00259-008-0734-0