1. Dual Spillover Correction for SPECT Myocardial Blood Flow Measurement
- Author
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Terrence D. Ruddy, Robert A. deKemp, Jennifer M. Renaud, and R. Glenn Wells
- Subjects
Physics ,medicine.diagnostic_test ,Kinetic analysis ,Conversion function ,Blood flow ,Pet imaging ,030204 cardiovascular system & hematology ,Single-photon emission computed tomography ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Nuclear magnetic resonance ,Spillover effect ,Positron emission tomography ,medicine ,Correction for attenuation ,circulatory and respiratory physiology - Abstract
Myocardial blood flow (MBF) measurement is possible using stationary cardiac SPECT cameras. Limited spatial resolution and blood vessels in the myocardium produce mixing of the blood and myocardial time-activity curves used for kinetic analysis. Our purpose was to evaluate the effect of correction for both spillover into the myocardium from blood and into the blood from myocardium on the accuracy of SPECT MBF estimation. Images from 31 patients who had dynamic one-day rest-stress myocardial SPECT studies using 99mTc-tetrofosmin were retrospectively processed both with attenuation correction (AC) and without (NC), and using a single spillover correction (SSO = blood to myocardium) and a dual spillover correction (DSO). Kl values from kinetic analysis with a 1-tissue compartment model were fit to a Renkin-Crone extraction fraction model (EF=1-exp(-α-β/MBF)) using 50 repeats of 2-fold cross validation to determine the method-specific K1-to-MBFconversion function. True MBF was measured using the clinical standard of PET imaging, with either 82Rb or 13N-ammonia, in the same patients. The model fit of SPECT K1 to PET MBF was not improved with dual spillover correction. With SSO, the Renkin-Crone model parameters were α=0.140, β =0.282 (AC, R2=0.71) and α = 0.187, β = 0.400 (NC, R2=0.75). With DSO, the parameters were α = 0.110, β = 0.265 (AC, R2=0.63) and α = 0.161, β = 0.352 (NC, R2=0.67). The limits of greement for the global relative MBF difference (SPECT – PET MBF/mean) were similar for DSO and SSO, both with AC ([-0.74 – 0.77] vs [-0.62– 0.64]) and without ([-0.67 – 0.71] vs [-.55 – 0.59]). Dual spillover correction alters the K1-to-MBF conversion function but does not improve the accuracy or precision of SPECT MBF measurements.
- Published
- 2017