SwiftScan步进射击连续模式提高SPECT扫描效率:初步的幻影和临床测试。

IF 3 2区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING EJNMMI Physics Pub Date : 2025-01-02 DOI:10.1186/s40658-024-00709-0
Jicheng Li, Kai Zhang, Xingru Pang, Lele Huang, Xiaoxue Tian, Jiangyan Liu
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引用次数: 0

摘要

目的:研究SwiftScan步进连续扫描(SSC)模式在提高图像质量方面的价值,并探讨缩短扫描时间的合适扫描参数。方法:本研究由一项幻影研究和两项临床试验组成。比较SSC模式与传统的步进射击(SS)模式在视觉图像质量评分、背景方差系数(COV)、图像信噪比(SNR)、对比噪声比(CNR)、球体恢复系数(RC)等方面的差异。评估并验证了各种“拍摄”采集时间(5秒、10秒、15秒)和“步进”角度(3度、6度、9度)。在临床试验中,分别对30例患者进行骨层析成像和甲状旁腺层析成像。比较两种模式在视觉图像质量评分、背景COV、图像信噪比、CNR、病灶标准化摄取值(SUV)等方面的差异。结果:在幻像研究中,SSC模式显示更高的视觉评分和显著降低的背景COV (P < 0.05)。在临床试验中,最佳SSC扫描组合(10s“射击”和6度“步”)/ (10s“射击”和3度“步”)与传统SS扫描组合(15s“射击”和6度“步”)/ (15s“射击”和3度“步”)在骨骼和甲状旁腺高摄取病变的视觉图像质量评分、背景COV、图像信噪比、CNR和SUV方面均无显著差异(P < 0.05)。结论:与SS模式相比,SwiftScan SSC模式在保持相同图像质量和定量精度的情况下,可将采集时间缩短33%。推荐临床使用10s“射击”采集和6度“步进”或10s“射击”采集和3度“步进”超过360度旋转的SSC扫描方案。
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The SwiftScan step-and-shoot continuous mode improves SPECT scanning efficiency: a preliminary phantom and clinical test.

Purpose: The aim of the study was to investigate the value of SwiftScan Step-and-Shoot Continuous (SSC) scanning mode in enhancing image quality and to explore appropriate scanning parameters for reducing scan time.

Methods: This study was composed of a phantom study and two clinical tests. The differences in visual image quality scores, coefficient of variance (COV) of the background, image signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and recovery coefficient (RC) of the sphere were compared between SSC mode and traditional Step-and-Shoot (SS) mode in the phantom study. Various "shoot" acquisition times (5s, 10s, 15s) and "step" angles (3-degree, 6-degree, 9-degree) were evaluated and verified. In the clinical tests, bone tomography and parathyroid tomography were performed on 30 patients each. Differences in visual image quality scores, background COV, image SNR, CNR, and standardized uptake value (SUV) of lesions were compared between the two modes.

Results: In the phantom study, SSC mode demonstrated higher visual scores and significantly reduced background COV (P < 0.05), and significantly increased SNR and CNR (P < 0.05) compared to SS mode. No significant alteration in RC was observed (P > 0.05). In the clinical tests, no significant differences were found between the optimal SSC scan combination (10s "shoot" and 6-degree "step")/ (10s "shoot" and 3-degree "step") and the traditional SS scan combination (15s "shoot" and 6-degree "step")/ (15s "shoot" and 3-degree "step") in visual image quality scores, background COV, image SNR, CNR, and SUV of bone and parathyroid high uptake lesions (P > 0.05).

Conclusion: The SwiftScan SSC mode can reduce acquisition time by 33% while maintaining similar image quality and quantification accuracy compared to SS mode. An SSC scanning protocol with a 10s "shoot" acquisition and 6-degree "step" or with a 10s "shoot" acquisition and 3-degree "step" over a 360-degree rotation, is recommended for clinical use.

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来源期刊
EJNMMI Physics
EJNMMI Physics Physics and Astronomy-Radiation
CiteScore
6.70
自引率
10.00%
发文量
78
审稿时长
13 weeks
期刊介绍: EJNMMI Physics is an international platform for scientists, users and adopters of nuclear medicine with a particular interest in physics matters. As a companion journal to the European Journal of Nuclear Medicine and Molecular Imaging, this journal has a multi-disciplinary approach and welcomes original materials and studies with a focus on applied physics and mathematics as well as imaging systems engineering and prototyping in nuclear medicine. This includes physics-driven approaches or algorithms supported by physics that foster early clinical adoption of nuclear medicine imaging and therapy.
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