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Research ArticleImaging

The Effect of Misregistration Between CT-Attenuation and PET-Emission Images in 13N-Ammonia Myocardial PET/CT

Yoya Tomita, Masaki Ishida, Yasutaka Ichikawa, Naohisa Suzawa, Shigeki Kobayashi, Hisato Maeda, Kan Takeda and Hajime Sakuma
Journal of Nuclear Medicine Technology June 2016, 44 (2) 73-77; DOI: https://doi.org/10.2967/jnmt.116.172742
Yoya Tomita
1Central Division of Radiology, Mie University Hospital, Tsu, Mie, Japan
RT
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Masaki Ishida
2Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan; and
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Yasutaka Ichikawa
2Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan; and
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Naohisa Suzawa
2Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan; and
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Shigeki Kobayashi
2Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan; and
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Hisato Maeda
2Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan; and
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Kan Takeda
3Department of Radiology, Kuwana City Medical Center, Kuwana, Mie, Japan
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Hajime Sakuma
1Central Division of Radiology, Mie University Hospital, Tsu, Mie, Japan
2Department of Radiology, Mie University School of Medicine, Tsu, Mie, Japan; and
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  • FIGURE 1.
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    FIGURE 1.

    Manual registration of PET and CT-attenuation images. PET image was moved over CT image in transaxial (A), coronal (B), and sagittal (C) views with special attention to preventing LV myocardial uptake in PET from overlapping lung parenchyma in CT. A color version of this figure is available as a supplemental file at http://tech.snmjournals.org.

  • FIGURE 2.
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    FIGURE 2.

    Eight sets of cardiac PET/CT images, including reference without misregistration (A) and 7 different degrees of artificial misregistration between PET and CT images in both x- and z-directions (1-mm [B], 2-mm [C], 3-mm [D], 4-mm [E], 5-mm [F], 10-mm [G], and 15-mm [H]). Top and bottom sets of images are transaxial and coronal, respectively. A color version of this figure is available as a supplemental file at http://tech.snmjournals.org.

  • FIGURE 3.
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    FIGURE 3.

    Myocardial 13N-ammonia PET images demonstrating effects of no misregistration (A) and of 1-mm (B), 2-mm (C), 3-mm (D), 4-mm (E), 5-mm (F), 10-mm (G), and 15-mm (H) misregistration in both x- and z-directions in representative case (61-y-old man). When greater than 10 mm, misregistration had noticeable effect on inhomogeneity of LV short-axis PET/CT images. Artifactual reduction in uptake is prominent in anterior and lateral walls of heart. A color version of this figure is available as a supplemental file at http://tech.snmjournals.org.

  • FIGURE 4.
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    FIGURE 4.

    Uptake ratios of anterior, inferior, and lateral walls with respect to septum (A/S, I/S, L/S, respectively) as function of misregistration degree. Error bars indicate SD.

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    TABLE 1

    Visual Assessment of Erroneous Decrease in Myocardial Uptake in PET/CT Images*

    Degree of misregistration
    Site0 mm1 mm2 mm3 mm4 mm5 mm10 mm15 mm
    Anterior wall
    Subject 100000123
    Subject 200001133
    Subject 300011123
    Subject 400000013
    Subject 511111123
    Subject 600000123
    Subject 711111233
    Subject 800000023
    P (vs. reference)—1.001.000.990.890.23<0.01<0.01
    Inferior wall
    Subject 111111112
    Subject 200000111
    Subject 300011122
    Subject 422222222
    Subject 522222222
    Subject 611111112
    Subject 733333333
    Subject 811111122
    P (vs. reference)—1.001.001.001.000.990.820.40
    Lateral wall
    Subject 100000023
    Subject 200001123
    Subject 300011123
    Subject 400000012
    Subject 511111123
    Subject 600000023
    Subject 722222233
    Subject 800000123
    P (vs. reference)—1.001.000.990.940.74<0.05<0.01
    Septum
    Subject 100000011
    Subject 200000001
    Subject 300000001
    Subject 411111112
    Subject 511111111
    Subject 600000000
    Subject 711111111
    Subject 811111122
    P (vs. reference)—1.001.001.001.001.000.980.29
    • ↵* Data are erroneous-decrease scores based on 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe).

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Journal of Nuclear Medicine Technology: 44 (2)
Journal of Nuclear Medicine Technology
Vol. 44, Issue 2
June 1, 2016
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The Effect of Misregistration Between CT-Attenuation and PET-Emission Images in 13N-Ammonia Myocardial PET/CT
Yoya Tomita, Masaki Ishida, Yasutaka Ichikawa, Naohisa Suzawa, Shigeki Kobayashi, Hisato Maeda, Kan Takeda, Hajime Sakuma
Journal of Nuclear Medicine Technology Jun 2016, 44 (2) 73-77; DOI: 10.2967/jnmt.116.172742
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Keywords

  • cardiac PET/CT
  • image misregistration
  • attenuation correction
  • artifact
  • 13N-ammonia
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The Effect of Misregistration Between CT-Attenuation and PET-Emission Images in 13N-Ammonia Myocardial PET/CT
Yoya Tomita, Masaki Ishida, Yasutaka Ichikawa, Naohisa Suzawa, Shigeki Kobayashi, Hisato Maeda, Kan Takeda, Hajime Sakuma
Journal of Nuclear Medicine Technology Jun 2016, 44 (2) 73-77; DOI: 10.2967/jnmt.116.172742

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