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Research ArticlePhysics and Instrumentation: SPECT and SPECT/CT

A Headrest Made of Extruded Polystyrene Reduces the Influence of Attenuation Correction on Human Brain SPECT Images

Makoto Ohba, Yasuaki Kokubo, Koji Suzuki, Masafumi Kanoto and Yukihiko Sonoda
Journal of Nuclear Medicine Technology March 2023, 51 (1) 44-48; DOI: https://doi.org/10.2967/jnmt.122.264729
Makoto Ohba
1Department of Radiology, Yamagata University Hospital, Yamagata, Japan;
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Yasuaki Kokubo
2Department of Neurosurgery, Faculty of Medicine, Yamagata University, Yamagata, Japan; and
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Koji Suzuki
1Department of Radiology, Yamagata University Hospital, Yamagata, Japan;
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Masafumi Kanoto
3Department of Radiology, Division of Diagnostic Radiology, Yamagata University Graduate School of Medical Science, Yamagata, Japan
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Yukihiko Sonoda
2Department of Neurosurgery, Faculty of Medicine, Yamagata University, Yamagata, Japan; and
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  • FIGURE 1.
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    FIGURE 1.

    (A) Carbon headrest covering temporal to occipital regions of head, with CT value of 300 HU. (B) Hybrid headrest constructed from XPS and stainless steel, covering occipital region of head (which is in contact with XPS), with CT value of −980 HU.

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    FIGURE 2.

    3D stereotactic region-of-interest template for A+B/G ratio (A) and D+F/G ratio (B).

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    FIGURE 3.

    Comparison of 99mTc-ECD SPECT images obtained using carbon and XPS headrests in healthy controls. Images constructed with FBP Chang AC and OSEM Chang AC using carbon headrest show higher cerebral blood flow in anterior part of brain than do images constructed with same methods using XPS headrest. In images constructed with OSEM CTAC, anterior and posterior parts of brain do not differ between images obtained using carbon and XPS headrests. SRT = stereotaxic region-of-interest template; ROI = region of interest.

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    FIGURE 4.

    Comparison of 99mTc-ECD SPECT images obtained using carbon and XPS headrests in patients with cerebrovascular disease. Fluid-attenuated inversion-recovery MR images show high-intensity lesions due to cerebral infarction in left frontal and temporal lobes, including insular cortex. 3D CT angiography shows severe stenosis of left middle cerebral artery. For anterior brain region, images constructed using FBP Chang AC and OSEM Chang AC with carbon headrest show higher cerebral blood flow than do images constructed using same methods with XPS headrest. Images constructed using OSEM CTAC with carbon headrest show no difference from images constructed using same methods with XPS headrest. CTA = CT angiography; FLAIR = fluid-attenuated inversion-recovery; ROI = region of interest; SRT = stereotaxic region-of-interest template.

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    TABLE 1.

    Comparison of A+B/G and D+F/G Ratios Between Carbon and XPS Headrests in Healthy Controls (n = 10)

    A+B/GD+F/G
    ParameterCarbonXPSPCarbonXPSP
    FBP Chang AC0.97 ± 0.020.93 ± 0.02<0.001*0.89 ± 0.020.89 ± 0.020.173
    OSEM Chang AC0.98 ± 0.040.94 ± 0.02<0.001*0.90 ± 0.020.90 ± 0.020.423
    OSEM CTAC0.91 ± 0.020.91 ± 0.020.3220.88 ± 0.010.88 ± 0.010.037
    • ↵* Statistically significant.

    • View popup
    TABLE 2.

    Comparison of A+B/G and D+F/G Ratios Between Carbon and XPS Headrests in Patients with Cerebrovascular Disease (n = 43)

    A+B/GD+F/G
    ParameterCarbonXPSPCarbonXPSP
    FBP Chang AC0.96 ± 0.050.91 ± 0.05<0.001*0.87 ± 0.040.87 ± 0.040.343
    OSEM Chang AC0.96 ± 0.050.92 ± 0.06<0.001*0.88 ± 0.040.88 ± 0.040.938
    OSEM CTAC0.89 ± 0.040.89 ± 0.050.8930.86 ± 0.030.86 ± 0.030.099
    • ↵* Statistically significant.

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Journal of Nuclear Medicine Technology: 51 (1)
Journal of Nuclear Medicine Technology
Vol. 51, Issue 1
March 1, 2023
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A Headrest Made of Extruded Polystyrene Reduces the Influence of Attenuation Correction on Human Brain SPECT Images
Makoto Ohba, Yasuaki Kokubo, Koji Suzuki, Masafumi Kanoto, Yukihiko Sonoda
Journal of Nuclear Medicine Technology Mar 2023, 51 (1) 44-48; DOI: 10.2967/jnmt.122.264729

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A Headrest Made of Extruded Polystyrene Reduces the Influence of Attenuation Correction on Human Brain SPECT Images
Makoto Ohba, Yasuaki Kokubo, Koji Suzuki, Masafumi Kanoto, Yukihiko Sonoda
Journal of Nuclear Medicine Technology Mar 2023, 51 (1) 44-48; DOI: 10.2967/jnmt.122.264729
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Keywords

  • SPECT
  • headrest
  • image reconstruction
  • attenuation correction
  • XPS
  • extruded polystyrene
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