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Research ArticleImaging

Optimization of the Attenuation Coefficient for Chang Attenuation Correction in 123I Brain Perfusion SPECT

Taisuke Murata, Yuri Hayashi, Masahisa Onoguchi, Takayuki Shibutani, Takashi Iimori, Koichi Sawada, Tetsuro Umezawa, Yoshitada Masuda and Takashi Uno
Journal of Nuclear Medicine Technology March 2023, 51 (1) 49-56; DOI: https://doi.org/10.2967/jnmt.122.264990
Taisuke Murata
1Department of Radiology, Chiba University Hospital, Chiba, Japan;
2Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; and
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Yuri Hayashi
1Department of Radiology, Chiba University Hospital, Chiba, Japan;
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Masahisa Onoguchi
2Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; and
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Takayuki Shibutani
2Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; and
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Takashi Iimori
1Department of Radiology, Chiba University Hospital, Chiba, Japan;
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Koichi Sawada
1Department of Radiology, Chiba University Hospital, Chiba, Japan;
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Tetsuro Umezawa
1Department of Radiology, Chiba University Hospital, Chiba, Japan;
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Yoshitada Masuda
1Department of Radiology, Chiba University Hospital, Chiba, Japan;
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Takashi Uno
3Department of Diagnostic Radiology and Radiation Oncology, Graduate School of Medicine, Chiba University, Chiba, Japan
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  • FIGURE 1.
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    FIGURE 1.

    Distribution of number of μopt-values per patient in reference group.

  • FIGURE 2.
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    FIGURE 2.

    Results of Bland–Altman analysis comparing ChangAC applying μopt-value of 0.140 and CTAC (A) and comparing ChangACSC applying μopt-value of 0.160 and CTACSC in reference group (B). Solid lines show regressions; 95% limits of agreement are represented by dashed lines. 95% CIs were 0.66 to 1.92 (A) and −4.95 to −3.44 (B).

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    FIGURE 3.

    Percentage error in each brain region for ChangAC applying μopt-value of 0.140 and CTAC and for ChangACSC applying μopt-value of 0.160 and CTACSC in reference group. Dotted line indicates zero. For ChangAC and ChangACSC, limbic brain regions tended to be underestimated and central brain regions overestimated. PRT = parietal lobe; TMP = temporal lobe; FRT = frontal lobe; OCT = occipital lobe; PCING = posterior cingulate gyrus; ACING = anterior cingulate gyrus; MFRT = medial frontal lobe; MPRT = medial parietal lobe; MTMP = medial temporal lobe; SMC = sensorimotor cortex; VC = visual cortex; CAD = caudate nucleus; CBL = cerebellum; VER = cerebellar vermis; PNS = pons; PTM = putamen; PARH = parahippocampal gyrus; AMG = amygdala; THL = thalamus.

  • FIGURE 4.
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    FIGURE 4.

    Comparison of SPECT images of CTAC and ChangAC (A) and CTACSC and ChangACSC (B) in 1 reference patient. For ChangAC, μ-values of 0.07, 0.110, and 0.140 were applied; for ChangACSC, μ-values of 0.12, 0.145, and 0.160 were applied. On left are SPECT images normalized by maximum counts in series; on right are SPECT images normalized by maximum counts of CT-based method. From left to right, axial slices are at cerebellar, basal ganglia, and parietal levels.

Tables

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    TABLE 1.

    Percentage Error and Absolute Percentage Error Between ChangAC Applying Each μ-Value and CTAC

    μ-valuePercentage errorAbsolute percentage errorP
    0.070−38.22 ± 4.02 (−46.17, −29.28)38.22 ± 4.02 (29.28, 46.17)<0.05
    0.075−36.13 ± 3.90 (−46.51, −28.14)36.13 ± 3.90 (28.14, 46.51)<0.05
    0.080−33.78 ± 3.85 (−42.76, −25.84)33.78 ± 3.85 (25.84, 42.76)<0.05
    0.085−31.40 ± 3.64 (−41.03, −22.94)31.40 ± 3.64 (22.94, 41.03)<0.05
    0.090−28.75 ± 3.66 (−39.59, −19.08)28.75 ± 3.66 (19.08, 39.59)<0.05
    0.095−26.24 ± 3.34 (−36.81, −19.01)26.24 ± 3.34 (19.01, 36.81)<0.05
    0.100−23.78 ± 3.10 (−35.49, −16.19)23.78 ± 3.10 (16.19, 35.49)<0.05
    0.105−21.01 ± 3.03 (−32.43, −12.95)21.01 ± 3.03 (12.95, 32.43)<0.05
    0.110−18.24 ± 2.79 (−32.14, −9.23)18.24 ± 2.79 (9.23, 32.14)<0.05
    0.115−15.40 ± 2.50 (−25.94, −6.05)15.40 ± 2.50 (6.05, 25.94)<0.05
    0.120−12.12 ± 3.59 (−25.31, 1.84)12.12 ± 3.59 (0.16, 25.31)<0.05
    0.125−9.00 ± 3.94 (−22.25, 7.01)9.07 ± 3.78 (0.06, 22.25)<0.05
    0.130−5.85 ± 4.40 (−19.93, 14.24)6.38 ± 3.58 (0.00, 19.93)<0.05
    0.135−2.45 ± 4.95 (−17.42, 18.89)4.54 ± 3.13 (0.00, 18.89)<0.05
    0.1400.96 ± 5.62 (−13.92, 22.81)*4.45 ± 3.57 (0.00, 22.81)*0.58
    0.1454.18 ± 6.78 (−10.06, 28.65)6.14 ± 5.07 (0.00, 28.65)<0.05
    0.1508.13 ± 6.93 (−8.82, 35.49)8.58 ± 6.37 (0.00, 35.49)<0.05
    0.15511.95 ± 7.74 (−6.43, 38.81)12.06 ± 7.57 (0.00, 38.81)<0.05
    0.16015.86 ± 8.57 (−3.87, 49.12)15.87 ± 8.54 (0.13, 49.12)<0.05
    0.16519.92 ± 8.88 (−1.74, 52.43)19.92 ± 8.87 (0.01, 52.43)<0.05
    0.17023.93 ± 9.61 (1.83, 56.66)23.93 ± 9.61 (1.83, 56.66)<0.05
    0.17528.23 ± 10.50 (4.85, 64.57)28.23 ± 10.50 (4.85, 64.57)<0.05
    0.18032.72 ± 11.41 (8.26, 70.96)32.72 ± 11.41 (8.26, 70.96)<0.05
    0.18537.16 ± 12.69 (6.29, 82.40)37.16 ± 12.69 (6.29, 82.40)<0.05
    0.19042.19 ± 13.82 (13.63, 91.62)42.19 ± 13.82 (13.63, 91.62)<0.05
    0.19546.63 ± 14.82 (13.69, 99.40)46.63 ± 14.82 (13.69, 99.40)<0.05
    0.20052.23 ± 16.26 (20.34, 107.87)52.23 ± 16.26 (20.34, 107.87)<0.05
    • ↵* Smallest mean percentage error and absolute percentage error.

    • Data are mean ± SD, followed by range in parentheses.

    • View popup
    TABLE 2.

    Percentage Error and Absolute Percentage Error Between ChangACSC Applying Each μ-Value and CTACSC

    μ-valuePercentage errorAbsolute percentage errorP
    0.070−45.25 ± 5.28 (−60.55, −23.14)45.25 ± 5.28 (23.14, 60.55)<0.05
    0.075−43.35 ± 5.31 (−61.10, −21.36)43.35 ± 5.31 (21.36, 61.10)<0.05
    0.080−41.39 ± 5.34 (−56.87, −18.13)41.39 ± 5.34 (18.13, 56.87)<0.05
    0.085−39.25 ± 5.31 (−53.72, −15.78)39.25 ± 5.31 (15.78, 53.72)<0.05
    0.090−37.34 ± 5.35 (−55.51, −14.08)37.34 ± 5.35 (14.08, 55.51)<0.05
    0.095−35.15 ± 5.34 (−49.77, −11.23)35.15 ± 5.34 (11.23, 49.77)<0.05
    0.100−32.88 ± 5.33 (−50.07, −9.59)32.88 ± 5.33 (9.59, 50.07)<0.05
    0.105−32.92 ± 7.79 (−56.93, −6.89)32.92 ± 7.79 (6.89, 56.93)<0.05
    0.110−28.30 ± 5.44 (−48.50, −5.35)28.30 ± 5.44 (5.35, 48.50)<0.05
    0.115−26.04 ± 5.60 (−45.59, −2.26)26.04 ± 5.60 (2.26, 45.59)<0.05
    0.120−23.26 ± 5.71 (−43.11, −0.11)23.26 ± 5.71 (0.11, 43.11)<0.05
    0.125−20.84 ± 6.01 (−41.59, 3.75)20.86 ± 5.96 (0.02, 41.59)<0.05
    0.130−18.40 ± 5.69 (−39.99, 4.84)18.42 ± 5.61 (0.03, 39.99)<0.05
    0.135−15.66 ± 5.92 (−36.30, 8.17)15.74 ± 5.70 (0.02, 36.30)<0.05
    0.140−13.43 ± 5.85 (−35.95, 10.34)13.56 ± 5.54 (0.01, 35.95)<0.05
    0.145−10.56 ± 6.29 (−29.52, 13.57)10.99 ± 5.51 (0.05, 29.52)<0.05
    0.150−7.58 ± 6.67 (−29.75, 19.25)8.65 ± 5.21 (0.01, 29.75)<0.05
    0.155−4.40 ± 7.33 (−26.91, 26.51)7.04 ± 4.85 (0.01, 26.91)<0.05
    0.160−1.11 ± 7.94 (−27.83, 31.63)*6.37 ± 4.88 (0.01, 31.63)*0.06
    0.1652.26 ± 8.76 (−20.46, 39.34)6.97 ± 5.76 (0.01, 39.34)0.05
    0.1705.63 ± 9.40 (−19.51, 42.13)8.37 ± 7.07 (0.02, 42.13)<0.05
    0.1759.39 ± 10.45 (−16.02, 50.41)10.88 ± 8.88 (0.04, 50.41)<0.05
    0.18012.99 ± 11.28 (−19.97, 62.12)13.76 ± 10.32 (0.00, 62.12)<0.05
    0.18517.09 ± 11.83 (−11.97, 64.69)17.33 ± 11.46 (0.02, 64.69)<0.05
    0.19020.98 ± 12.77 (−10.09, 69.26)21.10 ± 12.57 (0.00, 69.26)<0.05
    0.19524.45 ± 13.11 (−16.22, 72.17)24.51 ± 12.98 (0.08, 72.17)<0.05
    0.20028.34 ± 14.13 (−11.36, 86.37)28.37 ± 14.07 (0.05, 86.37)<0.05
    • ↵* Smallest mean percentage error and absolute percentage error.

    • Data are mean ± SD, followed by range in parentheses.

    • View popup
    TABLE 3.

    Comparison of Percentage Error Between Hypoperfusion Region in Each Disease Group and Same Region in Reference Group for ChangAC Applying μopt-Value of 0.140 and ChangACSC Applying μopt-Value of 0.160

    ChangACChangACSC
    DiseaseBrain regionSideDiseaseReferencePDiseaseReferenceP
    ADPosterior cingulate gyrusR0.55 ± 3.49−0.71 ± 3.040.34−3.71 ± 2.78−1.76 ± 5.720.14
    L0.52 ± 3.440.17 ± 2.480.83−4.85 ± 4.19−1.97 ± 5.750.13
    Medial temporal lobeR3.00 ± 3.325.82 ± 4.760.08−0.55 ± 4.361.89 ± 6.260.23
    L4.83 ± 3.386.95 ± 5.030.182.38 ± 3.643.51 ± 6.570.83
    DLBOccipital lobeR−4.24 ± 3.38−4.33 ± 2.570.89−7.82 ± 5.09−7.47 ± 4.970.69
    L−3.33 ± 2.96−2.89 ± 3.100.64−7.03 ± 4.64−6.33 ± 3.660.44
    FTLDFrontal lobeR−3.29 ± 4.34−3.79 ± 1.410.85−5.15 ± 6.02−5.26 ± 0.860.80
    L−0.09 ± 4.45−1.39 ± 2.050.56−1.76 ± 6.75−2.89 ± 4.250.84
    Temporal lobeR−2.70 ± 3.48−3.43 ± 3.160.59−5.98 ± 4.51−1.45 ± 4.660.88
    L1.64 ± 3.301.27 ± 3.260.70−1.45 ± 4.66−1.88 ± 4.890.88
    MSA-CCerebellumR−1.11 ± 5.51−0.13 ± 3.400.69−6.05 ± 9.54−8.79 ± 4.630.45
    L0.66 ± 5.832.32 ± 3.710.36−3.70 ± 9.93−6.62 ± 4.760.72
    • AD = Alzheimer disease; DLB = dementia with Lewy bodies; FTLD = frontotemporal lobar degeneration; MSA-C = multiple system atrophy of cerebellar type.

    • Data are mean ± SD.

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Journal of Nuclear Medicine Technology: 51 (1)
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Optimization of the Attenuation Coefficient for Chang Attenuation Correction in 123I Brain Perfusion SPECT
Taisuke Murata, Yuri Hayashi, Masahisa Onoguchi, Takayuki Shibutani, Takashi Iimori, Koichi Sawada, Tetsuro Umezawa, Yoshitada Masuda, Takashi Uno
Journal of Nuclear Medicine Technology Mar 2023, 51 (1) 49-56; DOI: 10.2967/jnmt.122.264990

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Optimization of the Attenuation Coefficient for Chang Attenuation Correction in 123I Brain Perfusion SPECT
Taisuke Murata, Yuri Hayashi, Masahisa Onoguchi, Takayuki Shibutani, Takashi Iimori, Koichi Sawada, Tetsuro Umezawa, Yoshitada Masuda, Takashi Uno
Journal of Nuclear Medicine Technology Mar 2023, 51 (1) 49-56; DOI: 10.2967/jnmt.122.264990
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