Lecture 5 Flashcards

1
Q

What is tomographic imaging?

A

Data collected as a series of 2D projections at different angles around an object or directly as sinograms in PET. Method for obtaining 3D activity distribution within an object.

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2
Q

How is tomographic imaging carried out in SPECT?

A

Camera rotation- continuous or step and shoot
180 or 360 degrees rotation- Steps usually 3-6 degrees
Requirement for collimator- no intrinsic line-of-response like PET or CT

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3
Q

What are the two main times of reconstruction for SPECT?

A

Filtered back projection

Iterative

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4
Q

Describe filtered back projection

A

Assume that each line through the collimator is a cylinder and the point on the detector only sees things from a cylinder in front of it. The projection profile is a series of ray sums which are integrals through the object. 1D projection profiles are generated at all planar projection angles

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5
Q

Describe a sinogram

A

profiles from the same rows from each projection angle are stacked to form an image. There are as many sinograms as there are rows in the projection data

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6
Q

What are star artefacts and how can they be reduced

A

Start artefacts are inherent because counts are ‘smeared’ along each projection. This effect can be reduced by increasing the number of projections. around 120 projections are used in practice.

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7
Q

What is a fourier transform used for in FBP?

A

The effect of blurring is reduced by filtering projection images in frequency space- it is easier than filtering in spatial domain. The Fourier transform converts the image from object space to frequency space.

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8
Q

Why is a ramp filter applied and how is it applied?

A

Standard back projection causes 1/r blurring and a loss of high frequency of fine detail. The ramp filter is only applied in the transaxial plane as this is the only plane to experience 1/r blurring.
Blurring is minimised by projecting negative counts around each object.

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9
Q

What is iterative reconstruction?

A

A statistical trial and error method- commonly used in PET. It produces an image via successive approximations

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10
Q

Describe the four steps of iterative reconstruction

A
  1. Obtain an initial guess image
  2. The image is forward projected
  3. The estimated projections are compared with the real projection data and then back projected and adjusted accordingly
  4. The process is repeated over a number of iterations
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11
Q

What is maximum likelihood expectation maximisation (MLEM)

A

The most popular type iterative algorithm. Includes statistical considerations to calculate the maximum likelihood source distribution i.e. doesn’t attempt to find a single correct solution but MOST LIKELY solution.

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12
Q

Describe expectation maximisation

A

Estimate the distribution of the tracer that is most likely to give the acquired data. Ordered subset EM (OSEM) is a clever computational approach to EM. It ahs been shown to give better signal to noise ratio with low count data. Attenuation and scatter are more naturally accommodated into the reconstruction.

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13
Q

Why is iterative reconstruction slow?

A
  • Need several iterations to converge- each iteration requires both a forward and back projection
  • Include models of imaging system i.e. collimator scatter, resolution recovery- includes consideration of most pixels
  • Difficult to optimise number of subsets and iterations
  • Different regions will converge at different speeds
  • Needs to be optimised for each clinical situation
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14
Q

Give two advantages and two disadvantages of FBP

A

Pros:
1. Computationally quick
2. Simple to perform and understand
Cons:
1. Artefacts are produced as a result of back scatter
2. difficult to incorporate scatter, attenuation and detector blur

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15
Q

Give two advantages and disadvantages of OSEM/MLEM ( iterative reconstruction)

A

Pros:
1. physical properties e.g. attenuation are modelled at projection level
2. reconstruction noise is lower than FBP
Cons:
- Not simple to define when image quality is final
- Takes longer than FBP

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16
Q

What are the advantages of tomography?

A
  1. improves contrast because there are no overlying objects- relative difference in count density. Can obtain depth information in localisation.
  2. 3D voxel sets- reformatting in different planes is possible which is useful for myocardial perfusion imaging.
17
Q

What are the limitations of tomography?

A
  1. There is a loss of resolution with increased source-collimator separation and the use of general purpose collimation. Planar static imaging is much closer to the patients chest.
  2. Movement artefacts and image blurring. Long scan times ( 20-45 mins) which leads to blurring in the reconstructed data sets.
18
Q

What would functional imaging be used for?

A

Difficult to determine location if there isn’t a visual frame of reference

19
Q

Give three purposes of structural imaging?

A
  1. Attenuation correction of the functional (emission) image
  2. Localisation- i.e. to create a radioactive blob against a structural background
  3. Diagnosis in its own right e.g diagnostic quality Ct with or without contrast media
20
Q

Describe a typical PET/CT acquisition

A

CT scan:

  • Topogram/ scout scan
  • Lower dose than diagnostic CT
  • CTAC: image for attenuation correction
  • Reasonable resolution to locate tracer
  • Normally without contrast agents
  • Shallow breathing protocols

PET scan:

  • Tracer injection
  • Multiple bed positions, each position lasts 3-5 minutes
  • Reconstruction including CTAC
  • PET and CT images are fused