Respiratory motion correction in F-18-FDG PET/CT impacts lymph node assessment in lung cancer patients

Backgrounds: Elastic motion correction in PET has been shown to increase image quality and quantitative measurements of PET datasets affected by respiratory motion. However, little is known on the impact of respiratory motion correction on clinical image evaluation in oncologic PET. This study evalu...

Verfasser: Noto, Benjamin
Roll, Wolfgang
Zinken, Laura
Rischen, Robert
Kerschke, Laura Jule
Evers, Georg Heribert
Heindel, Walter
Schäfers, Michael
Büther, Florian
FB/Einrichtung:FB 05: Medizinische Fakultät
Dokumenttypen:Artikel
Medientypen:Text
Erscheinungsdatum:2022
Publikation in MIAMI:19.10.2023
Datum der letzten Änderung:19.10.2023
Angaben zur Ausgabe:[Electronic ed.]
Quelle:EJNMMI Research 12 (2022), 61, 1-11
Schlagwörter:PET; PET/CT; Motion correction; Lung cancer; Staging
Fachgebiet (DDC):610: Medizin und Gesundheit
Lizenz:CC BY 4.0
Sprache:English
Förderung:Finanziert über die DEAL-Vereinbarung mit Wiley 2019-2022.
Format:PDF-Dokument
URN:urn:nbn:de:hbz:6-88978618408
Weitere Identifikatoren:DOI: 10.17879/48988467752
Permalink:https://nbn-resolving.de/urn:nbn:de:hbz:6-88978618408
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Onlinezugriff:10.1186_s13550-022-00926-7.pdf

Backgrounds: Elastic motion correction in PET has been shown to increase image quality and quantitative measurements of PET datasets affected by respiratory motion. However, little is known on the impact of respiratory motion correction on clinical image evaluation in oncologic PET. This study evaluated the impact of motion correction on expert readers’ lymph node assessment of lung cancer patients. Methods: Forty-three patients undergoing F-18-FDG PET/CT for the staging of suspected lung cancer were included. Three different PET reconstructions were investigated: non-motion-corrected ("static"), belt gating-based motion-corrected (“BG-MC”) and data-driven gating-based motion-corrected ("DDG-MC"). Assessment was conducted independently by two nuclear medicine specialists blinded to the reconstruction method on a six-point scale s ranging from "certainly negative" (1) to "certainly positive" (6). Differences in s between reconstruction methods, accounting for variation caused by readers, were assessed by nonparametric regression analysis of longitudinal data. From s, a dichotomous score for N1, N2, and N3 ("negative," "positive") and a subjective certainty score were derived. SUV and metabolic tumor volumes (MTV) were compared between reconstruction methods. Results: BG-MC resulted in higher scores for N1 compared to static (p = 0.001), whereas DDG-MC resulted in higher scores for N2 compared to static (p = 0.016). Motion correction resulted in the migration of N1 from tumor free to metastatic on the dichotomized score, consensually for both readers, in 3/43 cases and in 2 cases for N2. SUV was significantly higher for motion-corrected PET, while MTV was significantly lower (all p