1. [Feasibility of Adapting Various Tumor-to-normal Bone Ratio Images on an Automatic Quantification Package for Phantom-based Image Quality Assessment in Bone SPECT].
- Author
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Kato T, Ichikawa H, Kawakami K, Hosoya T, Banno T, Kato T, and Ito S
- Subjects
- Humans, Bone and Bones diagnostic imaging, Software, Image Processing, Computer-Assisted methods, Automation, Tomography, Emission-Computed, Single-Photon methods, Phantoms, Imaging, Bone Neoplasms diagnostic imaging, Feasibility Studies
- Abstract
We investigated the impact of the tumor-to-normal bone ratio (TNR) on the concordance rate between a detectability score classified by software (DS
soft ) using an automatic quantification package for bone SPECT (Hone Graph) and a detectability score classified by visual assessment (DSvisual ), and considered the feasibility of applying this software to various TNR images.99m Tc solution was filled into a SIM2 bone phantom to achieve TNRs of 4, 6, and 8, performed by dynamic SPECT acquisitions performed for 12 minutes; reconstructions were performed using ordered subset expectation maximization at timepoints ranging from 4 to 12 minutes. This yielded a total of 384 lesions (96 SPECT images). We investigated the weighted kappa (κw ) coefficient between DSsoft and DSvisual at various TNRs and evaluated the change in analysis accuracy before and after applying newly created analysis parameters. DSs were defined on a 4-point scale (4: excellent, 3: adequate, 2: average, 1: poor), and visual evaluations were conducted by three board-certified nuclear medicine technologists. The κw coefficients between DSsoft and DSvisual were 0.75, 0.97, and 0.93 for TNRs 4, 6, and 8, respectively, with each κw coefficient being significant (p<0.01). In the TNR 4 image group, κw coefficients significantly increased with the implementation of new parameters proposed in this study. We concluded that the software's automatic analysis would be closer to a visual assessment within the TNR range of 4-8 and that applying new parameters derived from this study to images with TNR 4 further improves the software's automatic analysis accuracy of DSsoft . We suggest that software will be a useful tool for optimizing bone SPECT imaging techniques.- Published
- 2024
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