arXiv subjects

Maurizio Conti

Publications and source records attributed to Maurizio Conti.

4 recordsLinked to original sources

arXiv2026

A Positron Range Correction with Texture Preservation Framework in PET Imaging

Positron range (PR) blurring is a fundamental resolution limitation in PET imaging with high-energy positron emitters such as 82Rb, causing contrast loss and spill-out effects across heterogeneous tissue interfaces. We propose PRC-TP, a positron range correction (PRC) framework with explicit texture preservation that decouples deterministic resolution recovery from stochastic texture restoration. A nnFormer-based neural network (NN) was trained on patient-derived Monte Carlo simulations to map PR-degraded 82Rb reconstructions to PR-free references using attenuation maps as anatomical context. However, this NN also significantly removed the noise in the images, which could impact some texture analysis methods or make the images look unrealistic. An auxiliary Noise2Noise model estimates that smoothing effect, enabling texture extraction and transfer to the PR-corrected prediction through Model-consistent Texture Re-Injection (MTRI). In simulated patients, PRC-TP preserved contrast recovery close to ground truth (GT) (98.96-99.04%) while restoring noise and CNR closer to the reference. The function-based MTRI formulation achieved near unity global texture amplitude agreement with GT (0.997 +/- 0.011), reducing the input texture amplitude bias (0.951 +/- 0.011). Radiomics analysis showed improved agreement with GT across texture-sensitive feature families. A clinical 82Rb evaluation showed trends consistent with simulations, including comparable contrast-ratio increase (10.18% vs. 10.99%) and restoration of texture suppressed by PRC. These results support PRC-TP as a practical framework for resolution recovery with acquisition-consistent texture preservation in PET imaging. Submitted to IEEE TRPMS.

physics.med-ph↗

arXiv2026

Feasibility study of the positronium lifetime imaging with the Biograph Vision Quadra and J-PET tomographs

Background: After its first ex-vivo and in-vivo demonstration, Positronium Lifetime Imaging (PLI) has received considerable interest as a potential new diagnostic biomarker. High sensitivity Positron Emission Tomography (PET) systems are needed for PLI since it requires simultaneous registration of annihilation photons and prompt gamma. In this simulation-based study, a~feasibility of PLI with the long axial field-of-view Biograph Vision Quadra (Quadra) and the Total Body J-PET scanner was investigated. Methods: The study was performed using the GATE software. Background radiation, present within the Quadra tomograph, was added to the simulation. First, the optimal placement of the energy window for the registration of the prompt gamma was investigated. Next, the organ-wise sensitivity of Quadra was calculated for the $^{68}$Ga, $^{44}$Sc, $^{22}$Na and $^{124}$I radioisotopes. Finally, the sensitivity for the scandium isotope was compared to the sensitivities obtainable with the Total Body J-PET scanner, as well as with the modular J-PET prototype. Results: The PLI sensitivities for the Quadra with the background radiation are estimated to 9.22(3), 10.46(4), 5.91(3), and 15.39(4) cps/kBq for the $^{44}$Sc, $^{68}$Ga, $^{22}$Na and $^{124}$I radioisotopes, respectively. The highest sensitivity was obtained when the energy window for the deexcitation photon is adjacent to the energy window for the annihilation photons. The determined PLI sensitivities with Quadra and the Total Body J-PET are in the order of sensitivities of standard PET imaging with the short axial field-of-view ($\sim$20 cm) PET scanners. Conclusion: The organ-wise PLI sensitivity of Quadra has been computed for the $^{68}$Ga, $^{44}$Sc, $^{22}$Na and $^{124}$I radioisotopes. A sensitivity gain by a factor of 150 was estimated relative to the modular J-PET system previously used for the first in-vivo PLI.

physics.med-ph↗

arXiv2025

First Positronium Lifetime Imaging with Scandium-44 on a Long Axial Field-of-view PET/CT

Purpose: 44Sc has been successfully produced, synthesized, labeled and first-in-human studies were conducted some years ago. The decay properties of 44Sc, together with being close to a clinical implementation, make it an ideal candidate for in vivo positronium lifetime measurements. In this study, we investigate the count statistics for ortho-positronium (oPs) measurements with 44Sc. Method: A NEMA image quality phantom was filled with 41.7 MBq of 44Sc dissolved in water and scanned on a commercial long-axial field-of-view PET/CT. Three-photon events were identified using a prototype feature of the scanner and dedicated software. The lifetime of oPs was determined in the phantom spheres and in 4x4x4 mm^3 voxels. Results: All measured oPs lifetimes are compatible, within the uncertainties, with the literature values for water. The oPs lifetime is 2.65+-0.50, 1.39+-0.20 and 1.76+-0.18 ns in the three smallest spheres of the phantom and 1.79+-0.57 ns for a single voxel in the central region of the largest sphere. The relative standard deviation in the background regions of the time difference distributions, i.e., for time differences smaller than -2.7 ns, is above 20% - even for voxels inside the phantom spheres. Conclusions: Despite the favorable physical properties of 44Sc, the count statistics of three-photon events remains a challenge. The high prompt-photon energy causes a significant amount of random three-photon coincidences with the given methodology and, therefore, increases the statistical uncertainties on the measured oPs lifetime.

physics.med-ph↗

arXiv2025

Positronium Lifetime Imaging with the Biograph Vision Quadra using 124I

Purpose: Measuring the ortho-positronium (oPs) lifetime in human tissue bears the potential of adding clinically relevant information about the tissue microenvironment to conventional positron emission tomography (PET). Through phantom measurements, we investigate the voxel-wise measurement of oPs lifetime using a commercial long-axial field-of-view (LAFOV) PET scanner. Methods: We prepared four samples with mixtures of Amberlite XAD4, a porous polymeric adsorbent, and water and added between 1.12 MBq and 1.44 MBq of $^{124}$I. The samples were scanned in two different setups: once with a couple of centimeters between each sample (15 minutes scan time) and once with all samples taped together (40 minutes scan time). For each scan, we determine the oPs lifetime for the full samples and at the voxel level. The voxel sizes under consideration are $10.0^3$ mm$^3$, $7.1^3$ mm$^3$ and $4.0^3$ mm$^3$. Results: Amberlite XAD4 allows the preparation of samples with distinct oPs lifetime. Using a Bayesian fitting procedure, the oPs lifetimes in the whole samples are $2.52 \pm 0.03$ ns, $2.37\pm 0.03$ ns, $2.27\pm0.04$ ns and $1.82\pm 0.02$ ns, respectively. The voxel-wise oPs lifetime fits showed that even with $4.0^3$ mm$^3$ voxels the samples are clearly distinguishable and a central voxels have good count statistics. However, the situation with the samples close together remains challenging with respect to the spatial distinction of regions with different oPs lifetimes. Conclusion: Our study shows that positronium lifetime imaging on a commercial LAFOV PET/CT should be feasible under clinical conditions using $^{124}$I.

physics.med-ph↗