arXiv subjects

Yasser G. Abdelhafez

Publications and source records attributed to Yasser G. Abdelhafez.

3 recordsLinked to original sources

arXiv2025

Incorporating Tissue Composition Information in Total-Body PET Metabolic Quantification of Bone Marrow through Dual-Energy CT

Bone marrow (BM) metabolic quantification with 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) is of broad clinical significance for accurate assessment of BM at staging and follow-up, especially when immunotherapy is involved. However, current methods of quantifying BM may be inaccurate because the volume defined to measure bone marrow may also consist of a fraction of trabecular bone in which 18F-FDG activity is negligible, resulting in a potential underestimation of true BM uptake. In this study, we demonstrate this bone-led tissue composition effect and propose a bone fraction correction (BFC) method using X-ray dual-energy computed tomography (DECT) material decomposition. This study included ten scans from five cancer patients who underwent baseline and follow-up dynamic 18F-FDG PET and DECT scans using the uEXPLORER total-body PET/CT system. The voxel-wise bone volume fraction was estimated from DECT and then incorporated into the PET measurement formulas for BFC. The standardized uptake value (SUV), 18F-FDG delivery rate K1, and net influx rate Ki values in BM regions were estimated with and without BFC and compared using the statistical analysis. The results first demonstrated the feasibility of performing voxel-wise material decomposition using DECT for metabolic BM imaging. With BFC, the SUV, K1, and Ki values significantly increased by an average of 13.28% in BM regions compared to those without BFC (all P<0.0001), indicating the impact of BFC for BM quantification. Parametric imaging with BFC further confirmed regional analysis. Our study using DECT suggests current SUV and kinetic quantification of BM are likely underestimated in PET due to the presence of a significant bone volume fraction. Incorporating tissue composition information through BFC may improve BM metabolic quantification.

physics.med-ph↗

arXiv2024

Feasibility of PET-enabled dual-energy CT imaging: First physical phantom and initial patient results

X-ray computed tomography (CT) in PET/CT is commonly operated with a single energy, resulting in a limitation of lacking tissue composition information. Dual-energy (DE) spectral CT enables material decomposition by using two different x-ray energies and may be combined with PET for improved multimodality imaging, but would either require hardware upgrade or increase radiation dose due to the added second x-ray CT scan. Recently proposed PET-enabled DECT method allows dual-energy spectral imaging using a conventional PET/CT scanner without the need for a second x-ray CT scan. A gamma-ray CT (gCT) image at 511 keV can be generated from the existing time-of-flight PET data with the maximum-likelihood attenuation and activity (MLAA) approach and is then combined with the low-energy x-ray CT image to form dual-energy spectral imaging. To improve the image quality of gCT, a kernel MLAA method was further proposed by incorporating x-ray CT as a priori information. The concept of this PET-enabled DECT has been validated using simulation studies, but not yet with 3D real data. In this work, we developed a general open-source implementation for gCT reconstruction from PET data and use this implementation for the first real data validation with both a physical phantom study and a human subject study on a uEXPLORER total-body PET/CT system. These results have demonstrated the feasibility of this method for spectral imaging and material decomposition.

physics.med-ph↗

arXiv2024

Total-Body Parametric Imaging Using Relative Patlak Plot

Standard Patlak plot is widely used to describe FDG kinetics for dynamic PET imaging. Whole-body Patlak parametric imaging remains constrained due to the need for a full-time input function. Here, we demonstrate the Relative Patlak (RP) plot, which eliminates the need for the early-time input function, for total-body parametric imaging and its application to clinical 20-min scan acquired in list-mode. We demonstrated that the RP intercept b' is equivalent to a ratio of standardized uptake value relative to the blood, while the RP slope Ki' is equal to the standard Patlak Ki multiplied by a global scaling factor for each subject. One challenge in applying RP to a short scan duration (20 min) is the high noise in parametric images. We applied a deep kernel method for noise reduction. Using the standard Patlak plot as the reference, the RP method was evaluated for lesion quantification, lesion-to-background contrast, and myocardial visualization in total-body parametric imaging with uEXPLORER in 22 human subjects who underwent a 1-h dynamic 18F-FDG scan. The RP method was also applied to the dynamic data regenerated from a clinical standard 20-min scan either at 1-h or 2-h post-injection for two cancer patients. We demonstrated that it is feasible to obtain high-quality parametric images from 20-min dynamic scans using the RP plot with a self-supervised deep-kernel noise reduction strategy. The RP Ki' highly correlated with Ki in lesions and major organs, demonstrating its quantitative potential across subjects. Compared to conventional SUVs, the Ki' images significantly improved lesion contrast and enabled visualization of the myocardium for potential cardiac assessment. The application of RP parametric imaging to two clinical scans also showed similar benefits. Total-body PET with the RP plot is feasible to generate parametric images from the dynamic data of a 20-min clinical scan.

physics.med-ph↗