Validation of MotionFree Brain algorithm in an 11C-Methionine PET/MRI study of pediatric patients with brain tumors

20 May 2024, 10:10
20m
La Biodola, Isola d'Elba

La Biodola, Isola d'Elba

Hotel Hermitage
Oral PET/MR and SPECT/MR PET/MR applications

Speaker

Paola Vittoria Scifo (IRCCS San Raffaele Scientific Institute)

Description

In this study, we tested a data-driven head motion correction method on 11C-methionine brain PET images of a cohort of paediatric patients and we investigated its impact qualitatively and quantitatively. Twenty-seven paediatric patients with treated high grade glioma underwent 11C-methionine PET/MRI exam using a fully hybrid PET/MR scanner. During PET scan, MRAC and ZTE sequences were acquired to generate attenuation correction maps. Additional diagnostic MR sequences were acquired, before, simultaneously and after PET acquisition. For each patient, PET images were reconstructed offline with and without the data-driven head motion correction algorithm (PETddMoCo and PETnoMoCo, respectively). PET images were qualitatively and quantitatively evaluated. An expert nuclear medicine physician segmented brain lesions. SUVmax, SUVmean, SUVpeak, and MTV were extracted using a fixed threshold of 42%. Their absolute mean percentage differences between PETddMoCo and PETnoMoCo are calculated and compared. Eight-teen patients had a “low” degree of motion, 5 patients “medium” and 4 patients “high”. Twelve/27 patients had positive uptake. Qualitatively, no difference was shown in negative patients, while in positive ones two lesions were better defined. The mean percentage differences with the standard deviation for SUVmax, SUVmean, SUVpeak and MTV are: 2.66±1.91%, 1.65±1.71%, 2.77±2.11%, 13.32±9.79% respectively. The difference in SUVmean before and after motion correction was significant.

Field Systems and applications

Primary authors

Ms Ilaria Neri (IRCCS San Raffaele Scientific Institute) Dr Matthew Spangler-Bickell (GE HealthCare, Waukesha, WI, USA) Dr Federico Fallanca (IRCCS San Raffaele Scientific Institute) Dr Maurizio Barbera (IRCCS San Raffaele Scientific Institute) Dr Giovanna Gattuso (IRCCS Istituto dei Tumori) Samuele Ghezzo (IRCCS San Raffaele Scientific Institute) Ms Carolina Bezzi (IRCCS San Raffaele Scientific Institute) Mrs Annarita Savi (IRCCS San Raffaele Scientific Institute) Mr Paolo Verdelio (IRCCS Istituto dei Tumori) Ms Sara Pizzamiglio (IRCCS Istituto dei Tumori) Dr Maura Massimino (IRCCS Istituto dei Tumori) Prof. Andrea Falini (IRCCS San Raffaele Scientific Institute) Dr Filippo Spreafico (IRCCS Istituto dei Tumori) Prof. Maria Picchio (IRCCS San Raffaele Scientific Institute) Prof. Arturo Chiti (IRCCS San Raffaele Scientific Institute) Dr Cristina Baldoli (IRCCS San Raffaele Scientific Institute) Paola Vittoria Scifo (IRCCS San Raffaele Scientific Institute)

Presentation materials