title: A quantitative evaluation study of four-dimensional gated cardiac SPECT reconstruction.
abstract: In practice, gated cardiac SPECT images suffer from a number of degrading factors, including distance-dependent blur, attenuation, scatter and increased noise due to gating. Recently, we proposed a motion-compensated approach for four-dimensional (4D) reconstruction for gated cardiac SPECT and demonstrated that use of motion-compensated temporal smoothing could be effective for suppressing the increased noise due to lowered counts in individual gates. In this work, we further develop this motion-compensated 4D approach by also taking into account attenuation and scatter in the reconstruction process, which are two major degrading factors in SPECT data. In our experiments, we conducted a thorough quantitative evaluation of the proposed 4D method using Monte Carlo simulated SPECT imaging based on the 4D NURBS-based cardiac-torso (NCAT) phantom. In particular, we evaluated the accuracy of the reconstructed left ventricular myocardium using a number of quantitative measures including regional bias-variance analyses and wall intensity uniformity. The quantitative results demonstrate that use of motion-compensated 4D reconstruction can improve the accuracy of the reconstructed myocardium, which in turn can improve the detectability of perfusion defects. Moreover, our results reveal that while traditional spatial smoothing could be beneficial, its merit would become diminished with the use of motion-compensated temporal regularization. As a preliminary demonstration, we also tested our 4D approach on patient data. The reconstructed images from both simulated and patient data demonstrated that our 4D method can improve the definition of the LV wall.
authors.affiliation: Colorado Translational Research Imaging Center and Department of Radiology, School of Medicine, University of Colorado Denver, Aurora, CO 80045, USA.
authors.forename: Mingwu
authors.initials: M
authors.lastname: Jin
authors.forename: Yongyi
authors.initials: Y
authors.lastname: Yang
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Niu
authors.forename: Thibault
authors.initials: T
authors.lastname: Marin
authors.forename: Jovan G
authors.initials: JG
authors.lastname: Brankov
authors.forename: Bing
authors.initials: B
authors.lastname: Feng
authors.forename: P Hendrik
authors.initials: PH
authors.lastname: Pretorius
authors.forename: Michael A
authors.initials: MA
authors.lastname: King
authors.forename: Miles N
authors.initials: MN
authors.lastname: Wernick
mesh_terms: D000465:Algorithms; D055426:Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D007090:Image Interpretation, Computer-Assisted / Q000379:methods*; D021621:Imaging, Three-Dimensional / Q000379:methods*; D019047:Phantoms, Imaging; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity