ABSTRACT
The discovery of NM530c with a cadmium-zinc-telluride detector (CdZnTe-SPECT) is superior to the conventional Anger-type SPECT with a sodium-iodide detector (NaI-SPECT) in terms of sensitivity and spatial resolution. However, in the clinical example, even in CdZnTe-SPECT, a count decrease in myocardium due to the attenuation of the gamma ray is an issue. This study was conducted to evaluate the effect of computed tomography attenuation correction (CTAC) in CdZnTe-SPECT with the help of external CT. We evaluated the revision effect of uniformity, influence by the difference in attenuation distance, contrast ratio, an uptake rate using the heart phantom. As a result of the phantom studies, a good revision effect was obtained. In the clinical study, there was a statistical significant difference between the contrast ratio before and after CTAC in the inferior wall. In addition, the contrast ratio before and after CTAC in CdZnTe-SPECT image was equal to those of NaI-SPECT image. It was suggested that CTAC using external CT in CdZnTe-SPECT was clinically useful for inferior wall.
Subject(s)
Cadmium , Heart/diagnostic imaging , Semiconductors , Tellurium , Tomography, Emission-Computed, Single-Photon/instrumentation , Tomography, X-Ray Computed/methods , Zinc , Female , Humans , Image Processing, Computer-Assisted/methods , Male , Phantoms, Imaging , Radiographic Image Enhancement/methods , Sensitivity and SpecificityABSTRACT
In the dopamine transporter scintigraphy there are two quantitative analysis softwares, DaTView and DaTQUANT. The quantitative value of both software has to be treated independently because there is a difference between them in the point of how to set the region of interest on the striatum and the background, calculation formula of quantitation. And also DaTQUANT has a capability of performing anatomical standardization which DaTView does not have. The aim of this study was to evaluate the accuracy of registration on DaTQUANT using a phantom, and to evaluate the correlation between the quantitative values between DaTView and DaTQUANT using clinical data. As a result, the accuracy of registration was acceptable. Regardless of the degree of accumulation in the striatum, there was a high correlation to each analysis software (r>0.85).
Subject(s)
Dopamine Plasma Membrane Transport Proteins/analysis , Software , Tomography, Emission-Computed, Single-Photon , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedABSTRACT
Discovery NM 530c (CZT SPECT) is a new single photon emission computed tomography (SPECT) scanner using a cadmium-zinc-telluride (CZT) solid-state semiconductor detector technology. Due to multi-pinhole collimator design of this system, each CZT detector facing different direction and be able to get incidence radioactivity from radioisotopes (RIs) existing outside of effective field of view (EFOV). The purpose of this study is to verify its impact and compare it to a conventional Anger-type SPECT scanner (Discovery NM/CT 670 pro). We used (99m)TcO4(-) as radiation source and set it outside of the EFOV at several different positions (height and angle) and scanned by both the cameras. As a result, CZT SPECT got more influence compared to Anger-type SPECT. The impact was different according to its height. When using other RIs in CZT SPECT room, it is important to confirm the appropriate position against CZT SPECT during scan.
