Evaluating and comparing the image quality and quantification accuracy of SiPM-PET/CT and PMT-PET/CT

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ORIGINAL ARTICLE

Evaluating and comparing the image quality and quantification accuracy of SiPM‑PET/CT and PMT‑PET/CT Yuji Tsutsui1   · Shinichi Awamoto2 · Kazuhiko Himuro2 · Toyoyuki Kato2 · Shingo Baba3 · Masayuki Sasaki4 Received: 7 May 2020 / Accepted: 29 June 2020 © The Japanese Society of Nuclear Medicine 2020

Abstract Objective  The aim of this study was to evaluate the image quality and the quantification accuracy of Biograph Vision PET/ CT scanner as a SiPM-PET in comparison to the conventional PMT-PET, Biograph mCT PET/CT scanner. Methods  This study consisted of a phantom study and a retrospective clinical analysis where patients underwent 18F-FDG PET/CT in both PET systems. The body phantom of the NEMA IEC with 10–37 mm diameter spheres were filled with an 18 F-FDG solution. The root mean square error (RMSE) of SUV, the detectability of 10-mm sphere, ­NECphantom, the background variability (N10mm) and the contrast-noise-ratio (QH,10 mm/N10mm) were calculated based on the phantom analysis. We also examined the quality of the acquired clinical images using the ­NECpatient, ­NECdensity, ­SNRliver, ­SUVliver and ­SUVlesion. Results  In the phantom study on Vision scanner, RMSE was relatively lower when the iteration number was 2, 3 or 4. To satisfy a visual score of 1.5 and the reference range of QH,10 mm/N10mm, a 60-s or longer acquisition was required. Our clinical findings show that ­NECpatient averaged 17.4 ± 1.72 Mcounts/m in mCT and 29.1 ± 2.83 Mcounts/m in Vision. Furthermore, ­NECdensity averaged 0.29 ± 0.05 kcounts/cm3 in mCT and 0.53 ± 0.09 kcounts/cm3 in Vision, respectively, whereas S ­ NRliver averaged 14.6 ± 3.77% in mCT and 21.3 ± 1.69% in Vision (P = 0.0156), respectively. Finally, ­SUVliver averaged 2.82 ± 0.28 and 2.55 ± 0.30, ­SUVlesion ranged 1.6–17.6 and 1.9–22.9 in mCT and Vision, respectively. Conclusion  SiPM-PET/CT provides superior image quality and quantification accuracy compared to PMT-PET/CT. Keywords  PET/CT · Silicon photomultipliers · Image quality · Standardized uptake value

Introduction Positron emission tomography (PET) is a very essential imaging tool that is used in the diagnosis, staging, planning and assessment of treatment efficiency. The most commonly

* Yuji Tsutsui [email protected] 1



Department of Radiological Science, Faculty of Health Science, Junshin Gakuen University, 1‑1‑1 Chikushigaoka, Minami‑ku, Fukuoka 815‑8510, Japan

2



Division of Radiology, Department of Medical Technology, Kyushu University Hospital, 3‑1‑1 Maidashi, Higashi‑ku, Fukuoka 812‑8582, Japan

3

Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3‑1‑1 Maidashi, Higashi‑ku, Fukuoka 812‑8582, Japan

4

Department of Health Science, Faculty of Medical Sciences, Kyushu University, 3‑1‑1 Maidashi, Higashi‑ku, Fukuoka 812‑8582, Japan





used PET radiotracer is 18F-fluoro-2-deoxy-d-glucose (18FFDG) that corresponds to the regional glucose uptake in tumour tissue [1, 2]. Recently, novel PET technologies involving the scintillator materi