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J Nucl Med. 2008; 49 (Supplement 1):397P
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Instrumentation & Data Analysis: Image Generation

Image Generation Posters

Quantification of the thyroid volume by pinhole SPECT (PHS)

Michel Hesse1, Stephane Walrand2 and Georges Demonceau1

1 Nuclear Medicine, St Elisabeth Hospital, Zottegem, Belgium; 2 Nuclear Medicine, University of Louvain, Bruxelles, Belgium

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Objectives: We evaluate the quality of the quantification provided by the pinhole SPECT method. To do so we focus on the determination of the thyroid volume.

Methods: We performed more than 200 acquisitions of phantoms, with various sizes (from 20 to 150 ml), shapes ( 8 available) registered counts (varying in a range from 1 to 6, but still clinically relevant). All the acquisitions were made on a 180° anterior circular orbit. The dedicated software uses an OSEM reconstruction algorithm, adaptive filters and a threshold of 43% for ROI delineation. The number of iterations ranges from 1 to 20, with a subset number of 6. The pixel size was chosen between 2 and 3 mm. Various signal/background levels ranging from 1.1 to 2.0 were also evaluated. Finally, the reproducibility of the method was tested on 6 patients injected with I-123 and imaged twice the same day.

Results: The calculated mean volume of the classical thyroid phantom was 99,4 + 2.3% of the expected one. Accepting even an error level of 5% or, for the volumes less than 50 ml, a discrepancy of 3 ml, no phantom volumes was significantly affected by the studied parameters. There was a trend to overestimate the volume when it was smaller than 25 ml and/or when the phantom was larger than 7 cm along the longitudinal axis. For signal to background ratio above the value of 3 (a low value in clinical conditions), no significant volume variation was also detected.

Conclusions: We can conclude that the volume measurement by pinhole SPECT, at least for the thyroid in clinical conditions, seems precise and robust.





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Right arrow Articles by Hesse, M.
Right arrow Articles by Demonceau, G.