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A novel TOF-PET MRI detector for diagnosis and follow up of the prostate cancer

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 Added by Franco Garibaldi Dr
 Publication date 2017
  fields Physics
and research's language is English




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Prostate cancer is the most common disease in men and the second leading cause of death from cancer. Generic large imaging instruments used in cancer diagnosis have sensitivity, spatial resolution, and contrast inadequate for the task of imaging details of a small organ such as the prostate. In addition, multimodality imaging can play a significant role merging anatomical and functional details coming from simultaneous PET and MRI. Indeed, multi-parametric PET/MRI was demonstrated to improve diagnosis, but it suffers from too many false positives. In order to address the above limits of the current techniques, we have proposed, built and tested, thanks to the TOPEM project funded by Italian National Institute of Nuclear Phisics a prototype of an endorectal PET-TOF/MRI probe. In the applied magnification PET geometry, performance is dominated by a high-resolution detector placed closer to the source. The expected spatial resolution in the selected geometry is about 1.5 mm FWHM and efficiency a factor of 2 with respect to what obtained with the conventional PET scanner. In our experimental studies, we have obtained timing resolution of ~ 320 ps FWHM and at the same time Depth of Interaction (DOI) resolution of under 1 mm. Tests also showed that mutual adverse PET-MR effects are minimal. In addition, the matching endorectal RF coil was designed, built and tested. In the next planned studies, we expect that benefiting from the further progress in scintillator crystal surface treatment, in SiPM technology and associated electronics would allow us to significantly improve TOF resolution



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Low counts reconstruction remains a challenge for Positron Emission Tomography (PET) even with the recent progresses in time-of-flight (TOF) resolution. In that setting, the bias between the acquired histogram, composed of low values or zeros, and the expected histogram, obtained from the forward projector, is propagated to the image, resulting in a biased reconstruction. This could be exacerbated with finer resolution of the TOF information, which further sparsify the acquired histogram. We propose a new approach to circumvent this limitation of the classical reconstruction model. It consists of extending the parametrization of the reconstruction scheme to also explicitly include the projection domain. This parametrization has greater degrees of freedom than the log-likelihood model, which can not be harnessed in classical circumstances. We hypothesize that with ultra-fast TOF this new approach would not only be viable for low counts reconstruction but also more adequate than the classical reconstruction model. An implementation of this approach is compared to the log-likelihood model by using two-dimensional simulations of a hot spots phantom. The proposed model achieves similar contrast recovery coefficients as MLEM except for the smallest structures where the low counts nature of the simulations makes it difficult to draw conclusions. Also, this new model seems to converge toward a less noisy solution than the MLEM. These results suggest that this new approach has potential for low counts reconstruction with ultra-fast TOF.
Purpose: To develop bone material analogues that can be used in construction of phantoms for simultaneous PET/MRI systems. Methods: Plaster was used as the basis for the bone material analogues tested in this study. It was mixed with varying concentrations of an iodinated CT contrast, a gadolinium-based MR contrast agent, and copper sulfate to modulate the attenuation properties and MRI properties (T1 and T2*). Attenuation was measured with CT and 68Ge transmission scans, and MRI properties were measured with quantitative ultrashort echo time pulse sequences. A proof-of-concept skull was created by plaster casting. Results: Undoped plaster has a 511 keV attenuation coefficient (~0.14 cm-1) similar to cortical bone (0.10-0.15 cm-1), but slightly longer T1 (~500 ms) and T2* (~1.2 ms) MR parameters compared to bone (T1 ~ 300 ms, T2* ~ 0.4 ms). Doping with the iodinated agent resulted in increased attenuation with minimal perturbation to the MR parameters. Doping with a gadolinium chelate greatly reduced T1 and T2*, resulting in extremely short T1 values when the target T2* values were reached, while the attenuation coefficient was unchanged. Doping with copper sulfate was more selective for T2* shortening and achieved comparable T1 and T2* values to bone (after 1 week of drying), while the attenuation coefficient was unchanged. Conclusions: Plaster doped with copper sulfate is a promising bone material analogue for a PET/MRI phantom, mimicking the MR properties (T1 and T2*) and 511 keV attenuation coefficient of human cortical bone.
In this contribution we present a new concept of the large acceptance detector systems based on organic scintillators which may allow for simultaneous diagnostic of large fraction of the human body. Novelty of the concept lies in employing large blocks of polymer scintillators instead of crystals as detectors of annihilation quanta, and in using predominantly the timing of signals instead of their amplitudes.
MultiModal Imaging is an innovative technique that consists in the combination of diagnostic exams based on different physical processes, to obtain a unique image with more detailed clinical information. The possibility of a simultaneous use of PET and MRI could be achieved by using a particular radioisotope: 52gMn. The main route to produce this isotope is the reaction 52Cr(p,n)52gMn which is theoretically investigated in this study by means of three nuclear reaction codes. An analysis of the cross sections and a computation of the production rates and time evolution of the produced radioisotopes are performed, to identify the optimal production parameters. The procedure described for this reaction has a general validity and is applied also to other reactions, such as 52Cr(d,2n)52gMn and natV(alpha,x)52gMn.
We perform a parametric study of the newly developed time-of-flight (TOF) image reconstruction algorithm, proposed for the real-time imaging in total-body Jagiellonian PET (J-PET) scanners. The asymmetric 3D filtering kernel is applied at each most likely position of electron-positron annihilation, estimated from the emissions of back-to-back $gamma$-photons. The optimisation of its parameters is studied using Monte Carlo simulations of a 1-mm spherical source, NEMA IEC and XCAT phantoms inside the ideal J-PET scanner. The combination of high-pass filters which included the TOF filtered back-projection (FBP), resulted in spatial resolution, 1.5 $times$ higher in the axial direction than for the conventional 3D FBP. For realistic $10$-minute scans of NEMA IEC and XCAT, which require a trade-off between the noise and spatial resolution, the need for Gaussian TOF kernel components, coupled with median post-filtering, is demonstrated. The best sets of 3D filter parameters were obtained by the Nelder-Mead minimisation of the mean squared error between the resulting and reference images. The approach allows training the reconstruction algorithm for custom scans, using the IEC phantom, when the temporal resolution is below 50 ps. The image quality parameters, estimated for the best outcomes, were systematically better than for the non-TOF FBP.
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