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Sensitivity and Daily Quality Control of a Mobile PET/CT Scanner Operating in 3-Dimensional Mode

机译:在3维模式下运行的移动PET / CT扫描仪的灵敏度和日常质量控制

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This study investigated the stability of the sensitivity of a mobile PET/CT scanner and tested a phantom experiment to improve on the daily quality control recommendations of the manufacturer. Unlike in-house scanners, mobile PET/CT devices are subjected to a harsher, continuously changing environment that can alter their performance. The parameter of sensitivity was investigated because it reflects directly on standardized uptake value, a key factor in cancer evaluation. >Methods: A 68Ge phantom of known activity concentration was scanned 6 times a month for 11 consecutive months using a mobile PET/CT scanner that operates in 3-dimensional mode only. The scans were acquired as 2 contiguous bed positions, with raw data obtained and reconstructed using parameters identical to those used for oncology patients, including CT-extracted attenuation coefficients and decay, scatter, geometry, and randoms corrections. After visual inspection of all reconstructed images, identical regions of interest were drawn on each image to obtain the activity concentration of individual slices. The original activity concentration was then decay-corrected to the scanning day, and the percentage sensitivity of the slice was calculated and graphed. The daily average sensitivity of the scanner, over 11 consecutive months, was also obtained and used to evaluate the stability of sensitivity. >Results: Our particular scanner showed a daily average sensitivity ranging from a?’8.6% to 6.5% except for one instance, when the sensitivity dropped by an unacceptable degree, 34.8%. >Conclusion: Our 11-mo follow-up of a mobile PET/CT scanner demonstrated that its sensitivity remained within acceptable clinical limits except for one instance, when the scanner had to be serviced before patients could be imaged. To enhance our confidence in the uniformity of sensitivity across slices, we added a phantom scan to the daily quality control recommendations of the manufacturer.
机译:这项研究调查了移动PET / CT扫描仪灵敏度的稳定性,并测试了幻像实验以改善制造商的日常质量控制建议。与内部扫描仪不同,移动式PET / CT设备要经受更恶劣,不断变化的环境,从而可能会改变其性能。对敏感性参数进行了研究,因为它直接反映了标准化摄取值,这是癌症评估中的关键因素。 >方法:使用仅在3维模式下运行的移动PET / CT扫描仪,连续11个月每月扫描6次已知活性浓度的 68 Ge幻像。扫描被获取为2个连续的床位,并使用与肿瘤患者相同的参数获得并重建原始数据,包括CT提取的衰减系数,衰减,散射,几何形状和随机校正。在对所有重建图像进行目视检查之后,在每个图像上绘制相同的目标区域,以获得各个切片的活性浓度。然后将原始活性浓度衰减校正至扫描日,并计算切片的百分比灵敏度并绘制图形。还获得了连续11个月的扫描仪每日平均灵敏度,并将其用于评估灵敏度的稳定性。 >结果:我们的特定扫描仪显示每日平均灵敏度在a?'8.6%到6.5%之间,但有一次除外,当时灵敏度下降了不可接受的程度,为34.8%。 >结论:我们对移动式PET / CT扫描仪进行了11个月的随访,结果表明,除一种情况外,其灵敏度一直在可接受的临床范围内,除非需要在对患者成像之前对其进行维修。为了增强我们对切片灵敏度统一性的信心,我们在制造商的日常质量控制建议中添加了幻像扫描。

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