Dual Time-Point [18F]Fdg Pet Imaging for Quantification of Metabolic Uptake Rate: Evaluation of a Simple, Clinically Feasible Method Publisher Pubmed



Samimi R¹ ; Kamaliasl A¹ ; Ahmadyar Y¹ ; Van Den Hoff J^{2, 3} ; Geramifar P⁴ ; Rahmim A^{5, 6} Show Affiliations
Source: Physica Medica Published:2024

Abstract

Purpose: We aimed to investigate whether a clinically feasible dual time-point (DTP) approach can accurately estimate the metabolic uptake rate constant (Ki) and to explore reliable acquisition times through simulations and clinical assessment considering patient comfort and quantification accuracy. Methods: We simulated uptake kinetics in different tumors for four sets of DTP PET images within the routine clinical static acquisition at 60-min post-injection (p.i.). We determined Ki for a total of 81 lesions. Ki quantification from full dynamic PET data (Patlak-Ki) and Ki from DTP (DTP-Ki) were compared. In addition, we scaled a population-based input function (PBIFscl) with the image-derived blood pool activity sampled at different time points to assess the best scaling time-point for Ki quantifications in the simulation data. Results: In the simulation study, Ki estimated using DTP via (30,60–min), (30,90–min), (60,90-min), and (60,120-min) samples showed strong correlations (r ≥ 0.944, P < 0.0001) with the true value of Ki. The DTP results with the PBIFscl at 60-min time-point in (30,60–min), (60,90-min), and (60,120-min) were linearly related to the true Ki with a slope of 1.037, 1.008, 1.013 and intercept of −6 × 10−4, 2 × 10−5, 5 × 10−5, respectively. In a clinical study, strong correlations (r ≥ 0.833, P < 0.0001) were observed between Patlak-Ki and DTP-Ki. The Patlak-derived mean values of Ki, tumor-to-background-ratio, signal-to-noise-ratio, and contrast-to-noise-ratio were linearly correlated with the DTP method. Conclusions: Besides calculating the retention index as a commonly used quantification parameter in DTP imaging, our DTP method can accurately estimate Ki. © 2024 Associazione Italiana di Fisica Medica e Sanitaria