Impact of respiratory gating and ECG gating on 18F-FDG PET/CT for cardiac sarcoidosis
The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS). Imaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respirator...
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| Published in | Journal of Nuclear Cardiology Vol. 30; no. 5; pp. 1879 - 1885 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cham
Elsevier Inc
01.10.2023
Elsevier BV Springer International Publishing Springer Nature B.V |
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| Online Access | Get full text |
| ISSN | 1071-3581 1532-6551 1532-6551 |
| DOI | 10.1007/s12350-023-03236-0 |
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| Abstract | The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS).
Imaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respiratory- and ECG-gating system. Non-gated PET images and three kinds of gated PET/CT images were created from identical list-mode clinical PET data: respiratory-gated PET during expiration (EX), ECG-gated PET at end diastole (ED), and ECG-gated PET at end systole (ES). The maximum standardized uptake value (SUVmax) and cardiac metabolic volume (CMV) were measured, and the locations of FDG accumulation were analyzed using a polar map. The mean SUVmax of the subjects was significantly higher after application of either respiratory-gated or ECG-gated reconstruction. Conversely, the mean CMV was significantly lower following the application of respiratory-gated or ECG-gated reconstruction. The segment showing maximum accumulation was shifted to the adjacent segment in 25.8%, 38.7%, and 41.9% of cases in EX, ED, and ES images, respectively.
In FDG PET/CT scanning for the diagnosis of CS, gated scanning is likely to increase quantitative accuracy, but the effect depends on the location and synchronization method. |
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| AbstractList | BackgroundThe aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS).Methods and ResultsImaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respiratory- and ECG-gating system. Non-gated PET images and three kinds of gated PET/CT images were created from identical list-mode clinical PET data: respiratory-gated PET during expiration (EX), ECG-gated PET at end diastole (ED), and ECG-gated PET at end systole (ES). The maximum standardized uptake value (SUVmax) and cardiac metabolic volume (CMV) were measured, and the locations of FDG accumulation were analyzed using a polar map. The mean SUVmax of the subjects was significantly higher after application of either respiratory-gated or ECG-gated reconstruction. Conversely, the mean CMV was significantly lower following the application of respiratory-gated or ECG-gated reconstruction. The segment showing maximum accumulation was shifted to the adjacent segment in 25.8%, 38.7%, and 41.9% of cases in EX, ED, and ES images, respectively.ConclusionIn FDG PET/CT scanning for the diagnosis of CS, gated scanning is likely to increase quantitative accuracy, but the effect depends on the location and synchronization method. The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS).BACKGROUNDThe aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS).Imaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respiratory- and ECG-gating system. Non-gated PET images and three kinds of gated PET/CT images were created from identical list-mode clinical PET data: respiratory-gated PET during expiration (EX), ECG-gated PET at end diastole (ED), and ECG-gated PET at end systole (ES). The maximum standardized uptake value (SUVmax) and cardiac metabolic volume (CMV) were measured, and the locations of FDG accumulation were analyzed using a polar map. The mean SUVmax of the subjects was significantly higher after application of either respiratory-gated or ECG-gated reconstruction. Conversely, the mean CMV was significantly lower following the application of respiratory-gated or ECG-gated reconstruction. The segment showing maximum accumulation was shifted to the adjacent segment in 25.8%, 38.7%, and 41.9% of cases in EX, ED, and ES images, respectively.METHODS AND RESULTSImaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respiratory- and ECG-gating system. Non-gated PET images and three kinds of gated PET/CT images were created from identical list-mode clinical PET data: respiratory-gated PET during expiration (EX), ECG-gated PET at end diastole (ED), and ECG-gated PET at end systole (ES). The maximum standardized uptake value (SUVmax) and cardiac metabolic volume (CMV) were measured, and the locations of FDG accumulation were analyzed using a polar map. The mean SUVmax of the subjects was significantly higher after application of either respiratory-gated or ECG-gated reconstruction. Conversely, the mean CMV was significantly lower following the application of respiratory-gated or ECG-gated reconstruction. The segment showing maximum accumulation was shifted to the adjacent segment in 25.8%, 38.7%, and 41.9% of cases in EX, ED, and ES images, respectively.In FDG PET/CT scanning for the diagnosis of CS, gated scanning is likely to increase quantitative accuracy, but the effect depends on the location and synchronization method.CONCLUSIONIn FDG PET/CT scanning for the diagnosis of CS, gated scanning is likely to increase quantitative accuracy, but the effect depends on the location and synchronization method. Background The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS). Methods and Results Imaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respiratory- and ECG-gating system. Non-gated PET images and three kinds of gated PET/CT images were created from identical list-mode clinical PET data: respiratory-gated PET during expiration (EX), ECG-gated PET at end diastole (ED), and ECG-gated PET at end systole (ES). The maximum standardized uptake value (SUVmax) and cardiac metabolic volume (CMV) were measured, and the locations of FDG accumulation were analyzed using a polar map. The mean SUVmax of the subjects was significantly higher after application of either respiratory-gated or ECG-gated reconstruction. Conversely, the mean CMV was significantly lower following the application of respiratory-gated or ECG-gated reconstruction. The segment showing maximum accumulation was shifted to the adjacent segment in 25.8%, 38.7%, and 41.9% of cases in EX, ED, and ES images, respectively. Conclusion In FDG PET/CT scanning for the diagnosis of CS, gated scanning is likely to increase quantitative accuracy, but the effect depends on the location and synchronization method. The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography (CT) on the diagnosis of cardiac sarcoidosis (CS). Imaging from thirty-one patients was acquired on a PET/CT scanner equipped with a respiratory- and ECG-gating system. Non-gated PET images and three kinds of gated PET/CT images were created from identical list-mode clinical PET data: respiratory-gated PET during expiration (EX), ECG-gated PET at end diastole (ED), and ECG-gated PET at end systole (ES). The maximum standardized uptake value (SUVmax) and cardiac metabolic volume (CMV) were measured, and the locations of FDG accumulation were analyzed using a polar map. The mean SUVmax of the subjects was significantly higher after application of either respiratory-gated or ECG-gated reconstruction. Conversely, the mean CMV was significantly lower following the application of respiratory-gated or ECG-gated reconstruction. The segment showing maximum accumulation was shifted to the adjacent segment in 25.8%, 38.7%, and 41.9% of cases in EX, ED, and ES images, respectively. In FDG PET/CT scanning for the diagnosis of CS, gated scanning is likely to increase quantitative accuracy, but the effect depends on the location and synchronization method. |
| Author | Morimoto-Ishikawa, Daisuke Ishii, Kazunari Hanaoka, Kohei Nakazawa, Gaku Iwanaga, Yoshitaka Kaida, Hayato Yamada, Takahiro Watanabe, Shota Yasuda, Masakazu |
| Author_xml | – sequence: 1 givenname: Kohei surname: Hanaoka fullname: Hanaoka, Kohei email: khanaoka@med.kindai.ac.jp organization: Division of Positron Emission Tomography, Institute of Advanced Clinical Medicine, Kindai University Hospital, 377-2 Ohno-Higashi, 589-8511, Osakasayama, Osaka, Japan – sequence: 2 givenname: Shota surname: Watanabe fullname: Watanabe, Shota organization: Division of Positron Emission Tomography, Institute of Advanced Clinical Medicine, Kindai University Hospital, 377-2 Ohno-Higashi, 589-8511, Osakasayama, Osaka, Japan – sequence: 3 givenname: Daisuke surname: Morimoto-Ishikawa fullname: Morimoto-Ishikawa, Daisuke organization: Division of Positron Emission Tomography, Institute of Advanced Clinical Medicine, Kindai University Hospital, 377-2 Ohno-Higashi, 589-8511, Osakasayama, Osaka, Japan – sequence: 4 givenname: Hayato surname: Kaida fullname: Kaida, Hayato organization: Division of Positron Emission Tomography, Institute of Advanced Clinical Medicine, Kindai University Hospital, 377-2 Ohno-Higashi, 589-8511, Osakasayama, Osaka, Japan – sequence: 5 givenname: Takahiro surname: Yamada fullname: Yamada, Takahiro organization: Division of Positron Emission Tomography, Institute of Advanced Clinical Medicine, Kindai University Hospital, 377-2 Ohno-Higashi, 589-8511, Osakasayama, Osaka, Japan – sequence: 6 givenname: Masakazu surname: Yasuda fullname: Yasuda, Masakazu organization: Division of Cardiology, Department of Internal Medicine, Kindai University Faculty of Medicine, Osakasayama, Japan – sequence: 7 givenname: Yoshitaka surname: Iwanaga fullname: Iwanaga, Yoshitaka organization: Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Suita, Japan – sequence: 8 givenname: Gaku surname: Nakazawa fullname: Nakazawa, Gaku organization: Division of Cardiology, Department of Internal Medicine, Kindai University Faculty of Medicine, Osakasayama, Japan – sequence: 9 givenname: Kazunari surname: Ishii fullname: Ishii, Kazunari organization: Division of Positron Emission Tomography, Institute of Advanced Clinical Medicine, Kindai University Hospital, 377-2 Ohno-Higashi, 589-8511, Osakasayama, Osaka, Japan |
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| Copyright | 2023 American Society of Nuclear Cardiology. Published by ELSEVIER INC. All rights reserved. The Author(s) under exclusive licence to American Society of Nuclear Cardiology 2023 The Author(s) under exclusive licence to American Society of Nuclear Cardiology 2023. 2023. The Author(s) under exclusive licence to American Society of Nuclear Cardiology. |
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| Keywords | CS cardiac sarcoidosis FDG SUVmax ECG-gated PET CMV respiratory-gated PET PET |
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Dual, “motion-frozen heart” combining respiration and contraction compensation in clinical myocardial perfusion SPECT imaging publication-title: J Nucl Cardiol doi: 10.1007/s12350-008-9034-0 – volume: 3 start-page: 1219 year: 2010 ident: 10.1007/s12350-023-03236-0_bib16 article-title: Heterogeneous myocardial FDG uptake and the disease activity in cardiac sarcoidosis publication-title: JACC Cardiovasc Imaging doi: 10.1016/j.jcmg.2010.09.015 – volume: 83 start-page: 2329 year: 2019 ident: 10.1007/s12350-023-03236-0_bib9 article-title: JCS 2016 guideline on diagnosis and treatment of cardiac sarcoidosis publication-title: Digest Version Circ J |
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| Snippet | The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed tomography... Background The aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed... BackgroundThe aim of this study was to estimate the impact of respiratory and electrocardiogram (ECG)-gated FDG positron emission tomography (PET)/computed... |
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| SubjectTerms | Brief Report cardiac sarcoidosis Cardiology ECG-gated PET Electrocardiography FDG Imaging Medicine Medicine & Public Health Nuclear Medicine Radiology respiratory-gated PET Sarcoidosis Tomography |
| Title | Impact of respiratory gating and ECG gating on 18F-FDG PET/CT for cardiac sarcoidosis |
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