Comparative Assessment of Different Energy Mapping Methods in CT-based Attenuation Correction in PET/CT Systems Using Whole Body XCAT Phantom

Soleymani, Elham; Soleymani, Ali; Ahmadi, Shahla; Nordin, Jan

doi:10.1016/j.protcy.2013.12.282

Cited by 1 publication

(1 citation statement)

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“…PET-computed tomography (PET/CT) is a hybrid medical imaging technique that is well-established and frequently employed in clinical practice to examine primary cancers, staging, monitor therapeutic response, and predict outcomes for paediatric patients [1][2][3][4][5]. PET/CT is a form of molecular imaging that exposes paediatric patients to internal (PET) and external sources of radiation (CT), in which (CT) is then used for attenuation correction (AC), anatomical localisation (AL) or diagnostic imaging [6][7][8][9][10][11][12][13]. To date, there is an argument within the literature that PET/CT procedures, themselves, are likely to induce cancers in paediatric patients [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Revising and exploring the variations in methodologies for establishing the diagnostic reference levels for paediatric PET/CT imaging

Alhorani,

Alkhybari,

Rawashdeh

et al. 2023

Nuclear Medicine Communications

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PET-computed tomography (PET/CT) is a hybrid imaging technique that combines anatomical and functional information; to investigate primary cancers, stage tumours, and track treatment response in paediatric oncology patients. However, there is debate in the literature about whether PET/CT could increase the risk of cancer in children, as the machine is utilizing two types of radiation, and paediatric patients have faster cell division and longer life expectancy. Therefore, it is essential to minimize radiation exposure by justifying and optimizing PET/CT examinations and ensure an acceptable image quality. Establishing diagnostic reference levels (DRLs) is a crucial quantitative indicator and effective tool to optimize paediatric imaging procedures. This review aimed to distinguish and acknowledge variations among published DRLs for paediatric patients in PET/CT procedures. A search of relevant articles was conducted using databases, that is, Embase, Scopus, Web of Science, and Medline, using the keywords: PET-computed tomography, computed tomography, PET, radiopharmaceutical, DRL, and their synonyms. Only English and full-text articles were included, with no limitations on the publication year. After the screening, four articles were selected, and the review reveals different DRL approaches for paediatric patients undergoing PET/CT, with primary variations observed in patient selection criteria, reporting of radiation dose values, and PET/CT equipment. The study suggests that future DRL methods for paediatric patients should prioritize data collection in accordance with international guidelines to better understand PET/CT dose discrepancies while also striving to optimize radiation doses without compromising the quality of PET/CT images.

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