Registration and fusion guided by the fiducial markers of
SPECT and CT images acquired via distinct equipment is a common
practice in several nuclear medicine centres. In this study, five
different fiducial configurations were studied and compared for
SPECT and CT image acquisitions: iodide-131 (131I) within a
needle cap, 131I associated with cotton, a lead and a ceramic
aluminium sphere or mixed with an agarose solution. Fiducials that
employed agarose mixtures presented the lowest dpr values
(between 0.34 and 0.53 mm) and better homogeneous regions in both
images to perform registration. In addition, this assembly exhibited
the lowest global mean dpr and standard deviations in
Gaussian adjustments. In comparison with the other configurations,
the agarose dpr was statistically lower than that of
cotton, ceramic aluminium and just 131I for all the six
landmarks. Despite its similarity with the lead sphere
configuration, for five of the landmarks, agarose showed no
artefacts in CT and more homogeneous regions of interest in SPECT
images. In addition, agarose demonstrated great reproducibility to
guide point-based registration processes.