Seminars in Nuclear Medicine
Volume 35, Issue 1 , Pages 37-51 , January 2005

Attenuation correction single-photon emission computed tomography myocardial perfusion imaging

  • Timothy M. Bateman, MD

      Affiliations

    • Mid America Heart Institute, Kansas City, MO.
    • Cardiovascular Imaging Technologies, LLC, Kansas City, MO.
    • Corresponding Author InformationAddress reprint requests to Timothy M. Bateman, MD, Cardiovascular Consultants, PC, 4330 Wornall Road, Suite 2000, Kansas City, MO 64111.
  • ,
  • S. James Cullom, PhD

      Affiliations

    • Cardiovascular Imaging Technologies, LLC, Kansas City, MO.

References 

  1. Fleischmann KE , Hunink MGM , Kuntz KM , et al.   Exercise echocardiography or exercise SPECT imaging . JAMA . 1998;280:913–920
  2. Kuntz KM , Fleischmann KE , Hunink MG , et al.   Cost-effectiveness of diagnostic strategies for patients with chest pain . Ann Intern Med . 1999;130:709–718
  3. Hendel RC , Corbett JA , Cullom SJ , et al.   The value and practice of attenuation correction for myocardial perfusion SPECT imaging (A joint position paper from the American Society of Nuclear Cardiology and the Society of Nuclear Medicine) . J Nucl Cardiol . 2002;9:135–143 J Nucl Med . 2002;43:273–280
  4. Heller GV , Links J , Bateman TM , et al.   American Society of Nuclear Cardiology and Society of Nuclear Medicine Joint Position Statement (Attenuation Correction of Myocardial Perfusion SPECT Scintigraphy) . J Nucl Cardiol . 2004;11:229–230
  5. Wackers FJTh , Bruni W , Zaret BL . Planar myocardial perfusion imaging acquisition and processing protocols, in Nuclear Cardiology (The Basics) . In: How to Set Up and Maintain a Laboratory . Totowa, NJ: Humana Press; 2004;p. 73–80
  6. Segall GM , Davis MJ . Prone versus supine thallium myocardial SPECT (A method to decrease artifactual inferior wall defects) . J Nucl Med . 1989;30:548–555
  7. Hayes SW , DeLorenzo A , Hachamovitch R , et al.   Prognostic implications of combined prone and supine acquisitions in patients with equivocal or abnormal supine myocardial perfusion SPECT . J Nucl Med . 2003;44:1633–1640
  8. Kiat H , VanTrain KF , Friedman JD , et al.   Quantitative stress-redistribution thallium-201 SPECT using prone imaging (Methodologic development and validation) . J Nucl Med . 1992;33:1509–1512
  9. DePuey EG . How to detect and avoid myocardial perfusion SPECT artifacts . J Nucl Med . 1994;35:699–702
  10. Garcia EV . Quantitative myocardial perfusion single-photon emission computed tomographic imaging (Quo vadis?) . J Nucl Cardiol . 1994;1:83–93
  11. Hansen CL , Woodhouse S , Kramer M . Effect of patient obesity on the accuracy of thallium-201 myocardial perfusion imaging . Am J Cardiol . 2000;85:749–752
  12. King MA , Tsui BM , Pan TS . Attenuation compensation for cardiac single-photon emission computed tomographic imaging: Part 1. Impact of attenuation and methods of estimating attenuation maps . J Nucl Cardiol . 1995;2:513–524
  13. King MA , Tsui BM , Pan TS , et al.   Attenuation compensation for cardiac single-photon emission computed tomographic imaging: Part 2. Attenuation compensation algorithms . Nucl Cardiol . 1996;3:55–64
  14. Sorenson SA , Phelps ME . Physics in Nuclear Medicine . (ed 2). Philadelphia, PA: WB Saunders; 1987;
  15. Bushberg JT , Siebert JA , Leidholdt EM , et al.   The Essential; Physics of Medical Imaging . Baltimore, MD: Williams and Wilkins; 1994;
  16. Bacharach SL , Buvat I . Attenuation correction in cardiac positron emission tomography and single-photon emission computed tomography . J Nucl Cardiol . 1995;2:246–255
  17. Bailey DL . Transmission scanning in emission tomography . Eur J Nucl Med . 1998;25:774–787
  18. Zaidi H , Hasegawa B . Determination of the attenuation map in emission tomography . J Nucl Med . 2003;44:291–315
  19. Tsui BM , Gullberg GT , Edgerton ER , et al.   Correction of nonuniform attenuation in cardiac SPECT imaging . J Nucl Med . 1989;30:497–507
  20. Tan P , Bailey DL , Meikle SR , et al.   scanning line source for simultaneous emission and transmission measurements in SPECT . J Nucl Med . 1993;34:1752–1760
  21. Galt JR , Cullom SJ , Garcia EV . SPECT quantification (A simplified method of attenuation and scatter correction for cardiac imaging) . J Nucl Med . 1992;33:2232–2237
  22. Lang TF , Hasegawa BH , Liew SC , et al.   Description of a prototype emission-transmission computed tomography imaging system . J Nucl Med . 1992;33:1881–1887
  23. Bocher M , Balan A , Krausz Y , et al.   Gamma camera mounted anatomical X-ray tomography (Technology, system characteristics and first images) . Eur J Nucl Med . 2000;27:619–627
  24. Cullom SJ , Liu L , White ML . Compensation of attenuation map errors from Tc-99m-sestamibi downscatter with simultaneous Gd-153 transmission scanning . J Nucl Med . 1996;37:215P
  25. Almquist H , Arheden H , Arvidsson AH , et al.   Clinical implication of down-scatter in attenuation-corrected myocardial SPECT . J Nucl Cardiol . 1999;6:406–411
  26. Gullberg GT , Morgan HT , Zeng GL , et al.   The design and performance of a simultaneous transmission and emission tomography system IEEE . Trans Nuc Sci . 1998;45:1676–1698
  27. Cellar A , Sitek A . In: Traansmission SPECT scans using multiple collimated line sources . Anaheim: Proc IEEE Medical Imaging Conference; 1995;p. 1121–1125
  28. Beekman FJ , Kamphuis C , Hutton BF , et al.   Half-fanbeam collimators combined with scanning point sources for simultaneous emission-transmission imaging . J Nucl Med . 1998;39:1996–2003
  29. Bockisch A , Beyer T , Antoch G , et al.   Positron emission tomography/computed tomography-imaging protocols, artifacts, and pitfalls . Mol Imaging Biol . 2004;6:188–199
  30. Carney J , Beyer T , Braasse D , et al.   In: CT based attenuation correction for PET/CT scanners in the presence of contrast agent . 2002;p. 11–16 Proceedings of the IEEE Nuclear Science Symposium and Medical Imaging Conference, Norfolk, VA, November
  31. Garcia EV . Updated imaging guidelines for nuclear cardiology procedures, part 1 . J Nucl Cardiol . 2001;8:G5–G58
  32. Cullom SJ , Case JA , Bateman TM . Attenuation correction for cardiac SPECT (Clinical and developmental challenges) . J Nucl Med . 2000;41:860
  33. Lee DS , So Y , Cheon GJ , et al.   Limited incremental diagnostic values of attenuation-noncorrected gating and ungated attenuation correction to rest/stress myocardial perfusion SPECT in patients with an intermediate likelihood of coronary artery disease . J Nucl Med . 2000;41:852–859 discussion 860–862
  34. Zhao Z , Ye J , Durbin M , et al.   Estimation of the optimum transmission scan time by using the subjects weight, height and the transmission source strength . J Nucl Med . 2001;42:195P
  35. Lalush DS , Tsui BM . Performance of ordered-subset reconstruction algorithms under conditions of extreme attenuation and truncation in myocardial SPECT . J Nucl Med . 2000;41:737–744
  36. Gregoriou GK , Tsui BM , Gullberg GT . Effect of truncated projections on defect detection in attenuation-compensated fanbeam cardiac SPECT . J Nucl Med . 1998;39:166–175
  37. Kadrmas DJ , Jaszczak RJ , McCormick JW , et al.   Truncation artifact reduction in transmission CT for improved SPECT attenuation compensation . Phys Med Biol . 1995;40:1085–1104
  38. Tung CH , Gullberg GTA . simulation of emission and transmission noise propagation in cardiac SPECT imaging with nonuniform attenuation correction . Med Phys . 1994;21:1565–1576
  39. Galt JR , Blais M , Cullom SJ , et al.   Quality control of transmission scans for attenuation correction in cardiac SPECT . J Nucl Med . 1999;40:286P; (abstr)
  40. Chen J , Galt JR , Durbin MK , et al.   Significance of transmission scan truncation in attenuation corrected myocardial perfusion SPECT images . J Nuc Cardiol . 2004;11(suppl):S26
  41. Ficaro EP , Fessler JA , Ackermann RJ , et al.   Simultaneous transmission-emission thallium-201 cardiac SPECT (Effect of attenuation correction on myocardial tracer distribution) . J Nucl Med . 1995;36:921
  42. Ficaro EA , Fessler JA , Shreve PD , et al.   Simultaneous transmission/emission myocardial perfusion tomography (diagnostic accuracy of attenuation corrected Tc-99m sestamibi single-photon emission computed tomography) . Circulation . 1996;93:463–473
  43. Case JA , Pan TS , O’Brien-Penney B , et al.   Reduction of truncation artifacts in fan beam transmission imaging using a spatially-varying gamma prior . IEEE Trans Nucl Sci . 1995;42:1310–1320
  44. Case JA , Cullom SJ , Bateman TM . Noise reduction in transmission computed tomography for cardiac SPECT attenuation correction using a gamma prior . J Nucl Med . 1998;39:181P; (abstr)
  45. Case JA , Hsu BL , Cullom SJ , et al.   Correcting for transmission truncation artifacts using conjugate sonogram data as a posteriori information for transmission reconstruction in cardiac SPECT (IEEE Trans Nucl Sci) . 2003;
  46. Evans SG , Hutton BF . Variation in scanning line source sensitivity (a significant source of error in simultaneous emission-transmission tomography) . Eur J Nucl Med Mol Imaging . 2004;31:703–709
  47. Stone CD , McCormick JW , Gilland DR , et al.   Effect of registration errors between transmission and emission scans on a SPECT system using sequential scanning . J Nucl Med . 1998;39:365–373
  48. McCord ME , Bacharach SL , Bonow RO , et al.   Misalignment between PET transmission and emission scans (its effect on myocardial imaging) . J Nucl Med . 1992;33:1209–1214 discussion 1214–1215
  49. Loghin C , Sdringola S , Gould KL . Common artifacts in PET myocardial perfusion images due to attenuation-emission misregistration (Clinical significance, causes, and solutions) . J Nucl Med . 2004;45:1029–1039
  50. Nanette MT , Freedman SL , Bacharach RE , et al.   Effect of smoothing during transmission processing on quantitative cardiac PET . J Nucl Med . 1996;37:690–694
  51. Brunken RC , Difilippo FP , Bybel B , et al.   Clinical evaluation of cardiac PET attenuation correction using ‘fast’ and ‘slow’ CT images . J Nucl Med . 2004;45:120P; (abstr)
  52. Murase K , Ishine M , Kataoka M , et al.   Simulation and experimental study of respiratory motion effect on image quality of single photon emission computed tomography (SPECT) . Eur J Nucl Med . 1987;13:244–249
  53. Pitman AG , Kalff V , Van Every B , et al.   Effect of mechanically simulated diaphragmatic respiratory motion on myocardial SPECT processed with and without attenuation correction . J Nucl Med . 2002;43:1259–1267
  54. Heller EN , DeMan P , Yi-Hwa L , et al.   Extracardiac activity complicates quantitative cardiac SPECT imaging using a simultaneous transmission-emission approach . J Nucl Med . 1997;38:1882–1890
  55. Zaidi H , Koral KF . Scatter modelling and compensation in emission tomography . Eur J Nucl Med Mol Imaging . 2004;31:761–782
  56. Hsu BL , Case JA , Cullom SJ , et al.   A novel approach for attenuation compensation of Tl-201 myocardial perfusion SPECT using the combined 72 keV and 167 keV photopeak images . J Nucl Cardiol . 2003;10(suppl):S8
  57. Hannequin PP , Mas JF . Photon energy recovery (A method to improve the effective energy resolution of gamma cameras) . J Nucl Med . 1998;39:555–562
  58. Shotwell M , Singh BM , Fortman C , et al.   Improved coronary disease detection with quantitative attenuation-corrected thallium-201 images . J Nucl Cardiol . 2002;9:52–61
  59. Almeida P , Bendriem B , de Dreuille O , et al.   Dosimetry of transmission measurements in nuclear medicine (a study using anthropomorphic phantoms and thermoluminescent dosimeters) . [Erratum in: Eur J Nucl Med 1998 Dec;25(12):1686] Eur J Nucl Med . 1998;25:1435–1441
  60. Bellemann ME , Riemann S , Kapplinger S , et al.   Assessment of radiation exposure caused by transmission scans in SPECT (An anthropomorphic dosimetry study) . Biomed Tech (Berl) . 2002;47(suppl 1):474–475
  61. Cohnen M , Poll LJ , Puettmann C , et al.   Effective doses in standard protocols for multi-slice CT scanning . Eur Radiol . 2003;13:1148–1153
  62. Lange K , Bahn M , Little R . A theoretical study of some maximum likelihood algorithms for emission and transmission tomography . IEEE Trans Med Imaging . 1987;6:106–114
  63. Lange K , Carson R . EM reconstruction algorithms for emission and transmission tomography . J Comp Assist Tomogr . 1984;8:306–316
  64. Shepp LA , Vardi Y . Maximum likelihood reconstruction for emission tomography . IEEE Trans Med Imaging . 1982;2:113–132
  65. Hudson HM , Larkin RS . Accelerated image reconstruction using ordered subsets of projection data . IEEE Trans Med Imaging . 1994;13:601–609
  66. Snyder DL , Miller MI , Thomas LJ , et al.   Noise and edge artifacts in maximum-likelihood reconstructions for emission tomography . IEEE Trans Med Imaging . 1987;MI-6(3):228–238
  67. Hutton BF . Cardiac single-photon emission tomography (Is attenuation correction enough?) . Eur J Nucl Med . 1997;24:713–715
  68. Links JM , Jeremy RW , Dyer SM , et al.   Wiener filtering improves quantification of regional myocardial perfusion with thallium-201 SPECT . J Nucl Med . 1990;31:1230–1236
  69. Pretorius PH , King MA , Pan TS , et al.   Reducing the influence of the partial volume effect on SPECT activity quantitation with 3D modelling of spatial resolution in iterative reconstruction . Phys Med Biol . 1998;43:407–420
  70. Liu L , Cullom SJ , White ML . A Modified wiener filter method for nonstationary resolution recovery with scatter and iterative attenuation correction for cardiac SPECT . J Nucl Med . 1996;37:210P
  71. Hutton BF , Hudson HM , Beekman FJ . A clinical perspective of accelerated statistical reconstruction . Eur J Nucl Med . 1997;24:797–808
  72. Miller TR , Wallis JW . Clinically important characteristics of maximum-likelihood reconstruction . J Nucl Med . 1992;33:1678–1684
  73. Links JM , Becker LC , Anstett F . Clinical significance of apical thinning after attenuation correction . J Nucl Cardiol . 2004;11:26–31
  74. Heller GH , Bateman TM  Multicenter Investigators . Clinical value of attenuation correction in stress-only Tc-99m sestamibi SPECT imaging . J Nucl Cardiol . 2004;11:273–281
  75. Prvulovich EM , Lonn AHR , Bomanji JB , et al.   Effect of attenuation correction on myocardial thallium-201 distribution in patients with a low-likelihood of coronary artery disease . In: Eur J Nucl Med . 1997;p. 266–275
  76. Gallowitsch HJ , Syokora J , Mikosch P , et al.   Attenuation corrected thallium-201 single photon emission tomography using a gadolinium-153 moving line source (Clinical value and the impact of attenuation correction on the extent and severity of perfusion abnormalities) . Eur J Nucl Med . 1998;25:220–228
  77. Hendel RC , Berman DS , Cullom SJ , et al.   Multicenter clinical trial to evaluate the efficacy of correction for photon attenuation and scatter in SPECT myocardial perfusion imaging . Circulation . 1999;99:2742–2749
  78. Links JM , Becker LC , Rigo P , et al.   Combined corrections for attenuation, depth-dependent blur, and motion in cardiac SPECT (A multicenter trial) . J Nucl Cardiol . 2000;7:414–425
  79. Duvernoy CS , Ficaro EP , Karabajakian MZ , et al.   Improved detection of left main coronary artery disease with attenuation-corrected SPECT . J Nucl Cardiol . 2000;7:639–648
  80. Links JM , DePuey EG , Taillefer R , et al.   Attenuation correction and gating synergistically improve the diagnostic accuracy of myocardial perfusion SPECT . J Nucl Cardiol . 2002;9:183–187
  81. Bateman TM , Heller GV , Johnson LL , et al.   Does attenuation correction add value to non-attenuation corrected ECG-gated technetium-99m sestamibi SPECT? . J Nucl Cardiol . 2003;10:S91; (abstr)
  82. Bateman TM , Heller GV , Johnson LL , et al.   Relative performance of attenuation-corrected and uncorrected ECG-gated SPECT myocardial perfusion imaging in relation to body mass index . Circulation . 2003;108:IV-455; (abstr)
  83. Grossman GB , Garcia EV , Bateman TM , et al.   Quantitative technetium-99m sestamibi attenuation corrected SPECT (Development and multicenter trial validation of myocardial perfusion stress gender-independent normal database in an obese population) . J Nucl Cardiol . 2004;11:263–272
  84. Gal R , Ahmad M . Cost-saving approach to normal technetium-99m sestamibi myocardial perfusion scan . Am J Cardiol . 1996;78:1047–1049
  85. Gibson PB , Demus D , Noto R , et al.   Low event rate for stress-only perfusion imaging in patients evaluated for chest pain . J Am Coll Cardiol . 2002;39:999–1004

PII: S0001-2998(04)00062-5

doi: 10.1053/j.semnuclmed.2004.09.003

Seminars in Nuclear Medicine
Volume 35, Issue 1 , Pages 37-51 , January 2005