PET/CT Imaging and PET ROI Analysis

SY Sue Y. Yi
AP Ali Pirasteh
JW James Wang
TB Tyler Bradshaw
JJ Justin J. Jeffery
BB Brian R. Barnett
NS Nicholas A. Stowe
AM Alan B. McMillan
EV Eugenio I. Vivas
FR Federico E. Rey
JY John-Paul J. Yu
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At post-natal days 55 and 90 (P55 and P90), age- and sex-matched male GF mice and HG mice were imaged under isoflurane gas anesthesia on a small animal PET/CT scanner (Siemens Inveon Hybrid). CT was acquired for attenuation correction and anatomic localization. Dynamic PET imaging was carried out under anesthesia for 45 min. 5.5 MBq ± 0.4 (range 4.7–6.0) of 18F-SynVesT-1 was administered intravenously through the lateral tail vein. The 45-min 18F-SynVesT-1 PET acquisition was reconstructed into 1-min-per-frame images, starting at t = 60 s using 3-dimensional ordered-subset expectation maximization (OSEM, 2 iterations, 16 subsets) followed by a maximum a posteriori probability (MAP) algorithm. The PET and CT images were reconstructed at 128 × 128 × 159 (0.78 × 0.78 × 0.8 mm) and 480 × 480 × 635 (0.21 × 0.21 × 0.21 mm), respectively. PET images were converted to standardized uptake values (SUV). 3D regions of interest (ROIs) were manually placed over the whole brain and SUVmean (herein referred to as SUV) at each frame was recorded using MIM (MIM Software Inc., Cleveland OH). One GF mouse was excluded from the 18F-SynVesT-1 analysis due to substantial motion. SUVs at each time point were averaged within each mouse cohort and 18F-SynVesT-1 time-activity curves were generated for each cohort. The area under the curve (AUC) for GF and HG cohorts were calculated at the peak stabilized interval (4.5–10.5 min).

After 24 h, the same mice were administered 10.7 MBq ± 0.2 (range 10.4–11.1) of 18F-flurodeoxyglucose (FDG) through the lateral tail vein. Sixty minutes post injection, PET imaging was performed acquiring approximately 50 million counts per mouse. As with the 18F-SynVesT-1 PET data, 18F-FDG PET images were reconstructed using 3-dimensional ordered-subset expectation maximization (OSEM, 2 iterations, 16 subsets) followed by a maximum a posteriori probability (MAP) algorithm. CT attenuation, scatter and decay correction were applied to all datasets. The PET and CT images were also reconstructed at the spatial resolutions of 128 × 128 × 159 (0.78 × 0.78 × 0.8 mm) and 480 × 480 × 635 (0.21 × 0.21 × 0.21 mm), respectively.

The Waxholm MR atlas (23) was used to identify the hippocampus, neocortex, amygdala, ventral thalamus, lateral thalamus, globus pallidus, caudate putamen, hypothalamus, and accumbens. After upsampling the PET images to match the resolution of the CT images, brain masks were semi-automatically generated by thresholding the CT image in MATLAB to include brain tissue and were refined using subsequent image dilation and filing steps as needed. All brain masks were visually confirmed for each subject. The Waxholm MR atlas was individually registered to the CT brain masks of each subject using affine registration in MATLAB (imregtform). Then, the registered Waxholm atlases were used to compute SUV values for each brain region.

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