Accurate dosimetry from whole body (WB) images requires correcting for a wide range of physical processes, including camera count rate saturation (also called dead-time correction). The count rate is the number of events (e.g., images) taken per a unit time (e.g., per second or per minute). Dead-time is time when the gamma camera 105 is unable to take an image (e.g., the gamma camera 105 has to reset before can take another image and is thus unable to record an image until it resets). Thus, for example, if the gamma camera 105 is imaging an organ with a very high radioactivity concentration (e.g., a very “hot” liver), because of the dead-time, the gamma camera 105 will indicate that the radioactivity concentration or total radioactivity in the liver is lower than it really is.
Because the count rate varies as a function of the activity in the field of view, the correction factor during a WB scan can depend on the gamma camera head position relative to the anatomical distribution of radioactivity. For example, in patients with tumors that concentrate the radioactivity, large variations in activity distributions resulting in variable (i.e., bed-position-dependent) count rates may be expected. These can be accounted for in the saturation correction for a WB planar sweep image. This is especially important as dead time is activity dependent, and, for a patient with multiple imaging sessions over time, will not affect each time point image equally. Consequently, the accuracy of the WB imaging can be affected.
Computer application 110 can thus include a count rate module 130 that determines the count rate. The count rate module 130 can communicate with a count saturation correction module 125 that can correct the measured count rate for dead-time effects for relative motion between the gamma camera 105 and the imaged object 120. This count rate saturation correction module 125 can use an algorithm that is based on a static saturation curve assuming a paralyzable system (e.g., at a count rate that can be handled by the imaging system, prior detected events (photon hits on the crystal) do not influence subsequent events), described in more detail below. At least one other count rate correction module 135 can be used to adjust the count rate to correct for other issues.
C(A)=αAe−βA (Equation 1)
Thus, for example, assume an elliptical phantom (a=15 cm, b=11 cm, h=24.5 cm) is filled with 12650 ml of water containing 2.89 GBq of 153Sm-EDTMP. Within the phantom, a small sphere (V=90 ml) is filled with water containing a higher concentration of 153Sm-EDTMP (161 MBq, signal to background ration≈4:1) to simulate a tumor with higher uptake. Static images can be acquired twice daily over a one week period and the measured counts plotted versus physical decay-corrected initial activity. By fitting Equation 1 to the data obtained from the phantom measurements described above, the parameters values α and β can be obtained. Standard methods and computer programs for performing such fits are available (e.g., the Simulation Analysis and Modeling package, SAAM II from the SAAM Institute). An example of one such fit is shown in
In 310, the count rate for the WB image information can be determined. The WB image count rate cij, at a given longitudinal position, i (designated as the y-axis) when the camera is in position (or time point) j, can be
C
ij(A)=αAie−βΣ
where A is the activity, α is the linear response coefficient, β is the dead-time coefficient, k is the additional index, and W is the width of the detector in pixels (e.g., 256).
Thus, for example, assume the phantom is imaged using WB sweeps at 50 h, 122 h and 264 h after creation of the phantom. The last time point (264 h) can be used to provide data from a low count rate scenario for comparison and thus to provide a measure of the order of the systematic error in the calculation of the activity from the corrected and uncorrected count rates. In this case cij(A) can be found using the values α and β from 305, Ai=activity at row i, j=column number, W=width of detector in pixels=256, and Ak=the activity at position k within the sum shown in Equation 2; k is the index for the sum. Plugging all of these values in Equation 2 gives a WB image count rate, ci, as a function of the row i and column j.
It should be noted that the index i can span the patient length and provide the y-pixel position for the count rate seen along a given column i of the WB image and can vary from 0 to N−1 (e.g., N can be 1024). For a given position i, the index j can indicate the position of the leading edge of the detector; j can range from i to i+W−1 (i.e., all detector positions that include the column i in the field of view). The additional index k can be used to sum over all columns of the detector for each value of j to provide the total activity seen by the detector at each detector position j; k varies from j−W+1 to j. The indices as a function of position are illustrated in
In 315, the WB image count rate cij is averaged over the width of the detector to account for the total time that the detector overlaps with the column at index i. In other words, the count rate at position i (Ci) is the sum of count rates measured when the camera is in different positions which include the y-position i, within the detector head field of view, divided by the number of such camera positions. Thus, the WB image count rate average Ci(A) is
In some embodiments, the values for the variables j and k can only be entered into the equation for Ci if the following constraints are satisfied:
It should be noted that both conditions on j can always be satisfied and the denominator in Equation 3 can reduce to W. However, the conditions are not always satisfied for k and must be checked. These conditions can apply to all equations throughout this specification that include summation over indices representing columns.
Thus, the following values can be input into Equation 3 to obtain WB image count rate average Ci(A): the values α and β from 305, Ai=activity at i, j=column number, W=width of detector in pixels, and Ak=the activity at position k. Plugging all of these values in Equation 2 gives a WB image count rate cij.
Thus, referring back to
Thus, for example, if α is 0.001 then the count rate detected, C, is 1000 times less than the true count rate, A.
In 510, the activity seen by the detector for each time point j can be found by summing up the activities Ak. (Note that j can vary from 0 to N+W−1.) In one embodiment, the following formula can be used:
In 515, each count rate matrix element cij can be calculated using the above values for Ai and Aj. In one embodiment, the following formula can be used:
cij=αAie−βA
In 520, the average count rate Ci can be determined using the above value for cij, using the following formula:
In 525, the next (n+1)st approximation of Ai (where Ci(m) is the initial measured count rate) can be calculated, using the following formula:
This can be done in order to reach a more precise value for each Ai.
In 530, 510-525 can be repeated, and the difference between successive values of Ai can be calculated until the desired precision is reached for each Ai.
While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example, and not limitation. It will be apparent to persons skilled in the relevant art(s) that various changes in form and detail can be made therein without departing from the spirit and scope of the present invention. Thus, the present invention should not be limited by any of the above-described exemplary embodiments.
In addition, it should be understood that the figures described above, which highlight the functionality and advantages of the present invention, are presented for example purposes only. The architecture of the present invention is sufficiently flexible and configurable, such that it may be utilized in ways other than that shown in the figures.
Further, the purpose of the Abstract of the Disclosure is to enable the U.S. Patent and Trademark. Office and the public generally, and especially the scientists, engineers and practitioners in the art who are not familiar with patent or legal terms or phraseology, to determine quickly from a cursory inspection the nature and essence of the technical disclosure of the application. The Abstract of the Disclosure is not intended to be limiting as to the scope of the present invention in any way.
Finally, it is the applicant's intent that only claims that include the express language “means for” or “step for” be interpreted under 35 U.S.C. 112, paragraph 6. Claims that do not expressly include the phrase “means for” or “step for” are not to be interpreted under 35 U.S.C. 112, paragraph 6.
This invention was made with government support under NIH/NCI grant ROI CA 116477. The U.S. government may have certain rights in this invention.