Novel approach to semi-quantification of tracer accumulation in dopamine transporter scan

Purpose Accurate tracer accumulation evaluation is difficult owing to the partial volume effect (PVE). We proposed a novel semi-quantitative approach for measuring the accumulation amount by examining the approximate image. Using a striatal phantom, we verified the validity of a newly proposed method to accurately evaluate the tracer accumulations in the caudate and putamen separately. Moreover, we compared the proposed method with the conventional methods. Methods The left and right caudate/putamen regions and the whole brain region as background were identified in computed tomography (CT) images obtained by single-photon emission computed tomography (SPECT)/CT and acquired the positional information of each region. SPECT-like images were generated by assigning assumed accumulation amounts to each region. The SPECT-like image, approximated to the actual measured SPECT image, was examined by changing the assumed accumulation amounts assigned to each region. When the generated SPECT-like image most approximated the actual measured SPECT image, the accumulation amounts assumed were determined as the accumulation amounts in each region. We evaluated the correlation between the count density calculated by the proposed method and the actual count density of the I-123 solution filled in the phantom. Conventional methods (CT-guide method, geometric transfer matrix [GTM] method, region-based voxel-wise [RBV] method, and Southampton method) were also evaluated. The significance of differences between the correlation coefficients of various methods (except the Southampton method) was evaluated. Results The correlation coefficients between the actual count density and the SPECT count densities were 0.997, 0.973, 0.951, 0.950, and 0.996 for the proposed method, CT-guide method, GTM method, RBV method, and Southampton method, respectively. The correlation of the proposed method was significantly higher than those of the other methods. Conclusions The proposed method could calculate accurate accumulation amounts in the caudate and putamen separately, considering the PVE.

Automated summary

This study proposed a novel semi-quantitative approach to accurately evaluate the accumulation of tracers in the caudate and putamen. By examining the approximate image, the proposed method could calculate accurate accumulation amounts. Compared to conventional methods, the correlation of the proposed method was higher.