Skip to main content
Top
Published in: European Journal of Nuclear Medicine and Molecular Imaging 9/2015

01-08-2015 | Original Article

Quantifying [18F]fluorodeoxyglucose uptake in the arterial wall: the effects of dual time-point imaging and partial volume effect correction

Authors: Björn A. Blomberg, Arjun Bashyam, Abhinay Ramachandran, Saeid Gholami, Sina Houshmand, Ali Salavati, Tom Werner, Habib Zaidi, Abass Alavi

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 9/2015

Login to get access

Abstract

Purpose

The human arterial wall is smaller than the spatial resolution of current positron emission tomographs. Therefore, partial volume effects should be considered when quantifying arterial wall 18F-FDG uptake. We evaluated the impact of a novel method for partial volume effect (PVE) correction with contrast-enhanced CT (CECT) assistance on quantification of arterial wall 18F-FDG uptake at different imaging time-points.

Methods

Ten subjects were assessed by CECT imaging and dual time-point PET/CT imaging at approximately 60 and 180 min after 18F-FDG administration. For both time-points, uptake of 18F-FDG was determined in the aortic wall by calculating the blood pool-corrected maximum standardized uptake value (cSUVMAX) and cSUVMEAN. The PVE-corrected SUVMEAN (pvcSUVMEAN) was also calculated using 18F-FDG PET/CT and CECT images. Finally, corresponding target-to-background ratios (TBR) were calculated.

Results

At 60 min, pvcSUVMEAN was on average 3.1 times greater than cSUVMAX (P < .0001) and 8.5 times greater than cSUVMEAN (P < .0001). At 180 min, pvcSUVMEAN was on average 2.6 times greater than cSUVMAX (P < .0001) and 6.6 times greater than cSUVMEAN (P < .0001).

Conclusion

This study demonstrated that CECT-assisted PVE correction significantly influences quantification of arterial wall 18F-FDG uptake. Therefore, partial volume effects should be considered when quantifying arterial wall 18F-FDG uptake with PET.
Literature
1.
go back to reference Folco EJ, Sheikine Y, Rocha VZ, Christen T, Shvartz E, Sukhova GK, et al. Hypoxia but not inflammation augments glucose uptake in human macrophages: implications for imaging atherosclerosis with 18fluorine-labeled 2-deoxy-D-glucose positron emission tomography. J Am Coll Cardiol. 2011;58:603–14. doi:10.1016/j.jacc.2011.03.044.PubMedCrossRef Folco EJ, Sheikine Y, Rocha VZ, Christen T, Shvartz E, Sukhova GK, et al. Hypoxia but not inflammation augments glucose uptake in human macrophages: implications for imaging atherosclerosis with 18fluorine-labeled 2-deoxy-D-glucose positron emission tomography. J Am Coll Cardiol. 2011;58:603–14. doi:10.​1016/​j.​jacc.​2011.​03.​044.PubMedCrossRef
2.
go back to reference Rudd JH, Warburton EA, Fryer TD, Jones HA, Clark JC, Antoun N, et al. Imaging atherosclerotic plaque inflammation with [18F]-fluorodeoxyglucose positron emission tomography. Circulation. 2002;105:2708–11.PubMedCrossRef Rudd JH, Warburton EA, Fryer TD, Jones HA, Clark JC, Antoun N, et al. Imaging atherosclerotic plaque inflammation with [18F]-fluorodeoxyglucose positron emission tomography. Circulation. 2002;105:2708–11.PubMedCrossRef
3.
go back to reference Bural GG, Torigian DA, Botvinick E, Houseni M, Basu S, Chen W, et al. A pilot study of changes in (18)F-FDG uptake, calcification and global metabolic activity of the aorta with aging. Hell J Nucl Med. 2009;12:123–8.PubMed Bural GG, Torigian DA, Botvinick E, Houseni M, Basu S, Chen W, et al. A pilot study of changes in (18)F-FDG uptake, calcification and global metabolic activity of the aorta with aging. Hell J Nucl Med. 2009;12:123–8.PubMed
4.
go back to reference Tawakol A, Fayad ZA, Mogg R, Alon A, Klimas MT, Dansky H, et al. Intensification of statin therapy results in a rapid reduction in atherosclerotic inflammation: results of a multi-center FDG-PET/CT feasibility study. J Am Coll Cardiol. 2013;62:909–17. doi:10.1016/j.jacc.2013.04.066.PubMedCrossRef Tawakol A, Fayad ZA, Mogg R, Alon A, Klimas MT, Dansky H, et al. Intensification of statin therapy results in a rapid reduction in atherosclerotic inflammation: results of a multi-center FDG-PET/CT feasibility study. J Am Coll Cardiol. 2013;62:909–17. doi:10.​1016/​j.​jacc.​2013.​04.​066.PubMedCrossRef
6.
go back to reference Rominger A, Saam T, Wolpers S, Cyran CC, Schmidt M, Foerster S, et al. 18F-FDG PET/CT identifies patients at risk for future vascular events in an otherwise asymptomatic cohort with neoplastic disease. J Nucl Med. 2009;50:1611–20. doi:10.2967/jnumed.109.065151.PubMedCrossRef Rominger A, Saam T, Wolpers S, Cyran CC, Schmidt M, Foerster S, et al. 18F-FDG PET/CT identifies patients at risk for future vascular events in an otherwise asymptomatic cohort with neoplastic disease. J Nucl Med. 2009;50:1611–20. doi:10.​2967/​jnumed.​109.​065151.PubMedCrossRef
8.
go back to reference Rudd JH, Myers KS, Bansilal S, Machac J, Pinto CA, Tong C, et al. Atherosclerosis inflammation imaging with 18F-FDG PET: carotid, iliac, and femoral uptake reproducibility, quantification methods, and recommendations. J Nucl Med. 2008;49:871–8. doi:10.2967/jnumed.107.050294.PubMedCrossRef Rudd JH, Myers KS, Bansilal S, Machac J, Pinto CA, Tong C, et al. Atherosclerosis inflammation imaging with 18F-FDG PET: carotid, iliac, and femoral uptake reproducibility, quantification methods, and recommendations. J Nucl Med. 2008;49:871–8. doi:10.​2967/​jnumed.​107.​050294.PubMedCrossRef
9.
go back to reference Kim TN, Kim S, Yang SJ, Yoo HJ, Seo JA, Kim SG, et al. Vascular inflammation in patients with impaired glucose tolerance and type 2 diabetes: analysis with 18F-fluorodeoxyglucose positron emission tomography. Circ Cardiovasc Imaging. 2010;3:142–8. doi:10.1161/CIRCIMAGING.109.888909.PubMedCrossRef Kim TN, Kim S, Yang SJ, Yoo HJ, Seo JA, Kim SG, et al. Vascular inflammation in patients with impaired glucose tolerance and type 2 diabetes: analysis with 18F-fluorodeoxyglucose positron emission tomography. Circ Cardiovasc Imaging. 2010;3:142–8. doi:10.​1161/​CIRCIMAGING.​109.​888909.PubMedCrossRef
12.
go back to reference Basu S, Zaidi H, Houseni M, Bural G, Udupa J, Acton P, et al. Novel quantitative techniques for assessing regional and global function and structure based on modern imaging modalities: implications for normal variation, aging and diseased states. Semin Nucl Med. 2007;37:223–39. doi:10.1053/j.semnuclmed.2007.01.005.PubMedCrossRef Basu S, Zaidi H, Houseni M, Bural G, Udupa J, Acton P, et al. Novel quantitative techniques for assessing regional and global function and structure based on modern imaging modalities: implications for normal variation, aging and diseased states. Semin Nucl Med. 2007;37:223–39. doi:10.​1053/​j.​semnuclmed.​2007.​01.​005.PubMedCrossRef
13.
14.
go back to reference Shakeri A, Hafez Quran F, Javadrashid R, Abdekarimi MH, Ghojazadeh M, Abolghassemi Fakhree MB. Correlation between aortic wall thickness and coronary artery disease by 64 slice multidetector computed tomography. J Cardiovasc Thorac Res. 2013;5:91–5. doi:10.5681/jcvtr.2013.020.PubMed Shakeri A, Hafez Quran F, Javadrashid R, Abdekarimi MH, Ghojazadeh M, Abolghassemi Fakhree MB. Correlation between aortic wall thickness and coronary artery disease by 64 slice multidetector computed tomography. J Cardiovasc Thorac Res. 2013;5:91–5. doi:10.​5681/​jcvtr.​2013.​020.PubMed
16.
go back to reference Blomberg BA, Thomassen A, Takx RA, Hildebrandt MG, Simonsen JA, Buch-Olsen KM, et al. Delayed 18F-fluorodeoxyglucose PET/CT imaging improves quantitation of atherosclerotic plaque inflammation: results from the CAMONA study. J Nucl Cardiol. 2014;21:588–97. doi:10.1007/s12350-014-9884-6.PubMedCrossRef Blomberg BA, Thomassen A, Takx RA, Hildebrandt MG, Simonsen JA, Buch-Olsen KM, et al. Delayed 18F-fluorodeoxyglucose PET/CT imaging improves quantitation of atherosclerotic plaque inflammation: results from the CAMONA study. J Nucl Cardiol. 2014;21:588–97. doi:10.​1007/​s12350-014-9884-6.PubMedCrossRef
17.
go back to reference Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–10.PubMedCrossRef Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–10.PubMedCrossRef
18.
go back to reference Salavati A, Borofsky S, Boon-Keng TK, Houshmand S, Khiewvan B, Saboury B, et al. Application of partial volume effect correction and 4D PET in the quantification of FDG avid lung lesions. Mol Imaging Biol. 2015;17:140–8. doi:10.1007/s11307-014-0776-6.PubMedCrossRef Salavati A, Borofsky S, Boon-Keng TK, Houshmand S, Khiewvan B, Saboury B, et al. Application of partial volume effect correction and 4D PET in the quantification of FDG avid lung lesions. Mol Imaging Biol. 2015;17:140–8. doi:10.​1007/​s11307-014-0776-6.PubMedCrossRef
19.
go back to reference Saboury B, Salavati A, Brothers A, Basu S, Kwee TC, Lam MG, et al. FDG PET/CT in Crohn’s disease: correlation of quantitative FDG PET/CT parameters with clinical and endoscopic surrogate markers of disease activity. Eur J Nucl Med Mol Imaging. 2014;41:605–14. doi:10.1007/s00259-013-2625-2.PubMedCrossRef Saboury B, Salavati A, Brothers A, Basu S, Kwee TC, Lam MG, et al. FDG PET/CT in Crohn’s disease: correlation of quantitative FDG PET/CT parameters with clinical and endoscopic surrogate markers of disease activity. Eur J Nucl Med Mol Imaging. 2014;41:605–14. doi:10.​1007/​s00259-013-2625-2.PubMedCrossRef
20.
go back to reference Izquierdo-Garcia D, Davies JR, Graves MJ, Rudd JH, Gillard JH, Weissberg PL, et al. Comparison of methods for magnetic resonance-guided [18-F]fluorodeoxyglucose positron emission tomography in human carotid arteries: reproducibility, partial volume correction, and correlation between methods. Stroke J Cereb Circ. 2009;40:86–93. doi:10.1161/STROKEAHA.108.521393.CrossRef Izquierdo-Garcia D, Davies JR, Graves MJ, Rudd JH, Gillard JH, Weissberg PL, et al. Comparison of methods for magnetic resonance-guided [18-F]fluorodeoxyglucose positron emission tomography in human carotid arteries: reproducibility, partial volume correction, and correlation between methods. Stroke J Cereb Circ. 2009;40:86–93. doi:10.​1161/​STROKEAHA.​108.​521393.CrossRef
21.
go back to reference Rousset OG, Ma Y, Evans AC. Correction for partial volume effects in PET: principle and validation. J Nucl Med. 1998;39:904–11.PubMed Rousset OG, Ma Y, Evans AC. Correction for partial volume effects in PET: principle and validation. J Nucl Med. 1998;39:904–11.PubMed
23.
go back to reference Reeps C, Bundschuh RA, Pellisek J, Herz M, van Marwick S, Schwaiger M, et al. Quantitative assessment of glucose metabolism in the vessel wall of abdominal aortic aneurysms: correlation with histology and role of partial volume correction. Int J Cardiovasc Imaging. 2013;29:505–12. doi:10.1007/s10554-012-0090-9.PubMedCrossRef Reeps C, Bundschuh RA, Pellisek J, Herz M, van Marwick S, Schwaiger M, et al. Quantitative assessment of glucose metabolism in the vessel wall of abdominal aortic aneurysms: correlation with histology and role of partial volume correction. Int J Cardiovasc Imaging. 2013;29:505–12. doi:10.​1007/​s10554-012-0090-9.PubMedCrossRef
Metadata
Title
Quantifying [18F]fluorodeoxyglucose uptake in the arterial wall: the effects of dual time-point imaging and partial volume effect correction
Authors
Björn A. Blomberg
Arjun Bashyam
Abhinay Ramachandran
Saeid Gholami
Sina Houshmand
Ali Salavati
Tom Werner
Habib Zaidi
Abass Alavi
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue 9/2015
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-015-3074-x

Other articles of this Issue 9/2015

European Journal of Nuclear Medicine and Molecular Imaging 9/2015 Go to the issue