Skip to main content
Top
Published in: EJNMMI Research 1/2020

01-12-2020 | Magnetic Resonance Imaging | Original research

Regional SUV quantification in hybrid PET/MR, a comparison of two atlas-based automatic brain segmentation methods

Authors: Weiwei Ruan, Xun Sun, Xuehan Hu, Fang Liu, Fan Hu, Jinxia Guo, Yongxue Zhang, Xiaoli Lan

Published in: EJNMMI Research | Issue 1/2020

Login to get access

Abstract

Background

Quantitative analysis of brain positron-emission tomography (PET) depends on structural segmentation, which can be time-consuming and operator-dependent when performed manually. Previous automatic segmentation usually registered subjects’ images onto an atlas template (defined as RSIAT here) for group analysis, which changed the individuals’ images and probably affected regional PET segmentation. In contrast, we could register atlas template to subjects’ images (RATSI), which created an individual atlas template and may be more accurate for PET segmentation. We segmented two representative brain areas in twenty Parkinson disease (PD) and eight multiple system atrophy (MSA) patients performed in hybrid positron-emission tomography/magnetic resonance imaging (PET/MR). The segmentation accuracy was evaluated using the Dice coefficient (DC) and Hausdorff distance (HD), and the standardized uptake value (SUV) measurements of these two automatic segmentation methods were compared, using manual segmentation as a reference.

Results

The DC of RATSI increased, and the HD decreased significantly (P < 0.05) compared with the RSIAT in PD, while the results of one-way analysis of variance (ANOVA) found no significant differences in the SUVmean and SUVmax among the two automatic and the manual segmentation methods. Further, RATSI was used to compare regional differences in cerebral metabolism pattern between PD and MSA patients. The SUVmean in the segmented cerebellar gray matter for the MSA group was significantly lower compared with the PD group (P < 0.05), which is consistent with previous reports.

Conclusion

The RATSI was more accurate for the caudate nucleus and putamen automatic segmentation and can be used for regional PET analysis in hybrid PET/MR.
Literature
1.
go back to reference Cheng G, Fosse P, Zhuang H, Hustinx R. Applications of PET and PET/CT in the evaluation of infection and inflammation in the skeletal system. Pet Clinics. 2010;5(3):375–85.CrossRef Cheng G, Fosse P, Zhuang H, Hustinx R. Applications of PET and PET/CT in the evaluation of infection and inflammation in the skeletal system. Pet Clinics. 2010;5(3):375–85.CrossRef
2.
go back to reference Lemans JVC, Hobbelink MGG, Ijpma FFA, Plate JDJ, van den Kieboom J, Bosch P, et al. The diagnostic accuracy of F-18-FDG PET/CT in diagnosing fracture-related infections. Eur J Nucl Med Mol Imaging. 2019;46(4):999–1008.CrossRef Lemans JVC, Hobbelink MGG, Ijpma FFA, Plate JDJ, van den Kieboom J, Bosch P, et al. The diagnostic accuracy of F-18-FDG PET/CT in diagnosing fracture-related infections. Eur J Nucl Med Mol Imaging. 2019;46(4):999–1008.CrossRef
3.
go back to reference Drew A, Torigian M, Habib ZP, Thomas C, Kwee M, Babak SM, et al. PET/MR imaging: technical aspects and potential clinical applications. Radiology. 2013;267(1):26–44.CrossRef Drew A, Torigian M, Habib ZP, Thomas C, Kwee M, Babak SM, et al. PET/MR imaging: technical aspects and potential clinical applications. Radiology. 2013;267(1):26–44.CrossRef
4.
go back to reference Bailey DL, Pichler BJ, Guckel B, Barthel H, Beer AJ, Bremerich J, et al. Combined PET/MR: multi-modality multi-parametric imaging is here. Mol Imaging Biol. 2015;17:595–608.CrossRef Bailey DL, Pichler BJ, Guckel B, Barthel H, Beer AJ, Bremerich J, et al. Combined PET/MR: multi-modality multi-parametric imaging is here. Mol Imaging Biol. 2015;17:595–608.CrossRef
5.
go back to reference Besson FL, Lebon V, Durand E. What are we expecting from PET/MRI? Med Médecine Nucléaire. 2016;40(1):31–40.CrossRef Besson FL, Lebon V, Durand E. What are we expecting from PET/MRI? Med Médecine Nucléaire. 2016;40(1):31–40.CrossRef
6.
go back to reference Christensen NL, Hammer BE, Heil BG, Fetterly K. Positron emission tomography within a magnetic field using photomultiplier tubes and lightguides. Phys Med Biol. 1995;40:691–7.CrossRef Christensen NL, Hammer BE, Heil BG, Fetterly K. Positron emission tomography within a magnetic field using photomultiplier tubes and lightguides. Phys Med Biol. 1995;40:691–7.CrossRef
7.
go back to reference Shao Y, Cherry SR, Farahani K, Meadors K, Siegel S, Silverman RW, et al. Simultaneous PET and MR imaging. Phys Med Biol. 1997;42:1965–70.CrossRef Shao Y, Cherry SR, Farahani K, Meadors K, Siegel S, Silverman RW, et al. Simultaneous PET and MR imaging. Phys Med Biol. 1997;42:1965–70.CrossRef
8.
go back to reference Delso G, Furst S, Jakoby B, Ladebeck R, Ganter C, Nekolla SG, et al. Performance measurements of the Siemens mMR integrated whole-body PET/MR scanner. J Nucl Med. 2011;52:1914–2022.CrossRef Delso G, Furst S, Jakoby B, Ladebeck R, Ganter C, Nekolla SG, et al. Performance measurements of the Siemens mMR integrated whole-body PET/MR scanner. J Nucl Med. 2011;52:1914–2022.CrossRef
9.
go back to reference Schaart DR, Seifert S, Vinke R, van Dam HT, Dendooven P, Lohner H, et al. LaBr(3):Ce and SiPMs for time-of-flight PET: achieving 100 ps coincidence resolving time. Phys Med Biol. 2010;55:179–89.CrossRef Schaart DR, Seifert S, Vinke R, van Dam HT, Dendooven P, Lohner H, et al. LaBr(3):Ce and SiPMs for time-of-flight PET: achieving 100 ps coincidence resolving time. Phys Med Biol. 2010;55:179–89.CrossRef
10.
go back to reference Catana C, Drzezga A, Heiss W-D, et al. PET/MR for neurologic applications. J Nucl Med. 2012;53:1916–25.CrossRef Catana C, Drzezga A, Heiss W-D, et al. PET/MR for neurologic applications. J Nucl Med. 2012;53:1916–25.CrossRef
11.
go back to reference Meyer PT, Frings L, Rucker G, Hellwig S. 18-F-FDG PET in parkinsonism: differential diagnosis and evaluation of cognitive impairment. J Nucl Med. 2017;58(12):1888–98.CrossRef Meyer PT, Frings L, Rucker G, Hellwig S. 18-F-FDG PET in parkinsonism: differential diagnosis and evaluation of cognitive impairment. J Nucl Med. 2017;58(12):1888–98.CrossRef
13.
go back to reference Gonzalez-Villa S, Oliver A, Valverde S, Wang LP, Zwiggelaar R, Llado X. A review on brain structures segmentation in magnetic resonance imaging. Artif Intell Med. 2016;73:45–69.CrossRef Gonzalez-Villa S, Oliver A, Valverde S, Wang LP, Zwiggelaar R, Llado X. A review on brain structures segmentation in magnetic resonance imaging. Artif Intell Med. 2016;73:45–69.CrossRef
14.
go back to reference Forstmann BU, Isaacs BR, Temel Y. Ultra high field MRI-guided deep brain stimulation. Trends Biotechnol. 2017;35(10):904–7.CrossRef Forstmann BU, Isaacs BR, Temel Y. Ultra high field MRI-guided deep brain stimulation. Trends Biotechnol. 2017;35(10):904–7.CrossRef
15.
go back to reference Zwirner J, Mobius D, Bechmann I, Arendt T, Hoffmann KT, Jager C, et al. Subthalamic nucleus volumes are highly consistent but decrease age-dependentlya combined magnetic resonance imaging and stereology approach in humans. Hum Brain Mapp. 2017;38(2):909–22.CrossRef Zwirner J, Mobius D, Bechmann I, Arendt T, Hoffmann KT, Jager C, et al. Subthalamic nucleus volumes are highly consistent but decrease age-dependentlya combined magnetic resonance imaging and stereology approach in humans. Hum Brain Mapp. 2017;38(2):909–22.CrossRef
16.
go back to reference Chakravarty MM, Steadman P, van Eede MC, Calcott RD, Gu V, Shaw P, et al. Performing label-fusion-based segmentation using multiple automatically generated templates. Hum Brain Mapp. 2013;34(10):2635–54.CrossRef Chakravarty MM, Steadman P, van Eede MC, Calcott RD, Gu V, Shaw P, et al. Performing label-fusion-based segmentation using multiple automatically generated templates. Hum Brain Mapp. 2013;34(10):2635–54.CrossRef
17.
go back to reference Ewert S, Horn A, Finkel F, Li NF, Kuhn AA, Herrington TM. Optimization and comparative evaluation of nonlinear deformation algorithms for atlas-based segmentation of DBS target nuclei. Neuroimage. 2019;184:586–98.CrossRef Ewert S, Horn A, Finkel F, Li NF, Kuhn AA, Herrington TM. Optimization and comparative evaluation of nonlinear deformation algorithms for atlas-based segmentation of DBS target nuclei. Neuroimage. 2019;184:586–98.CrossRef
18.
go back to reference Ewert S, Plettig P, Li N, Chakravarty MM, Collins DL, Herrington TM, et al. Toward defining deep brain stimulation targets in MNI space: a subcortical atlas based on multimodal MRI, histology and structural connectivity. Neuroimage. 2018;170:271–82.CrossRef Ewert S, Plettig P, Li N, Chakravarty MM, Collins DL, Herrington TM, et al. Toward defining deep brain stimulation targets in MNI space: a subcortical atlas based on multimodal MRI, histology and structural connectivity. Neuroimage. 2018;170:271–82.CrossRef
21.
go back to reference Saint-Aubert L, Nemmi F, Peran P, Barbeau EJ, Payoux P, Chollet F, et al. Comparison between PET template-based method and MRI-based method for cortical quantification of florbetapir (AV-45) uptake in vivo. Eur J Nucl Med Mol Imaging. 2014;41:836–43.CrossRef Saint-Aubert L, Nemmi F, Peran P, Barbeau EJ, Payoux P, Chollet F, et al. Comparison between PET template-based method and MRI-based method for cortical quantification of florbetapir (AV-45) uptake in vivo. Eur J Nucl Med Mol Imaging. 2014;41:836–43.CrossRef
22.
go back to reference Klein A, Andersson J, Ardekani BA, Ashburner J, Avants B, Chiang MC, et al. Evaluation of 14 nonlinear deformation algorithms applied to human brain MRI registration. Neuroimage. 2009;46(3):786–802.CrossRef Klein A, Andersson J, Ardekani BA, Ashburner J, Avants B, Chiang MC, et al. Evaluation of 14 nonlinear deformation algorithms applied to human brain MRI registration. Neuroimage. 2009;46(3):786–802.CrossRef
23.
go back to reference Glasser MF, Coalson TS, Robinson EC, Hacker CD, Harwell J, Yacoub E, et al. A multi-modal parcellation of human cerebral cortex. Nature. 2016;536:171–8.CrossRef Glasser MF, Coalson TS, Robinson EC, Hacker CD, Harwell J, Yacoub E, et al. A multi-modal parcellation of human cerebral cortex. Nature. 2016;536:171–8.CrossRef
24.
go back to reference Karim HT, Andreescu C, MacCloud RL, Butters MA, Reynolds CF, Aizenstein HJ, et al. The effects of white matter disease on the accuracy of automated segmentation. Psychiatry Res Neuroimaging. 2016;253:7–14.CrossRef Karim HT, Andreescu C, MacCloud RL, Butters MA, Reynolds CF, Aizenstein HJ, et al. The effects of white matter disease on the accuracy of automated segmentation. Psychiatry Res Neuroimaging. 2016;253:7–14.CrossRef
25.
go back to reference Kaneta T, Okamura N, Minoshima S, Furukawa K, Tashiro M, Furumoto S, et al. A modified method of 3D-SSP analysis for amyloid PET imaging using C-11 BF-227. Ann Nucl Med. 2011;25(10):732–739.25.CrossRef Kaneta T, Okamura N, Minoshima S, Furukawa K, Tashiro M, Furumoto S, et al. A modified method of 3D-SSP analysis for amyloid PET imaging using C-11 BF-227. Ann Nucl Med. 2011;25(10):732–739.25.CrossRef
26.
go back to reference Angulakshmi M, Lakshmi Priya GG. Automated brain tumour segmentation techniques-a review. Int J Imaging Syst Technol. 2017;27(1):66–77.CrossRef Angulakshmi M, Lakshmi Priya GG. Automated brain tumour segmentation techniques-a review. Int J Imaging Syst Technol. 2017;27(1):66–77.CrossRef
27.
go back to reference Leynes AP, Yang J, Shanbhag DD, Kaushik SS, Seo Y, Hope TA, et al. Hybrid ZTE/Dixon MR-based attenuation correction for quantitative uptake estimation of pelvic lesions in PET/MR. Med Phys. 2017;44(3):902–13.CrossRef Leynes AP, Yang J, Shanbhag DD, Kaushik SS, Seo Y, Hope TA, et al. Hybrid ZTE/Dixon MR-based attenuation correction for quantitative uptake estimation of pelvic lesions in PET/MR. Med Phys. 2017;44(3):902–13.CrossRef
28.
go back to reference Kinahan PE, Fletcher JW. Positron emission tomography-computed tomography standardized uptake values in clinical practice and assessing response to therapy. Sem Ultrasound Ct Mri. 2010;31(6):496–505.CrossRef Kinahan PE, Fletcher JW. Positron emission tomography-computed tomography standardized uptake values in clinical practice and assessing response to therapy. Sem Ultrasound Ct Mri. 2010;31(6):496–505.CrossRef
30.
go back to reference Adler CH, Beach TG, Hentz JG, Shill HA, Caviness JN, Driver-Dunckley E, et al. Low clinical diagnostic accuracy of early vs advanced Parkinson disease Clinicopathologic study. Neurology. 2014;83(5):406–12.CrossRef Adler CH, Beach TG, Hentz JG, Shill HA, Caviness JN, Driver-Dunckley E, et al. Low clinical diagnostic accuracy of early vs advanced Parkinson disease Clinicopathologic study. Neurology. 2014;83(5):406–12.CrossRef
31.
go back to reference Wu P, Wang J, Peng SC, Ma YL, Zhang HW, Guan YH, et al. Metabolic brain network in the Chinese patients with Parkinson’s disease based on F-18-FDG PET imaging. Parkinsonism Relat Disord. 2013;19(6):622–7.CrossRef Wu P, Wang J, Peng SC, Ma YL, Zhang HW, Guan YH, et al. Metabolic brain network in the Chinese patients with Parkinson’s disease based on F-18-FDG PET imaging. Parkinsonism Relat Disord. 2013;19(6):622–7.CrossRef
33.
go back to reference Fonov V, Evans AC, Botteron K, Almli CR, McKinstry RC, Collins DL, et al. Unbiased average age-appropriate atlases for pediatric studies. Neuroimage. 2011;54(1):313–27.CrossRef Fonov V, Evans AC, Botteron K, Almli CR, McKinstry RC, Collins DL, et al. Unbiased average age-appropriate atlases for pediatric studies. Neuroimage. 2011;54(1):313–27.CrossRef
34.
go back to reference Xiao YM, Fonov V, Beriault S, Al Subaie F, Chakravarty MM, Sadikot AF, et al. Multi-contrast unbiased MRI atlas of a Parkinson’s disease population. Int J Comput Assist Radiol Surg. 2015;10(3):329–41.CrossRef Xiao YM, Fonov V, Beriault S, Al Subaie F, Chakravarty MM, Sadikot AF, et al. Multi-contrast unbiased MRI atlas of a Parkinson’s disease population. Int J Comput Assist Radiol Surg. 2015;10(3):329–41.CrossRef
Metadata
Title
Regional SUV quantification in hybrid PET/MR, a comparison of two atlas-based automatic brain segmentation methods
Authors
Weiwei Ruan
Xun Sun
Xuehan Hu
Fang Liu
Fan Hu
Jinxia Guo
Yongxue Zhang
Xiaoli Lan
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
EJNMMI Research / Issue 1/2020
Electronic ISSN: 2191-219X
DOI
https://doi.org/10.1186/s13550-020-00648-8

Other articles of this Issue 1/2020

EJNMMI Research 1/2020 Go to the issue