逐次近似SPECT再構成法の~(123)I-IMP局所脳血流量定量への応用: 最適な再構成法と前処理フィルタの遮断周波数に関する検討

摘要

In cerebral blood flow tests using N-Isopropyl-p-[~(123)I] Iodoamphetamine I-IMP， quantitative results of greater accuracy than possible using the autoradiography (ARG) method can be obtained with attenuation and scatter correction and image reconstruction by filtered back projection (FBP). However, the cutoff frequency of the preprocessing Butterworth filter affects the quantitative value; hence, we sought an optimal cutoff (XeCT)/cerebral blood flow (CBF). In this study, we reconstructed images using ordered subsets expectation maximization (OSEM), a method of successive approximation which has recently come into wide use, and also three-dimensional (3D)-OSEM, a method by which the resolution can be corrected with the addition of collimator broad correction, to examine the effects on the regional cerebral blood flow (rCBF) quantitative value of changing the cutoff frequency, and to determine whether successive approximation is applicable to cerebral blood flow quantification. Our results showed that quantification of greater accuracy was obtained with reconstruction employing the 3D-OSEM method and using a cutoff frequency set near 0.75-0.85 cycles/cm, which is higher than the frequency used in image reconstruction by the ordinary FBP method.%われわれは，single photon emission computed tomography (SPECT)を用いたN-Isopropyl-p-[~(123)I] Iodoamphetamine (~(123)I-IMP)脳血流シンチグラフィにおいて，散乱補正に triple energy window(TEW)法,減弱補正にX線computed tomography (CT)の減弱マップによるChang法(X-ray CT based attenuation correction: X-ray CTAC)再構成法にフィルタ補正逆投影(filtered back projection:FBP)法を用いることによって，より正確な脳内の放射rn能分布を求めてきた.