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001-es BibID:	BIBFORM087271
035-os BibID:	(WoS)000492444404124
Első szerző:	Barna Sándor (kutató orvos)
Cím:	Quantitative retrobulbar SPECT/CT measurement in Graves' ophtalmopathy / S. K. Barna, I. Garai, L. Galuska, E. Nagy V., J. Varga
Dátum:	2019
ISSN:	1619-7070 1619-7089
Megjegyzések:	Aim/Introduction: Graves' ophtalmopathy (GO) in immunologically active or incative state requires different treatments. We have examined more than 1000 patients' retrobulbar uptake with [Tc-99m]DTPA in the last 15 years, evaluated by a custom software using manual ROIs on a standardized thick slice containing the retrobulbar space. The clinicians mainly used this method for differentiating active from non-active ophtalmopathy, with 10x10-6 ID/mL as threshold. We investigated the potential of quantitative SPECT/ CT by more available software and more reproducible VOI positioning to simplify the method. Materials and Methods: SPECT projection images of twenty-six retrobulbar regions of 13 patients with suspected active GO were acquired 20 min after administering 400 MBq [Tc-99m]DTPA (128 projections x 30 sec, 128x128 matrix with ... mm pixel size); followed by a CT (120 kV, 40 mAs, 1.5 pitch, 90/min rotation with abdomen filter). OSEM iterative reconstruction included CT-based attenuation correction, Monte Carlo-based scatter correction, and resolution recovery. We drew three sets of VOIs, utilizing both SPECT and CT information. Method A: 2 cm diameter sphere to the retrobulbar area showing the highest uptake; method B: a cone covering the whole retrobulbar territory; and Method C: an 1 mL standard sphere to the highest activity in the retrobulbar area. The uptake was expressed as (a) activity concentration, (b) total VOI activity, or (c) maximal concentration; each normalized to the injected dose. The same parameters were tested when normalized to body weight as well. For each quantitative measure Pearson's r, and Kendall's tau-b correlation coefficients were calculated with the former method as reference. Results: Total and maximal VOI uptake values as well as measures corrected for body weight showed weaker correlation with the reference method than mean activity concentrations. We obtained better correlation with the larger sphere (2 cm vs. 1.2 cm diameter), and even slightly better with the conical VOI. Conclusion: We found that defining the retrobulbar area is much easier when utilizing the CT image as well. For the sake of simplicity and reproducibility, we select the sphere with 2 cm diameter as the VOI of choice, since drawing the conical region is more subjective. As the present analysis aimed at the best correlation with the reference method that did not take body size into account, we plan to consider activity concentration normalized to body weight as well during the forthcoming clinical evaluation based on a larger patient group. References: None.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt folyóiratcikk
Megjelenés:	European Journal of Nuclear Medicine and Molecular Imaging. - 46 : S1 (2019), p. S489. -
További szerzők:	Garai Ildikó (1966-) (radiológus) Galuska László (1946-) (belgyógyász, izotópdiagnoszta) Nagy Endre V. (1957-) (belgyógyász, endokrinológus) Varga József (1955-) (fizikus)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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