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001-es BibID:	BIBFORM102721
035-os BibID:	(Scopus)85137125116
Első szerző:	Képes Zita (orvos)
Cím:	Initial clinical experience with dedicated multi-pinhole (MPH) collimator for 99mTc-HMPAO brain perfusion SPECT / Zita Képes, Kornél Kukuts, Attila Oszlánszki, Iván Mihovk, Áron Krizsán, Sándor Barna, Andrew Robinson, Daniel Deidda, János Mester, József Varga, Ildikó Garai, Attila Forgács
Dátum:	2022
ISSN:	1790-5427
Megjegyzések:	Abstract Objective: Dedicated multi-pinhole (MPH) collimators have been successfully tested in selected clinical investigations. The aim of our work was to report initial experiences with an MPH collimator set designed for brain perfusion single photon emission tomography (SPECT). Methods: Ten patients underwent sequential technetium-99m-hexamethylpropyleneamineoxime (99mTc-HMPAO) SPECT with a dual-head SPECT camera equipped with conventional low-energy parallel hole collimators (LEHR), and with a triple-head system equipped with MPH collimators. Low-energy parallel hole collimators data were reconstructed by filtered back projection (FBP), ordered subset expectation maximization (OSEM), software for tomographic image reconstruction (STIR). In addition, both the parallel hole data and MPH data were reconstructed by Tera-TomoTM 3D iterative reconstruction denoted LEHR_TT3D and MPH_TT3D, respectively. Five medical experts visually compared the reconstructed images of the five data sets and defined a ranking sequence from the lowest (1) to the highest (5) image quality. Results were compared using the Friedman test. P values below 0.05 were considered significant. Results: Low-energy parallel hole collimators acquisition resulted in 5 million, while MPH acquisition in 13 million total counts with 30 and 34 minutes of acquisition time, respectively. Mean rank coefficients of the reconstruction methods were 1.96?0.52, 2.66?0.46, 2.86?0.60, 3.62?0.55, 3.9?0.68 for FBP, STIR, LEHR_TT3D, LEHR_OSEM, MPH_TT3D respectively. The differences between MPH_TT3D-FBP (P<0.01); MPH_TT3D-STIR (P<0.05); LEHR_OSEM-FBP (P<0.01) were significant. Conclusion: Image quality provided by MPH collimator is comparable to that provided by conventional LEHR imaging. Higher sensitivity has the potential to shorten acquisition time or to reduce the amount of administered activity.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Brain perfusion SPECT Multi-pinhole collimator Reconstruction Image quality
Megjelenés:	Hellenic Journal of Nuclear Medicine. - 25 : 2 (2022), p. 143-147. -
További szerzők:	Kukuts Kornél Oszlánszki Attila Mihovk Iván Krizsán Áron Krisztián (1986-) (fizikus) Barna Sándor (1982-) (kutató orvos) Robinson, Andrew Deidda, Daniel Mester János Varga József (1955-) (fizikus) Garai Ildikó (1966-) (radiológus) Forgács Attila (1985-) (fizikus)
Pályázati támogatás:	National Grant No. GINOP-2.1.1-15-2015-00609 GINOP UK National Physical Laboratory through the National Measurement System Egyéb
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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001-es BibID:	BIBFORM099030
035-os BibID:	(Scopus)85122905153 (WOS)000754954100007
Első szerző:	Képes Zita (orvos)
Cím:	Homocysteine-related alterations of [18F]FDG brain pattern in metabolic diseases / Zita Képes, Csaba Aranyi, Attila Forgács, Ferenc Nagy, Kornél Kukuts, Regina Esze, Sándor Somodi, Miklós Káplár, József Varga, Miklós Emri, Ildikó Garai
Dátum:	2021
ISSN:	1790-5427
Megjegyzések:	Since hyperhomocysteinaemia (HHcys) is implicated as a risk factor for the development of neurodegeneration, and is associated with the development of metabolic diseases, we aimed at analysing the effect of homocysteine (Hcys) on regional fluorine-18-fluorodeoxyglucose (18F-FDG) brain metabolism in 51 controlled type 2 diabetic and in 48 non-DM obese participants. Plasma Hcys levels were measured by an immunoassay. Homocysteine-related 18F-FDG regional brain metabolism was evaluated applying 18F-FDG PET/CT using magnetic resonance imaging (MRI)-based brain template for Statistical Parametric Mapping (SPM) analysis. Homocysteine-related decreased 18F-FDG uptake was shown in the right middle temporal gyrus in the whole population. Diabetics with Hcys above the reference limit expressed decreased glucose metabolism in the left calcarine cortex compared to the obese with HHcys. Regional metabolic alterations evoked on the basis of HHcys draw attention to the potential risk of neurodegeneration caused by metabolic disturbances.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Diabetes Obesity (18)-F-FDG PET/CT Homocysteine Neurodegeneration
Megjelenés:	Hellenic Journal of Nuclear Medicine. - 24 : 3 (2021), p. 222-227. -
További szerzők:	Aranyi Sándor Csaba (1988-) (programtervező informatikus) Forgács Attila (1985-) (fizikus) Nagy Ferenc (1984-) (fizikus) Kukuts Kornél Esze Regina Somodi Sándor (1977-) (belgyógyász) Káplár Miklós (1965-) (belgyógyász, diabetológus) Varga József (1955-) (fizikus) Emri Miklós (1962-) (fizikus) Garai Ildikó (1966-) (radiológus)
Pályázati támogatás:	National Grant No. GINOP-2.1.1-15-2015-00609 GINOP National Brain Research Program No. 2017-1.2.1-NKP-2017-00002 Egyéb
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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