PET-MRI: a review of challenges and solutions in the development of integrated multimodality imaging

The integration of positron emission tomography (PET) and magnetic resonance imaging (MRI) has been an ongoing research topic for the last 20 years. This paper gives an overview of the different developments and the technical problems associated with combining PET and MRI in one system. After explaining the different detector concepts for integrating PET-MRI and minimising interference the limitations and advantages of different solutions for the detector and system are described for preclinical and clinical imaging systems. The different integrated PET-MRI systems are described in detail. Besides detector concepts and system integration the challenges and proposed solutions for attenuation correction and the potential for motion correction and resolution recovery are also discussed in this topical review.

[1]  V. Schulz,et al.  PET/MRI insert using digital SiPMs: Investigation of MR-compatibility , 2014, Nuclear instruments & methods in physics research. Section A, Accelerators, spectrometers, detectors and associated equipment.

[2]  Suleman Surti,et al.  Benefit of Time-of-Flight in PET: Experimental and Clinical Results , 2008, Journal of Nuclear Medicine.

[3]  C. Kuhl,et al.  MRI-Based Attenuation Correction for Hybrid PET/MRI Systems: A 4-Class Tissue Segmentation Technique Using a Combined Ultrashort-Echo-Time/Dixon MRI Sequence , 2012, The Journal of Nuclear Medicine.

[4]  In Chan Song,et al.  SiPM-PET with a short optical fiber bundle for simultaneous PET-MR imaging , 2012, Physics in medicine and biology.

[5]  S. Cherry,et al.  Simultaneous acquisition of multislice PET and MR images: initial results with a MR-compatible PET scanner. , 2006, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[6]  Thomas Beyer,et al.  X-ray-based attenuation correction for positron emission tomography/computed tomography scanners. , 2003, Seminars in nuclear medicine.

[7]  Nassir Navab,et al.  Tissue Classification as a Potential Approach for Attenuation Correction in Whole-Body PET/MRI: Evaluation with PET/CT Data , 2009, Journal of Nuclear Medicine.

[8]  Simon R Cherry,et al.  Multimodality imaging: beyond PET/CT and SPECT/CT. , 2009, Seminars in nuclear medicine.

[9]  Bernd J Pichler,et al.  Principles of PET/MR Imaging , 2014, The Journal of Nuclear Medicine.

[10]  H. Jadvar,et al.  Competitive advantage of PET/MRI. , 2014, European journal of radiology.

[11]  Paul E Kinahan,et al.  The impact of respiratory motion on tumor quantification and delineation in static PET/CT imaging , 2009, Physics in medicine and biology.

[12]  Vincent Keereman,et al.  Simultaneous MR-Compatible Emission and Transmission Imaging for PET Using Time-of-Flight Information , 2012, IEEE Transactions on Medical Imaging.

[13]  Paul K Marsden,et al.  Impact of respiratory motion correction and spatial resolution on lesion detection in PET: a simulation study based on real MR dynamic data , 2014, Physics in medicine and biology.

[14]  Axel Thielscher,et al.  Assessment of MR compatibility of a PET insert developed for simultaneous multiparametric PET/MR imaging on an animal system operating at 7 T , 2011, Magnetic resonance in medicine.

[15]  A. Blamire,et al.  The technology of MRI--the next 10 years? , 2008, The British journal of radiology.

[16]  M. Schwaiger,et al.  Performance test of a LSO-APD PET module in a 9.4 Tesla magnet , 1997, 1997 IEEE Nuclear Science Symposium Conference Record.

[17]  G. Delso,et al.  PET/MRI system design , 2009, European Journal of Nuclear Medicine and Molecular Imaging.

[18]  S. Fürst,et al.  PET/MR: a paradigm shift , 2013, Cancer imaging : the official publication of the International Cancer Imaging Society.

[19]  Michael J O'Doherty,et al.  Use of the CT component of PET–CT to improve PET–MR registration: demonstration in soft-tissue sarcoma , 2007, Physics in medicine and biology.

[20]  S. Cherry,et al.  Simultaneous PET and MR imaging , 1997, Physics in medicine and biology.

[21]  Christer Halldin,et al.  Performance Evaluation of the Small-Animal nanoScan PET/MRI System , 2013, The Journal of Nuclear Medicine.

[22]  Ashwin A. Wagadarikar,et al.  Sensitivity Improvement of Time-of-Flight (ToF) PET Detector Through Recovery of Compton Scattered Annihilation Photons , 2014, IEEE Transactions on Nuclear Science.

[23]  Paul Kinahan,et al.  Attenuation correction for a combined 3D PET/CT scanner. , 1998, Medical physics.

[24]  G. Delso,et al.  PET–MR imaging using a tri-modality PET/CT–MR system with a dedicated shuttle in clinical routine , 2013, Magnetic Resonance Materials in Physics, Biology and Medicine.

[25]  G. Muehllehner,et al.  Positron emission tomography , 2006, Physics in medicine and biology.

[26]  B. Schölkopf,et al.  MR-Based PET attenuation correction for PET/MR imaging. , 2013, Seminars in nuclear medicine.

[27]  Tobias Schaeffter,et al.  Performance Evaluation of an MRI-Compatible Pre-Clinical PET System Using Long Optical Fibers , 2010, IEEE Transactions on Nuclear Science.

[28]  Stephan G Nekolla,et al.  Attenuation correction for PET/MR: problems, novel approaches and practical solutions. , 2012, Zeitschrift fur medizinische Physik.

[29]  Axel Martinez-Möller,et al.  Evaluation of the attenuation properties of MR equipment for its use in a whole-body PET/MR scanner , 2010, Physics in medicine and biology.

[30]  Ciprian Catana,et al.  Toward Implementing an MRI-Based PET Attenuation-Correction Method for Neurologic Studies on the MR-PET Brain Prototype , 2010, The Journal of Nuclear Medicine.

[31]  H. Zaidi,et al.  Design and performance evaluation of a whole-body Ingenuity TF PET–MRI system , 2011, Physics in medicine and biology.

[32]  R. Holen,et al.  The effect of errors in segmented attenuation maps on PET quantification. , 2011, Medical physics.

[33]  Bernhard Schölkopf,et al.  MRI-Based Attenuation Correction for PET/MRI: A Novel Approach Combining Pattern Recognition and Atlas Registration , 2008, Journal of Nuclear Medicine.

[34]  L. Eriksson,et al.  Physics and applications of positron beams in an integrated PET/MR. , 2013, Physics in medicine and biology.

[35]  Stan Majewski,et al.  Simultaneous MRI and PET imaging of a rat brain. , 2006, Physics in medicine and biology.

[36]  James F. Young,et al.  MicroPET: a high resolution PET scanner for imaging small animals , 1996, IEEE Nuclear Science Symposium Conference Record.

[37]  Jun Zhang,et al.  Three-region MRI-based whole-body attenuation correction for automated PET reconstruction. , 2010, Nuclear medicine and biology.

[38]  Z. Cho,et al.  A hybrid PET-MRI: An integrated molecular-genetic imaging system with HRRT-PET and 7.0-T MRI , 2007 .

[39]  C. Vanhove,et al.  Magnetic Resonace–Based Attenuation Correction for Micro–Single-Photon Emission Computed Tomography , 2012, Molecular imaging.

[40]  Volkmar Schulz,et al.  MR compatibility aspects of a silicon photomultiplier-based PET/RF insert with integrated digitisation , 2014, Physics in medicine and biology.

[41]  Paul Vaska,et al.  Small animal simultaneous PET/MRI: initial experiences in a 9.4 T microMRI , 2011, Physics in medicine and biology.

[42]  V. Schulz,et al.  Challenges and current methods for attenuation correction in PET/MR , 2013, Magnetic Resonance Materials in Physics, Biology and Medicine.

[43]  Kyle M Gilbert,et al.  First image from a combined positron emission tomography and field‐cycled MRI system , 2011, Magnetic resonance in medicine.

[44]  A. Studen,et al.  Very High Resolution Small Animal PET in Strong Magnetic Fields , 2006, 2006 IEEE Nuclear Science Symposium Conference Record.

[46]  Til Aach,et al.  Simultaneous Reconstruction of Activity and Attenuation for PET/MR , 2011, IEEE Transactions on Medical Imaging.

[47]  R. Kikinis,et al.  Superconducting open-configuration MR imaging system for image-guided therapy. , 1995, Radiology.

[48]  Ernst J. Rummeny,et al.  Value of a Dixon-based MR/PET attenuation correction sequence for the localization and evaluation of PET-positive lesions , 2011, European Journal of Nuclear Medicine and Molecular Imaging.

[49]  Patrick Dupont,et al.  Simultaneous maximum a posteriori reconstruction of attenuation and activity distributions from emission sinograms , 1999, IEEE Transactions on Medical Imaging.

[50]  Susanne Heinzer,et al.  Sequential whole-body PET/MR scanner: concept, clinical use, and optimisation after two years in the clinic. The manufacturer’s perspective , 2013, Magnetic Resonance Materials in Physics, Biology and Medicine.

[51]  D. Renker New trends on photodetectors , 2007 .

[52]  Yong Choi,et al.  MR insertable brain PET using tileable GAPD arrays , 2010, IEEE Nuclear Science Symposuim & Medical Imaging Conference.

[53]  Zang-Hee Cho,et al.  A hybrid PET‐MRI: An integrated molecular‐genetic imaging system with HRRT‐PET and 7.0‐T MRI , 2007, Int. J. Imaging Syst. Technol..

[54]  Nadim Joni Shah,et al.  Analysis and Correction of Count Rate Reduction During Simultaneous MR-PET Measurements With the BrainPET Scanner , 2012, IEEE Transactions on Medical Imaging.

[55]  E. R. Kops,et al.  Errors in MR-based attenuation correction for brain imaging with PET/MR scanners , 2013 .

[56]  D W Holdsworth,et al.  Fundamental image quality limits for microcomputed tomography in small animals. , 2003, Medical physics.

[57]  T. Beyer,et al.  Putting ‘clear’ into nuclear medicine: a decade of PET/CT development , 2006, European Journal of Nuclear Medicine and Molecular Imaging.

[58]  Jeffrey T. Yap,et al.  Performance evaluation of the microPET-Focus - F120 , 2004 .

[59]  Richard Bowtell,et al.  Split gradient coils for simultaneous PET‐MRI , 2009, Magnetic resonance in medicine.

[60]  R. Leahy,et al.  Magnetic resonance-guided positron emission tomography image reconstruction. , 2013, Seminars in nuclear medicine.

[61]  T. Carpenter,et al.  PET/MRI in the infarcted mouse heart with the Cambridge split magnet. , 2013, Nuclear instruments & methods in physics research. Section A, Accelerators, spectrometers, detectors and associated equipment.

[62]  S. Cherry,et al.  Application of Silicon Photomultipliers to Positron Emission Tomography , 2011, Annals of Biomedical Engineering.

[63]  Eiji Sugiyama,et al.  Design and performance from an integrated PET/MRI system for small animals , 2010, Annals of nuclear medicine.

[64]  M. Bronskill,et al.  T1, T2 relaxation and magnetization transfer in tissue at 3T , 2005, Magnetic resonance in medicine.

[65]  Jerry L Prince,et al.  Measurement of Radiotracer Concentration in Brain Gray Matter Using Positron Emission Tomography: MRI-Based Correction for Partial Volume Effects , 1992, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[66]  V. Schulz,et al.  Scattered PET data for attenuation-map reconstruction in PET/MRI: Fundamentals , 2014 .

[67]  Vincent Keereman,et al.  Improvement of Attenuation Correction in Time-of-Flight PET/MR Imaging with a Positron-Emitting Source , 2014, The Journal of Nuclear Medicine.

[68]  Anthonin Reilhac,et al.  Evaluation of Three MRI-Based Anatomical Priors for Quantitative PET Brain Imaging , 2012, IEEE Transactions on Medical Imaging.

[69]  S. Vandenberghe,et al.  MRI-Based Attenuation Correction for PET/MRI Using Ultrashort Echo Time Sequences , 2010, Journal of Nuclear Medicine.

[70]  M. Buchanan,et al.  A system to obtain radiotracer uptake data simultaneously with NMR spectra in a high field magnet , 1995, 1995 IEEE Nuclear Science Symposium and Medical Imaging Conference Record.

[71]  W. T. Dixon Simple proton spectroscopic imaging. , 1984, Radiology.

[72]  Tom K Lewellen,et al.  Recent developments in PET detector technology , 2008, Physics in medicine and biology.

[73]  P. Marsden,et al.  Gamma shielding materials for MR-compatible PET , 2003 .

[74]  Ciprian Catana,et al.  Performance test of an LSO-APD detector in a 7-T MRI scanner for simultaneous PET/MRI. , 2006, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[75]  Yong Choi,et al.  A small animal PET based on GAPDs and charge signal transmission approach for hybrid PET-MR imaging , 2011 .

[76]  B. Hammer,et al.  Use of a magnetic field to increase the spatial resolution of positron emission tomography. , 1994, Medical physics.

[77]  V. Sossi,et al.  Technical performance evaluation of a human brain PET/MRI system , 2012, European Radiology.

[78]  B. K. Swann,et al.  PET/MR images acquired with a compact MR-compatible PET detector in a 7-T magnet. , 2007, Radiology.

[79]  Habib Zaidi,et al.  Strategies for Motion Tracking and Correction in PET. , 2007, PET clinics.

[80]  M E Casey,et al.  Simultaneous reconstruction of emission activity and attenuation coefficient distribution from TOF data, acquired with external transmission source , 2013, Physics in medicine and biology.

[81]  Volkmar Schulz,et al.  Design concept of world's first preclinical PET/MR insert with fully digital silicon photomultiplier technology , 2012, 2012 IEEE Nuclear Science Symposium and Medical Imaging Conference Record (NSS/MIC).

[82]  Ling-Jian Meng,et al.  Hybrid pixel-waveform CdTe/CZT detector for use in an ultrahigh resolution MRI compatible SPECT system. , 2013, Nuclear instruments & methods in physics research. Section A, Accelerators, spectrometers, detectors and associated equipment.

[83]  T G Turkington Attenuation correction in hybrid positron emission tomography. , 2000, Seminars in nuclear medicine.

[84]  Ilja Bezrukov,et al.  MRI-Based Attenuation Correction for Whole-Body PET/MRI: Quantitative Evaluation of Segmentation- and Atlas-Based Methods , 2011, The Journal of Nuclear Medicine.

[85]  G. Delso,et al.  Performance Measurements of the Siemens mMR Integrated Whole-Body PET/MR Scanner , 2011, The Journal of Nuclear Medicine.

[86]  F. Beekman,et al.  LaBr3:Ce and SiPMs for time-of-flight PET: achieving 100 ps coincidence resolving time , 2010, Physics in medicine and biology.

[87]  M. Morich,et al.  Whole-body PET-MR imaging system initial calibration results , 2010, IEEE Nuclear Science Symposuim & Medical Imaging Conference.

[88]  Maurizio Conti,et al.  Simultaneous Reconstruction of Activity and Attenuation in Time-of-Flight PET , 2012, IEEE Transactions on Medical Imaging.

[89]  Manuel Desco,et al.  Performance evaluation of SiPM detectors for PET imaging in the presence of magnetic fields , 2008 .

[90]  M. Aykac,et al.  APD performance in light sharing PET applications , 2005, IEEE Transactions on Nuclear Science.

[91]  Kagayaki Kuroda,et al.  Scintillator selection for MR compatible gamma detectors , 2002, 2002 IEEE Nuclear Science Symposium Conference Record.

[92]  Volkmar Schulz,et al.  A preclinical PET/MR insert for a human 3T MR scanner , 2009, 2009 IEEE Nuclear Science Symposium Conference Record (NSS/MIC).

[93]  G. Delso,et al.  Simulation Study of Tissue-Specific Positron Range Correction for the New Biograph mMR Whole-Body PET/MR System , 2012, IEEE Transactions on Nuclear Science.

[94]  T. A. Carpenter,et al.  MRI – From basic knowledge to advanced strategies: Hardware , 1999, European Radiology.

[95]  J. Schenck The role of magnetic susceptibility in magnetic resonance imaging: MRI magnetic compatibility of the first and second kinds. , 1996, Medical physics.

[96]  Ciprian Catana,et al.  Simultaneous PET-MRI: a new approach for functional and morphological imaging , 2008, Nature Medicine.

[97]  D.F. Newport,et al.  Performance Evaluation of the microPET®—FOCUS-F120 , 2007, IEEE Transactions on Nuclear Science.

[98]  Heinz-Peter Schlemmer,et al.  PET/MRI: Paving the Way for the Next Generation of Clinical Multimodality Imaging Applications , 2010, Journal of Nuclear Medicine.

[99]  M. Defrise,et al.  Time-of-flight PET data determine the attenuation sinogram up to a constant , 2012, Physics in medicine and biology.

[100]  Craig S. Levin,et al.  Prototype time-of-flight PET ring integrated with a 3T MRI system for simultaneous whole-body PET/MR imaging , 2013 .

[101]  C. Levin,et al.  Recent development in PET instrumentation. , 2010, Current pharmaceutical biotechnology.

[102]  Habib Zaidi,et al.  Partial Volume Correction Strategies in PET. , 2007, PET clinics.

[103]  Floris Jansen,et al.  Performance of a high sensitivity time-of-flight PET ring operating simultaneously within a 3T MR system , 2014, EJNMMI Physics.

[104]  Simon R. Cherry,et al.  Development of a PET detector system compatible with MRI/NMR systems , 1997 .

[105]  Quanzheng Li,et al.  Magnetic resonance-based motion correction for positron emission tomography imaging. , 2013, Seminars in nuclear medicine.

[106]  C Tsoumpas,et al.  Analysis and comparison of two methods for motion correction in PET imaging. , 2012, Medical physics.

[107]  N. Shah,et al.  Advances in hybrid MR–PET at 3 T and 9.4 T in humans , 2013 .

[108]  Craig S. Levin,et al.  Recent Developments in PET Instrumentation , 2010 .

[109]  D. Renker,et al.  Characterisation of Geiger-mode avalanche photodiodes for medical imaging applications , 2007 .

[110]  K Fetterly,et al.  Positron emission tomography within a magnetic field using photomultiplier tubes and lightguides. , 1995, Physics in medicine and biology.

[111]  Simon R. Cherry,et al.  The Integration of Positron Emission Tomography With Magnetic Resonance Imaging , 2008, Proceedings of the IEEE.