ALGORITHM FOR UPTAKE ASSESSMENT IN SMALL LESIONS BASED ON DYNAMIC SCINTIGRAPHY SCANS

The aim of our research was to develop an algorithm for estimation and visualisation of radiopharmaceutical uptake based on time-activity-curve (TAC) analysis in small regions of interest (ROI) in scintigraphic studies. The algorithm is implemented in Labview environment (National Instruments, Texas, Austin) and comprises the following steps: 1) delineation of grid of small ROIs over the examined tissue and corresponding TAC processing; 2) background vs tissue separation; 3) the extraction of all “suspected“ ROIs where TACs are not exponentially descendent; 4) correlation analysis between a TAC corresponding to the suspicious lesion ROI and TACs of neghboring ROIs; 5) the extraction of representative TAC for “suspected“ area by Principal Component Analysis technique; and 6) visual interpretation of radiopharmaceutical distribution in the “suspected“ area. The application of algorithm is presented in data recorded in case of histopathologically proven parathyroid tumors.

[1]  J. Klode,et al.  Cost-effectiveness of preoperative SPECT/CT combined with lymphoscintigraphy vs. lymphoscintigraphy for sentinel lymph node excision in patients with cutaneous malignant melanoma , 2014, European Journal of Nuclear Medicine and Molecular Imaging.

[2]  D. Rubello,et al.  What is the role of preoperative scintigraphic imaging and the intraoperative gamma probe in secondary hyperparathyroidism? , 2014, Nuclear medicine communications.

[3]  A. Delaloye,et al.  Parathyroid dual tracer subtraction scintigraphy: small regions method for quantitative assessment of parathyroid adenoma uptake , 2014, Annals of Nuclear Medicine.

[4]  M. Pelizzo,et al.  Preoperative localization and radioguided parathyroid surgery. , 2003, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[5]  Ian T. Jolliffe,et al.  Principal Component Analysis , 2002, International Encyclopedia of Statistical Science.

[6]  H. Kaiser An index of factorial simplicity , 1974 .

[7]  J S Fleming,et al.  A comparison of techniques for the filtering of noise in the renogram. , 1977, Physics in medicine and biology.

[8]  J. Edward Jackson,et al.  A User's Guide to Principal Components. , 1991 .

[9]  Milica M. Jankovic,et al.  Semi-automatic localization of parathyroid tumors in dynamic sestamibi scintigrams , 2014, 2014 22nd Telecommunications Forum Telfor (TELFOR).

[10]  M. Jochelson Potential advantage of preoperative three-dimensional mapping of sentinel nodes in breast cancer by a hybrid single photon emission CT (SPECT)/CT system , 2011 .