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Quantitative improvement of lymph nodes visualization of breast cancer using 99mTc-nanocolloid SPECT/CT and updated reconstruction algorithm

This study aimed to evaluate the impact of attenuation and scatter correction on the contrast to noise ratio values of SPECT and SPECT/CT images in sentinel lymph nodes scintigraphy. In addition, the effect of using an iterative reconstruction algorithm with variable iterations number and fixed subs...

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Published in:Radiation and environmental biophysics 2021-08, Vol.60 (3), p.447-451
Main Authors: Işıkcı, Nazenin Ipek, Abuqbeitah, Mohammad
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description This study aimed to evaluate the impact of attenuation and scatter correction on the contrast to noise ratio values of SPECT and SPECT/CT images in sentinel lymph nodes scintigraphy. In addition, the effect of using an iterative reconstruction algorithm with variable iterations number and fixed subsets was also investigated. 35 patients with a total of 44 lymph nodes were recruited in the current study. SPECT/CT scans were performed 3–4 h following peri-tumoral 99m Tc-nanocolloid injection (≈1 mCi) at four points. Two image types were generated including SPECT with attenuation and scatter correction (AC–SC) and SPECT without any correction (NoAC–NoSC). The acquired projections were repeatedly reconstructed with eight subsets and 10, 20, 30 and 40 iterations. Afterwards, the calculated contrast to noise ratio values were used to investigate the effect of number of iteration and to compare the image quality of SPECT/CT and SPECT only. The mean contrast to noise (CNR) values of SPECT/CT scans were found to be 19,737, 26,418, 34,282 and 31,187 at 10, 20, 30 and 40 iterations, respectively. Whereas, the mean CNR values in SPECT (NoAC–NoSC) were as low as 8506, 10,582, 13,791 and 12,143 at 10, 20, 30 and 40 iterations, respectively. The CNR values of both SPECT and SPECT/CT improved with increasing number of iterations up to 30 iterations and then slightly decreased after 30–40 iterations. Likewise, no significant difference was found between 10 and 20 iterations ( P value  = 0.06) in SPECT/CT, while a statistically significant difference was observed between 10 iterations and both 30 and 40 iterations ( P value  
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source Springer Nature
subjects Algorithms
Attenuation
Biological and Medical Physics
Biophysics
Breast cancer
Computed tomography
Ecosystems
Effects of Radiation/Radiation Protection
Environmental Physics
Image contrast
Image quality
Image reconstruction
Lymph nodes
Lymphatic system
Medical imaging
Monitoring/Environmental Analysis
Noise
Original Article
Physics
Physics and Astronomy
Scattering
Scintigraphy
Single photon emission computed tomography
Statistical analysis
title Quantitative improvement of lymph nodes visualization of breast cancer using 99mTc-nanocolloid SPECT/CT and updated reconstruction algorithm
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