This video represents a complete and balanced review of the subject with a broad scope and coverage of quantitative analysis of multimodality molecular medical images, which is growing in importance both for clinical and research applications. It begins with an introduction to the fundamental concepts of quantitative image analysis techniques as they are applied in diagnostic and therapeutic molecular imaging using dual-modality combining PET and CT (PET/CT) or PET and MR (PET/MR) systems. It covers the entire range of quantitative imaging chain from basic principles to various steps required for obtaining quantitatively accurate data from PET images, including data collection methods and algorithms used to correct them for physical degrading factors, image reconstruction algorithms, as well as image processing and analysis techniques used in clinical and research applications.
Impact of physical degrading factors including attenuation of photons and contribution from photons scattered in the patient, partial volume effect and motion on diagnostic quality and quantitative accuracy of medical images will be discussed. The limitations of static imaging and associated PET metrics (mostly relying on the standardized uptake value (SUV) metric) and their applications in oncological imaging will be highlighted.The concept of dynamic PET imaging, which allows for acquisition of valuable spatio-temporal tracer uptake measurements that can be utilized by tracer kinetic modelling methods, thus enabling parametric PET imaging as a promising framework that can enhance quantification by accounting for the physiological time course of PET signal will also be discussed. Special emphasis will be put on recent developments in PET acquisition and imaging frameworks enabling clinically feasible whole-body dynamic PET imaging, thus combining the benefits of multi-bed acquisitions with the ability to obtain, at the voxel level, quantitative estimates of Patlak kinetic macro-parameters from dynamic scans.
- Understand the basic limitations of quantitative PET imaging and metrics used in clinical routine, and the factors influencing them for subsequent use in assessment of response to treatment
- Understand the limitations of visual contouring and provide and up to date overview of current PET image segmentation algorithms and their subsequent use in assessment of response to treatment or radiation therapy treatment planning
- Provide a state-of-the-art review of current PET metrics used in clinical and research settings and their limitations
- Describe recent advances in MRI-guided attenuation correction in PET/MRI
- Provide an overview of the methodological aspects of more advanced quantitative techniques including radiomics and parametric whole-body imaging requiring the use of dynamic imaging protocols
Quantitative PET imaging will help in charting personalized treatment plans for patients and also in exploring new therapeutic opportunities in the future. The application of novel quantitative methods will enhance the performance of modern hybrid imaging modalities in a variety of clinical settings and will further improve the outcome of many serious diseases and disorders.1 CPD credit
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Prof Habib Zaidi
Professor Habib Zaidi is Chief Physicist and head of the PET Instrumentation and Neuroimaging Laboratory at Geneva University Hospital and faculty member at the medical school of Geneva University. He is also Professor at the University Medical Center of Groningen, The Netherlands, and Adjunct Professor at the University of Southern Denmark. He received a PhD and habilitation (PD) in medical physics from Geneva University.
He is a recipient of many awards and distinctions among which are the IEEE Young Investigator Medical Imaging Science Award, the SNM Mark Tetalman Memorial Award, the IUPAP Young Scientist Prize, the prestigious ($100,000) Kuwait Prize of Applied Sciences (known as the Middle Eastern Nobel Prize) for “outstanding accomplishments in biomedical technology”, the AAPM John S. Laughlin Young Scientist Award, and the SNMI Vikram Sarabhai Oration Award. Professor Zaidi has been an invited speaker of many keynote lectures at an international level, has authored over 200 peer-reviewed journal articles and is the editor of three textbooks.