ASSESSMENT AND COMPARISON OF SPATIAL RESOLUTION IN HYBRID MEDICAL IMAGING MODALITIES UTILIZED IN NUCLEAR MEDICINE (PET/CT AND PET/MRI)


Tezin Türü: Yüksek Lisans

Tezin Yürütüldüğü Kurum: Yıldız Teknik Üniversitesi, Elektrik-Elektronik Fakültesi, Biyomedikal Mühendisliği, Türkiye

Tezin Onay Tarihi: 2024

Tezin Dili: İngilizce

Öğrenci: Burak KULA

Danışman: Osman Günay

Özet:

Healthcare professionals' diagnostic abilities were improved by hybrid medical imaging modalities such as PET/CT and PET/MRI, which combined anatomical and functional data into a single image. Still, there are issues, particularly with spatial resolution, which is important for accurate disease identification.

A custom-made phantom with ten holes is designed using Solidworks and manufactured using additive manufacturing to assess the spatial resolution of PET/CT and PET/MRI. These holes were strategically positioned along the phantom's mid-line on the front surface. A plexiglass box was designed to enclose the phantom and filled water. The phantom was loaded with FDG-18. PET/CT and PET/MRI equipment were used for image acquisition, which were then processed using Image J and MATLAB to determine the full width at half maximum (FWHM) values.

The activity vs distance plots demonstrated that PET/CT was initially unable to distinguish the first five sources. Comparably, PET/MRI was unable to distinguish the first four sources. Moreover, the examination of FWHM values for PET/CT showed that FWHM values up to the sixth source were unsatisfactory and FWHM for the remaining sources were acceptable. Additionally, a similar pattern was seen in PET/MRI, with relevant FWHM values starting from the sixth source. These were showing enhanced separation performance over certain ranges.

This study concludes by highlighting the unique strengths and weaknesses of PET/CT and PET/MRI in identifying radioactive sources in diagnostic nuclear medicine. The radioactivity vs distance plots clearly demonstrated the difficulties that both modalities had when they attempted to distinguish sources that were closely separated and demonstrated that PET/MRI's performance in this regard was superior to PET/CT's. However, at a certain distance, both molecular imaging methods performed well, as seen by significant FWHM values starting at the sixth source. These results underline how crucial it is to evaluate spatial resolution and differentiating ability as they have a direct bearing on how well complex biological structures may be diagnosed. The findings of this study will help to improve patient care by directing future developments in nuclear medicine and continuing to optimise imaging techniques.