Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
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Analysis for Correlation of Standardized Uptake Value in Fusion Imaging Scanner

융합영상장비의 표준섭취계수 상관관계 분석

  • Kim, Jin-Eui (Department of Radiological Science, Dongshin University) ;
  • Kim, Jung-Soo (Department of Radiological Technology, Dongnam Health University) ;
  • Choi, Nam-Gil (Department of Radiological Science, Dongshin University) ;
  • Han, Jae-Bok (Department of Radiological Science, Dongshin University)
  • 김진의 (동신대학교 방사선학과) ;
  • 김정수 (동남보건대학교 방사선과) ;
  • 최남길 (동신대학교 방사선학과) ;
  • 한재복 (동신대학교 방사선학과)
  • Received : 2018.09.11
  • Accepted : 2018.10.31
  • Published : 2018.10.31
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Abstract

Recently in nuclear medicine, to improve diagnostic value, SUV, semi-quantitative indicator used in PET-CT, is adopted in SPECT-CT. Therefore, this research analyzed correlation of $SUV_{max}$ of two scanners through phantom test, and evaluated possibility of clinical application. Radiopharmaceuticals ($^{18}F$, $^{99m}Tc$) were injected with the ratios of 8:1 and 4:1, considering background radioactivity, into the phantom manufactured with 6 globes of different sizes, and, based on clinical protocol, positive phases were acquired with PET-CT and SPECT-CT scanners, and interesting areas were divided into ROI and VOI, and $SUV_{max}$ of them were measured, and analyzed. Tests found out no statistically significant difference in $SUV_{max}$ measured with two scanners (P>0.05). Thus, $SUV_{max}$ of PET-CT and SPECT-CT had a certain correlation within significant levels, and were evaluated as the same. Accordingly, it seems that $SUV_{max}$ quantitative analysis using SPECT-CT can provide significant diagnostic information as the case of PET-CT.

최근 핵의학에서 진단가치의 향상을 위해 PET-CT에서 이용하고 있는 반정량지표인 SUV를 SPECT-CT에 도입하여 적용하고 있다. 따라서 두 가지 스캐너의 $SUV_{max}$를 팬텀실험을 통해 상관관계를 분석하여 임상적용 가능성을 평가하였다. 부피가 다른 6개의 구로 제작된 팬텀에 방사성의약품 ($^{18}F$, $^{99m}Tc$)을 배후방사능을 고려하여 8:1과 4:1 비율로 주입하고, 임상 프로토콜을 기반으로 PET-CT와 SPECT-CT 스캐너로 양성상을 획득한 후 관심영역을 ROI와 VOI로 구분하여 $SUV_{max}$를 측정하여 분석하였다. 실험결과 두 가지 스캐너로 측정한 $SUV_{max}$는 통계적으로 유의한 차이가 없었다 (P>0.05). 따라서 PET-CT와 SPECT-CT의 $SUV_{max}$는 유의한 수준 내에서 일정한 상관관계를 가지며, 같이 평가되었다. 따라서 SPECT-CT를 이용한 $SUV_{max}$ 정량 분석은 본 연구를 통해 일반화하기에 제한적이지만 임상에 실험적 정보를 제공할 수 있으므로, 임상실험과 같은 관련 실험을 통한 추가 연구가 필요할 것으로 판단된다.

Keywords

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