| 31. |
- Sadik, May, 1970, et al.
(författare)
-
A new computer-based decision-support system for the interpretation of bone scans
- 2006
-
Ingår i: Nucl Med Commun. - 0143-3636. ; 27:5, s. 417-423
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To develop a completely automated method, based on image processing techniques and artificial neural networks, for the interpretation of bone scans regarding the presence or absence of metastases. METHODS: A total of 200 patients, all of whom had the diagnosis of breast or prostate cancer and had undergone bone scintigraphy, were studied retrospectively. Whole-body images, anterior and posterior, were obtained after injection of 99mTc-methylene diphosphonate. The study material was randomly divided into a training group and a test group, with 100 patients in each group. The training group was used in the process of developing the image analysis techniques and to train the artificial neural networks. The test group was used to evaluate the automated method. The image processing techniques included algorithms for segmentation of the head, chest, spine, pelvis and bladder, automatic thresholding and detection of hot spots. Fourteen features from each examination were used as input to artificial neural networks trained to classify the images. The interpretations by an experienced physician were used as the 'gold standard'. RESULTS: The automated method correctly identified 28 of the 31 patients with metastases in the test group, i.e., a sensitivity of 90%. A false positive classification of metastases was made in 18 of the 69 patients not classified as having metastases by the experienced physician, resulting in a specificity of 74%. CONCLUSION: A completely automated method can be used to detect metastases in bone scans. Future developments in this field may lead to clinically valuable decision-support tools.
|
|
| 32. |
- Sandgren, Kristina, et al.
(författare)
-
Histopathology-validated lesion detection rates of clinically significant prostate cancer with mpMRI, [68Ga]PSMA-11-PET and [11C]Acetate-PET
- 2023
-
Ingår i: Nuclear medicine communications. - : Lippincott Williams & Wilkins. - 0143-3636 .- 1473-5628. ; 44:11, s. 997-1004
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: PET/CT and multiparametric MRI (mpMRI) are important diagnostic tools in clinically significant prostate cancer (csPC). The aim of this study was to compare csPC detection rates with [68Ga]PSMA-11-PET (PSMA)-PET, [11C] Acetate (ACE)-PET, and mpMRI with histopathology as reference, to identify the most suitable imaging modalities for subsequent hybrid imaging. An additional aim was to compare inter-reader variability to assess reproducibility.Methods: During 2016–2019, all study participants were examined with PSMA-PET/mpMRI and ACE-PET/CT prior to radical prostatectomy. PSMA-PET, ACE-PET and mpMRI were evaluated separately by two observers, and were compared with histopathology-defined csPC. Statistical analyses included two-sided McNemar test and index of specific agreement.Results: Fifty-five study participants were included, with 130 histopathological intraprostatic lesions >0.05 cc. Of these, 32% (42/130) were classified as csPC with ISUP grade ≥2 and volume >0.5 cc. PSMA-PET and mpMRI showed no difference in performance (P = 0.48), with mean csPC detection rate of 70% (29.5/42) and 74% (31/42), respectively, while with ACE-PET the mean csPC detection rate was 37% (15.5/42). Interobserver agreement was higher with PSMA-PET compared to mpMRI [79% (26/33) vs 67% (24/38)]. Including all detected lesions from each pair of observers, the detection rate increased to 90% (38/42) with mpMRI, and 79% (33/42) with PSMA-PET.Conclusion: PSMA-PET and mpMRI showed high csPC detection rates and superior performance compared to ACE-PET. The interobserver agreement indicates higher reproducibility with PSMA-PET. The combined result of all observers in both PSMA-PET and mpMRI showed the highest detection rate, suggesting an added value of a hybrid imaging approach.
|
|
| 33. |
|
|
| 34. |
- Sjöström, A, et al.
(författare)
-
Direct astatination of a peptide, human epidermal growth factor, using nido-carborane as a prosthetic group
- 2000
-
Ingår i: Nuclear medicine communications. - 0143-3636 .- 1473-5628. ; 21:6, s. 594-
-
Recension (övrigt vetenskapligt/konstnärligt)abstract
- Purpose The aim of the study was to evaluate direct astatine labelling of proteins with the use of nido-carborane as prosthetic group for attachments of astatine. Methods: Human epidermal growth factor, hEGF, was conjugated to 7-(3-amino-propyl)-7,8-dicarbanido-undecaborate (-), ANC, using two different conjugation methods, glutaraldehyde crosslinking and coupling via Traut's reagent. The hEGF-ANC conjugates were astatine labelled using the Chloramine-T method. The stability of the labelled compounds was tested by incubation at 37°C. Results: The conjugates were astatinated using the Chloramine-T method in high yield. The best labelling yields were obtained by the glutaraldehyde conjugate with an average yield of 70.5±2.2%. In vitro stability tests indicated that the introduced label was as stable as hEGF labelled with astatobenzoate. Conclusion: Conjugation of nido-carboranes to peptides creates binding sites for direct astatine labelling that can be performed in mild conditions (p 7.2) with high labelling yields.
|
|
| 35. |
- Starck, Sven-Åke, et al.
(författare)
-
An evaluation of reconstruction techniques and scatter correction in bone SPECT of the spine
- 2003
-
Ingår i: Nuclear medicine communications. - 0143-3636 .- 1473-5628. ; 24:5, s. 565-570
-
Tidskriftsartikel (refereegranskat)abstract
- A selection of commonly used reconstruction and filter techniques in the processing of 99mTc oxidronate (i.e., 99mTc hydroxymethane diphosphonate) single photon emission computed tomography (SPECT) of the spine was compared. The possible additional value of scatter correction on image contrast was also evaluated. Twenty-eight bone SPECT examinations of consecutive patients were studied retrospectively. The reconstruction techniques used were filtered back-projection and iterative reconstruction with the use of ordered subsets estimation maximization. Three-dimensional post-filtering with a Metz filter and a Butterworth filter was used. Each combination was evaluated with or without scatter correction. Each study was also processed with the department's standard technique of two-dimensional pre-filtering with a Metz filter followed by filtered back-projection (without scatter correction). Five observers evaluated the image quality of reconstructed coronal and sagittal slices, with special reference to the resolution of vertebrae, vertebral processes, the spinal canal and suspected abnormal uptakes. A grading scale from -2 to +2 was used with the standard technique as the reference. The best image quality was found with iterative reconstruction in combination with a contrast enhancing Metz filter or a noise reducing Butterworth filter. Scatter correction did not improve image quality.
|
|
| 36. |
- Starck, Sven-Åke, et al.
(författare)
-
Digital filtering of bone scans : an ROC study
- 1997
-
Ingår i: Nuclear medicine communications. - : Ovid Technologies (Wolters Kluwer Health). - 0143-3636 .- 1473-5628. ; 18:2, s. 98-104
-
Tidskriftsartikel (refereegranskat)abstract
- The aims of this study were to investigate if digital filtering can increase the sensitivity and specificity of bone scans, and to find the type of filter most suitable for bone images at various count levels. We also wished to examine if filtering allows the administered activity or the examination time to be reduced, and if it is easier to detect low-contrast uptake using a digital filter. Images containing a total of 100, 350 and 1000 kcounts were acquired in a 256 x 256 matrix using a transmission phantom simulating the thoracolumbar region. Receiver operating characteristic (ROC) analysis demonstrated that digital filtering increases the sensitivity and specificity of bone scintigraphy. A low-pass filter for images with low statistics (100 kcounts), which contain 2-5 counts per pixel in the ribs and vertebrae respectively, and a Metz filter for images with normal (5-19 counts per pixel) to good (20-54 counts per pixel) statistics, increase the area under the ROC curve significantly (99% confidence level) compared to unfiltered images. Filtering also increases the detectability of low-contrast objects compared with unfiltered images. Digital filtering might be an alternative to raising the number of counts in the image. An alternative is to reduce the administered activity and hence the effective dose to the patient, or to reduce the examination time-which is an advantage when treating elderly patients or patients with pain.
|
|
| 37. |
|
|
| 38. |
|
|
| 39. |
|
|
| 40. |
- Thorsson, Ola, et al.
(författare)
-
Advantages of standardized criteria for the interpretation of angiotensin-converting enzyme inhibition renography
- 2009
-
Ingår i: NUCLEAR MEDICINE COMMUNICATIONS. - 0143-3636 .- 1473-5628. ; 30, s. 449-454
-
Tidskriftsartikel (refereegranskat)abstract
- Background The aim of this study was to evaluate the efficiency of captopril renography to detect renovascular hypertension (RVH) using the standardized test criteria established at the consensus conference in Santa Fe 1995. The evaluation was made prospectively and in a clinical situation.less thanpgreater thanMethods Renal scintigraphy was performed with Tc-99m-MAG3 according to a 2-day protocol in patients receiving 25 mg captopril 1 h before the test. A baseline study was added only in patients showing abnormal findings in the captopril-stimulated study. All tests were re-evaluated according to the consensus criteria by two nuclear medicine specialists who were unaware of the original evaluation that was made by different doctors on duty at the nuclear medicine section at the time.less than/pgreater than less thanpgreater thanResults Using a 12-month clinical follow-up as a reference, 16 patients in a group of 164 hypertensive patients had RVH, that is, a prevalence of 10%. The re-evaluation and original evaluation indicated a sensitivity of 94 versus 100%, specificity of 97 versus 88%, accuracy of 97 versus 89%, positive predictive value of 83 versus 47%, and negative predictive value of 99 versus 100%. In 15 studies, results from the two evaluations were discordant and in 14 of these studies an originally false positive or intermediate study was re-evaluated as negative. The test result was highly decisive in the future management of patients, minimizing the number of renal angiograms that had to be performed and initiating a search for other causes of secondary hypertension. Conclusion Captopril renography is a useful and reliable test in patients with suspicion of RVH. Strict adherence to the diagnostic criteria and recommendations from the 1995 consensus conference further improved the performance of the test compared with clinical follow-up.
|
|
