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Artefakti pri PET/CT slikanju - pregled literature : diplomsko delo
ID Sevšek, Tomaž (Author), ID Žnidarič, Luka (Author), ID Rep, Sebastijan (Mentor) More about this mentor... This link opens in a new window, ID Žibert, Janez (Reviewer)

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Abstract
Uvod: PET/CT slikanje je sodobna diagnostična metoda, kjer se poleg anatomskih informacij opazuje tudi fiziološko delovanje pacientovega telesa. Kontrastna sredstva, kovinski implantati ali respiratorno gibanje pri slikanju povzročijo značilne artefakte. Odpravljanje le-teh je ključnega pomena za zvišanje klinične uporabnosti PET/CT preiskav. Namen: Namen diplomskega dela je predstaviti značilne artefakte pri PET/CT slikanju in s pomočjo različne literature najti metode za odpravljanje artefaktov ter ugotoviti, katere izmed metod so najbolj priporočljive. Metode dela: Za to diplomsko delo sva uporabila deskriptivno metodo dela s pregledom literature. Vire sva iskala v podatkovnih bazah Google Učenjak, Pubmed, JNM in COBISS. Iskanje literature je potekalo od oktobra 2020 do marca 2021. Rezultati: Večje število raziskav sva omejila z različnimi faktorji, da sva prišla do približno desetih raziskav iz vsakega področja odpravljanja določenega PET/CT artefakta. Razprava in zaključek: Veliko študij se ukvarja s problematiko PET/CT artefaktov. Ugotovila sva, da kontrastna sredstva nizke gostote redko povzročajo artefakte, vendar se v nekaterih primerih lahko vseeno pojavijo. V takih primerih je pomembno, da znamo artefakt prepoznati in ga identificirati kot artefakt, da ne pride do lažno pozitivne diagnoze. Poznamo tudi različne algoritme, ki lahko zmanjšajo verjetnost za nastanek artefakta zaradi kontrasta, npr. SCC algoritem pri oralnih kontrastnih sredstvih in global treshhold metoda pri kardio PET/CT preiskavah. Za odpravljanje kovinskih artefaktov se kot najučinkovitejše kažejo različice protokolov z uporabo iMAR algoritma. Za odpravo artefaktov respiratornega gibanja se najpogosteje uporabi respiratorni gating, čeprav se podatkovno voden gating izkazuje kot prav tako dobra ali celo boljša izbira.

Language:Slovenian
Keywords:diplomska dela, radiološka tehnologija, PET/CT artefakti, artefakti zaradi kontrastnega sredstva, SCC algoritem, artefakti zaradi kovine, kovinski vsadki, iMAR, artefakti zaradi respiratornega gibanja, respiratorni gating
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[T. Sevšek, L. Žnidarič]
Year:2021
Number of pages:39 str.
PID:20.500.12556/RUL-130422 This link opens in a new window
UDC:616-07
COBISS.SI-ID:77072643 This link opens in a new window
Publication date in RUL:15.09.2021
Views:2265
Downloads:171
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Secondary language

Language:English
Title:Artifact in PET/CT imaging - overview of literature : diploma work
Abstract:
Introduction: PET/CT is a modern diagnostic imaging method where, in addition to anatomical information, the physiological functioning of the patient's body is also observed. Contrast media, metal implants and respiratory motion are the main contributors to PET/CT exclusive artifacts. The elimination of these artifacts or the reduction of their impact is crucial to increase the clinical utility of PET/CT examinations. Purpose: The purpose of the diploma thesis is to present the typical artifacts in PET/CT imaging and to find methods for the reduction of these artifacts and which among them that are the most recommended throughout various literature. Methods: For this diploma work we used a descriptive method and created a literature overview. We were searching for literature on Google Scholar, Pubmed, JNM and COBISS databases. The search of literature lasted from October 2020 to March 2021. Results: We limited the larger number of researches with various factors, so that we came to a number of around 10 studies per each type of PET/CT artifact. Discussion and conclusion: Many studies deal with the issue of PET/CT artifacts. We found that low density contrasts have a relatively small chance of causing artifacts, however artifacts may still occur in some cases. If artifacts occur it is very important that we recognize them as artifacts and not as increased FDG uptake, so that we don’t cause a false positive diagnosis. There are different methods of reducing contrast artifacts, for example the SCC algorithm can be beneficial for decreasing oral contrast artifacts and the global treshhold method is successful for decreasing contrast artifacts in cardio PET/CT. For the elimination of metal artifacts, variants of protocols using the iMAR algorithm have shown to be the most effective. Respiratory gating is the most frequently used method to eliminate respiratory movement artifacts, although data-guided gating proves to be an equally good or even better choice.

Keywords:diploma theses, radiologic technology, PET/CT artifacts, contrast medium artifacts, SCC algorithm, metal artifacts, metal implants, iMAR, respiratory motion artifacts, respiratory gating

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