Comparison of planar vs. SPECT images for lesion detectability

Abstract

This research used computer simulation along with human observer studies to evaluate SPECT and planar imaging for lesion detection. The research initially focused on a simple computer simulated phantom consisting of a large sphere with a lesion placed inside at various depths. A constant lesion to background ratio of 8 to 1 was maintained throughout the trials. Two noise levels were simulated by varying the mean value of the sphere and lesion. Both planar and SPECT images were generated simulating a clinical scan time of 30 minutes. Results showed SPECT images consistently had higher contrast but also higher noise values than planar images. When the lesion was located near the center of the sphere the contrast-to-noise ratio was consistently higher in SPECT images. Research using a realistic computer model of the human torso along with realistic image acquisition and reconstruction techniques was then carried out. Planar images were generated with modeling attenuation, scatter and geometric point response. SPECT images were projected and then reconstructed with an OSEM algorithm accounting for attenucation, the scatter and the geometric point response of the collimator.

The Added Value of Bloodpool SPECT/CT in Painful Non-Operated Foot and Ankle Undiagnosed With Standard Three-Phase Bone Scintigraphy

“…Two properties of SPECT/CT compared to planar images can explain the best detection of tendonitis. First, the highest signal-to-noise ratio provided by SPECT may have enable the visualization of tendinous uptake unrevealed by standard bloodpool planar images ( 22 , 23 ). Moreover, combining SPECT and CT is known to improve localization of scintigraphic abnormalities ( 16 ).…”