PET/CT Fluoroscopy during PET/CT-Guided Interventions: Initial Experience.

PET/CT Fluoroscopy during PET/CT-Guided Interventions: Initial Experience.
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DOI:
10.1016/j.jvir.2023.04.020
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发表时间:
2023-08
影响因子:
2.9
通讯作者:
Shyn, Paul B.
Shyn, Paul B.
中科院分区:
医学3区
文献类型:
--
作者:
Jiang, Liwei;Jowkar, Nick;King, Franklin;Plishker, William;Bhagavatula, Sharath K.;Levesque, Vincent M.;Kapur, Tina;Shyn, Paul B.

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本研究评估了在PET/CT引导肿瘤消融术期间使用高速图像融合技术生成和显示PET/CT透视图像的可行性和功能。13名患者接受了14次PET/CT引导消融术,治疗20个肿瘤。FDA批准的多模态图像融合平台接收从扫描仪推送的DICOM图像,然后进行近实时非刚性图像配准。最新的术中PET数据集在到达时与每个CT荧光透视数据集融合,融合图像显示在室内监视器上。在所有手术中生成并显示了PET/CT透视图像,并在3例手术中实现了更自信的靶向。从CT透视采集到融合PET/CT透视图像室内显示的平均滞后时间为21 ± 8秒。除了一个程序外,所有程序的配准精度在视觉上都令人满意。总之,PET/CT透视是可行的,可能有助于PET/CT引导手术。
This study assesses the feasibility and functionality of using a high-speed image fusion technology to generate and display PET/CT fluoroscopy images during PET/CT-guided tumor ablation procedures. Thirteen patients underwent 14 PET/CT-guided ablations to treat 20 tumors. An FDA-cleared multimodal image fusion platform received DICOM images pushed from the scanner, followed by near-real-time nonrigid image registration. The most recent intraprocedural PET dataset was fused to each CT fluoroscopy dataset as it arrived, and the fused images were displayed on an in-room monitor. PET/CT fluoroscopy images were generated and displayed in all procedures and enabled more confident targeting in 3 procedures. Mean lag time from CT fluoroscopy acquisition to the in-room display of the fused PET/CT fluoroscopy image was 21 ± 8 seconds. Registration accuracy was visually satisfactory in all but one procedure. In conclusion, PET/CT fluoroscopy was feasible and may have the potential to facilitate PET/CT-guided procedures.
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