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The clinical role of fusion imaging using PET, CT, and MR imaging.

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TLDR
Recent advances in clinical multimodality imaging, the role of correlative fusion imaging in a clinical setting, and future opportunities and challenges facing the adoption of multi-modality imaging are discussed.
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This article is published in Magnetic Resonance Imaging Clinics of North America.The article was published on 2010-02-01 and is currently open access. It has received 58 citations till now. The article focuses on the topics: Medical imaging & PET-CT.

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First Clinical Experience with Integrated Whole-Body PET/MR: Comparison to PET/CT in Patients with Oncologic Diagnoses

TL;DR: It is demonstrated, for what is to the authors' knowledge the first time, that integrated whole-body PET/MR is feasible in a clinical setting with high quality and in a short examination time and the reliability ofPET/MR was comparable to that of PET/CT in allowing the detection of hypermetabolic lesions suspicious for malignancy in patients with oncologic diagnoses.
Journal ArticleDOI

Design and performance evaluation of a whole-body Ingenuity TF PET-MRI system

TL;DR: The results were comparable to PET-CT systems demonstrating that the effect of design modifications required on the PET system to remove the harmful effect of the magnetic field on the PMTs was negligible, and it is conceived that advantages of hybrid PET-MRI will become more evident in the near future.
Journal ArticleDOI

PET/MR Imaging: Technical Aspects and Potential Clinical Applications

TL;DR: MR imaging has major strengths compared with CT, including superior soft-tissue contrast resolution, multiplanar image acquisition, and functional imaging capability through specialized techniques such as diffusion-tensor imaging, diffusion-weighted (DW) imaging, functional MR imaging, MR elastography, MR spectroscopy, perfusion-weighting imaging, and the availability of some targeted MR imaging contrast agents.
Journal ArticleDOI

An outlook on future design of hybrid PET/MRI systems

TL;DR: A combined PET/MRI system provides both the anatomical and structural description of MRI simultaneously with the quantitative capabilities of PET, enabling truly simultaneous acquisition and bridges the gap between molecular and systems diagnosis.
Journal ArticleDOI

Nanoparticles for cell labeling

TL;DR: This review attempts to give a summary of progress in using nanotechnology to monitor cell trafficking by focusing on direct cell labeling techniques, in which cells ingest nanoparticles that bear traceable signals, such as iron oxide or quantum dots.
References
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Journal ArticleDOI

Multimodality image registration by maximization of mutual information

TL;DR: The results demonstrate that subvoxel accuracy with respect to the stereotactic reference solution can be achieved completely automatically and without any prior segmentation, feature extraction, or other preprocessing steps which makes this method very well suited for clinical applications.
Journal ArticleDOI

An overlap invariant entropy measure of 3D medical image alignment

TL;DR: Results indicate that the normalised entropy measure provides significantly improved behaviour over a range of imaged fields of view.
Journal ArticleDOI

Medical image registration

TL;DR: Applications of image registration include combining images of the same subject from different modalities, aligning temporal sequences of images to compensate for motion of the subject between scans, image guidance during interventions and aligning images from multiple subjects in cohort studies.
Journal ArticleDOI

MRI-PET Registration with Automated Algorithm

TL;DR: Modifications to this method that allow for cross-modality registration of MRI and PET brain images obtained from a single subject are described and validated quantitatively using data from patients with stereotaxic fiducial markers rigidly fixed in the skull.
Journal Article

A combined PET/CT scanner for clinical oncology.

TL;DR: A combined PET and CT scanner is a practical and effective approach to acquiring co-registered anatomical and functional images in a single scanning session.
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Q1. What are the contributions mentioned in the paper "The clinical role of fusion imaging using pet, ct, and mr imaging" ?

This article discusses recent advances in clinical multimodality imaging, the role of correlative fusion imaging in a clinical setting, and future opportunities and challenges facing the adoption of multimodality imaging. 

130 A controversy arose recently regarding the future role of SPECT in the era of PET. Given that the role of any molecular imaging technology is established with respect to the benefits conveyed to patients, dual-modality imaging systems using PET as the key component are here to stay and will definitely maintain an exclusive standing in clinical diagnosis, the assessment of response to treatment, and the delivery of personalized treatments and targeted therapies. 

24 A variety of rail-based, docking, and click-over concepts for correlating functional and anatomic images are also being considered with the goal of offering a more economic approach to multimodality imaging for institutions with limited resources. 

An undesirable property of the statistical iterative reconstruction techniques including the popular maximum likelihood–expectation maximization (ML-EM) algorithm is that large numbers of iterations increase the noise content of the reconstructed PET images. 

The anatomic information also can be useful for many other tasks, including attenuation compensation, transmission-based scatter modeling, motion detection, and correction, introducing a priori anatomic information into reconstruction of the PET emission data and partial volume correction. 

Although computationally intensive, more refined algorithms that use a patient-specific attenuation map, an estimate of the emission image, and Monte Carlo–based radiation transport calculations to estimate the magnitude and spatial distribution of Compton scattered events that would be detected have also been considered. 

A preinjection transmission scan is usually performedon stand-alone PET scanners before tracer injection to reduce spillover of emission data into the transmission energy window, although post-injection transmission scanning protocols have been successfully used in the clinic with the use of contemporary PET scanners. 

The expanding diagnostic and therapeutic applications ofquantitative PET imaging have motivated the development of scatter correction techniques, which incorporate patient-specific attenuation maps derived from either transmission scans or CT imaging and the physics of interaction and detection of emitted photons to estimate the scatter magnitude and distribution accurately. 

Multimodality imaging had a pivotal role in the assessment of central nervous system disorders such as seizures, Alzheimer’s and Parkinson’s disease, head injury, and inoperable brain tumors. 

clinical diagnosis is rarely done without imaging, which makes molecular imaging an essential component of the clinical decision-making tree. 

The system is being assessed in a clinical setting by exploiting the full potential of anatomic MR imaging in terms of high soft-tissue contrast sensitivity in addition to the many other possibilities offered by this modality, including blood oxygenation level dependant (BOLD) imaging, functional MR imaging, diffusion-weighted imaging, perfusion-weighted imaging, and diffusion tensor imaging. 

FDGPET has limited impact in many malignancies presenting with low FDG avidity (eg, prostate cancer, hepatic metastases, and associated lymph nodes), where more specific tracers should be used. 

The noise characteristics can be controlled by incorporating a prior distribution to describe the statistical properties of the unknown image and thus produce a posteriori probability distributions from the image conditioned upon the data. 

AND FUSIONSoftware image fusion can be challenging to perform on a routine basis in the clinical setting because it requires exceptional digital communication in medicine (DICOM) connectivity, compatibility between the scanning protocols used by various imaging modalities, and outstanding collaboration between various clinical departments. 

The procedure used follows the approach described by Matsuda and colleagues,121 which involves realigning the PET and MR image volumes followed by segmentingthe MR image into white and gray matter using the statistical parametric mapping (SPM5) segmentation toolbox. 

These tracers have clearly demonstrated the enormous potential of PET/CT as an emerging modality in the field of molecular imaging. 

Such a systemwould allow one to exploit, in addition to the previously discussed applications, the power of MR spectroscopy to measure the regional biochemical content and to assess the metabolic status or the presence of neoplasia and other diseases in specific tissue areas. 

The well-accepted criterion is that one can accurately quantify theactivity concentration for sources having dimensions equal to or larger than twice the system’s spatial resolution measured in terms of its fullwidth-at-half-maximum (FWHM). 

51,52 APD-based readout has already been implemented on a commercial preclinical PET system, the LabPET scanner,53 10 years after the development of the first prototype based on this technology.