D. Poggiali, postDoc


Padova, SPAN 2018

Davide Poggiali, Diego Cecchin, Paolo Gallo and Stefano De Marchi
Summary:
- Introduction
- Kinetics of the tracer in PET/MRI
- Choice of the error measure
- Results
1. Introduction
Kinetics of the tracer in PET/MRIA modern neurological study aims to relate several biomarkers from different sources in order to explain the illness evolution improve prognostic accuracy and optimize the treatment.
A modern research group can have at disposal:
- clinical,
- imaging,
- neuropsychological,
- liquor biomarkers


What is PET/MRI?

Correction


Motion Correction
Some tools
Correction


Partial Volume Correction
Glucose PET/MRI in MS
29 patients, 14 CIS/eRRMS and 15 RRMS underwent a PET/MRI with:
- MRI sequences: 3D T1, 3D FLAIR, 3D DIR
- 18F-Fdg PET in list-mode
The aim is to study the relationship between:
- Cortical Thickness
- WM/GM lesion number/volume
- aMRGlu
2. Kinetics of the tracer in PET/MRI
Patlak plot method

Interpolation of the IDIF is needed if the reference tissue (Aorta) is away from the target (Brain tissue)...
standard method:
3. Choice of the error measure
standard method:
'multiquadric': sqrt((r/self.epsilon)**2 + 1)
'inverse': 1.0/sqrt((r/self.epsilon)**2 + 1)
'gaussian': exp(-(r/self.epsilon)**2)
'linear': r
'cubic': r**3
'thin_plate': r**2 * log(r)
Rbf method (in scipy):
Leave-one-out and Train-test split approaches are not suitable

The chosen error measure is the coefficient of determination R squared
(the larger the better)
Results:

standard method:
Mean R-squared:
0.998
Results:
Linear:
Mean R-squared:
0.956
p-val:
1.e-15

Results:
Multiquadric:
Mean R-squared:
0.957
p-val:
1.e-15

4. Conclusions
-
Non-standard error measure estimation is needed (future work)
-
Physic-based model interpolation offers better results.
-
RBFs are probably not a good choice when dealing with huge gaps in datasets.
Thank you!



References
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functions for estimating the rate of glucose metabolism in therapy-monitoring 18F-FDG PET studies,
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[3] C. S. Patlak, R. G. Blasberg, and J. D. Fenstermacher, Graphical Evaluation of Blood-to-Brain Transfer Constants from Multiple-Time Uptake Data, Journal of Cerebral Blood Flow & Metabolism, 3 (1983), pp. 1–7.
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[5] S. Zhou, K. Chen, E. M. Reiman, D.-m. Li, and B. Shan, A method for generating image-derived input
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curve, Nuclear medicine communications, 33 (2012), pp. 362–70.
Span18
By davide poggiali
Span18
grintagazzo
- 711