MEDICAL IMAGE PROCESSING DEVICE, COMPUTER PROGRAM, AND NUCLEAR MEDICINE DEVICE
20230218243 · 2023-07-13
Assignee
Inventors
Cpc classification
G01T1/161
PHYSICS
G01N23/20066
PHYSICS
A61B6/4258
HUMAN NECESSITIES
International classification
A61B6/00
HUMAN NECESSITIES
Abstract
An image is reconstituted by iterative approximation, a PET event updated image is produced by updating a current image using a PET event, a Compton event updated image is produced by updating the current image using a Compton event, the PET event updated image and the Compton event updated image that have been independently produced are weighted and added together, and the current image is updated using an image obtained by addition processing. In this way, PET events and Compton events, which have different properties, can be used in combination to efficiently and stably reconstitute images, improving image quality.
Claims
1. A medical image processing device for reconstructing an image by iterative approximation using a PET event where a coincidence signal of a pair of annihilation radiations is obtained and a Compton event obtained by Compton scattering, the medical image processing device comprising: a PET event updated image production unit configured to produce a PET event updated image by updating a current image using a PET event; a Compton event updated image production unit configured to produce a Compton event updated image by updating the current image using a Compton event; an addition unit configured to weight and add the PET event updated image and the Compton event updated image produced independently of each other; an update unit configured to update the current image using an image obtained by the addition unit; and an iteration unit configured to iterate processing of the PET event updated image production unit, the Compton event updated image production unit, the addition unit, and the update unit.
2. The medical image processing device according to claim 1, wherein at least either the PET event updated image production unit or the Compton event updated image production unit is configured to set a number of subsets as an update parameter.
3. The medical image processing device according to claim 2, wherein at least either the PET event updated image production unit or the Compton event updated image production unit is configured to make a sub iteration of image update using the subsets.
4. The medical image processing device according to claim 2, wherein the number of subsets that is the update parameter, a number of times of sub iterations, and timing of weighted addition can be set for the PET event and the Compton event independently.
5. The medical image processing device according to claim 1, wherein the Compton event includes an annihilation radiation Compton event and a single gamma-ray Compton event.
6. The medical image processing device according to claim 1, wherein the PET event includes a PET event between absorber detectors, a PET event between a scatterer detector and an absorber detector, and a PET event between scatterer detectors.
7. The medical image processing device according to claim 1, wherein the PET event includes a PET event with time of flight information and a PET event without time of flight information.
8. The medical image processing device according to claim 1, wherein, if a nuclide is a 3-gamma-ray nuclide, a 3-gamma event is further included.
9. A non-transitory computer readable recording medium for recording a computer program for causing a computer to implement the medical image processing device according to claim 1.
10. A nuclear medicine device comprising: a PET-Compton simultaneous measurement device including scatterer detectors and absorber detectors; and the medical image processing device according to claim 5.
11. The nuclear medicine device according to claim 10, wherein at least either the scatterer detectors or the absorber detectors are arranged in a ring shape, a partial ring shape, or an opposed shape.
12. The nuclear medicine device according to claim 10, wherein the scatterer detectors are arranged in a multi-ring shape.
13. The nuclear medicine device according to claim 10, wherein the scatterer detectors are located inside a measurement field of view of the absorber detectors.
14. The nuclear medicine device according to claim 10, wherein the scatterer detectors are located outside a measurement field of view of the absorber detectors.
15. The nuclear medicine device according to claim 10, wherein a measurement field of view of the Compton event is made greater than a measurement field of view of the PET event.
16. The nuclear medicine device according to claim 15, wherein a pixel size of the measurement field of view of the Compton event is made greater than that of the measurement field of view including the PET event.
17. A nuclear medicine device comprising: a PET-Compton event simultaneous measurement device configured to simultaneously measure a PET event and a Compton event; a single event collection device configured to collect single events from output of the PET-Compton event simultaneous measurement device; a software coincidence device configured to collect PET events from output of the PET-Compton event simultaneous measurement device; a hybrid image reconstruction device configured to reconstruct a hybrid image of the PET events and the Compton events on a basis of output of the single event collection device and the software coincidence device, the hybrid image reconstruction device including the medical image processing device according to claim 1; a control device configured to control the PET-Compton event simultaneous measurement device, the single event collection device, the software coincidence device, and the hybrid image reconstruction device; and a display and operation controller.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
[0066] An embodiment of the present invention will be described in detail below with reference to the drawings. Note that the present invention is riot limited to the description of the following embodiment or practical examples. The components of the embodiment and practical examples described below include ones easily conceivable by those skilled in the art, substantially identical ones, and ones within the so-called range of equivalency. The components of the embodiment and practical examples described below may be combined as appropriate, or selected and used as appropriate.
[0067] The embodiment of the present invention is a hybrid image reconstruction technique as an iterative approximation image reconstruction method, and includes production of updated images using a PET event and a Compton event separately in each iteration, and combination of the two updated images by weighted averaging to obtain an updated image.
[0068] According to a first technique for hybrid image reconstruction according to the embodiment of the present invention, as shown in
[0069] In a second technique using subsets for the hybrid image reconstruction according to the embodiment of the present invention, as shown in
[0070]
[0071] Next, a third technique for making a sub iteration multiple times in the hybrid image reconstruction according to the embodiment of the present invention will be described with reference to
[0072] In this technique, the count value k of the counter is reset in step 1300. An image is initialized in step 1310 to obtain a current image in step 1320. The processing then proceeds to step 1330, where a sub iteration is made to update an iterative approximation image by a subset of the PET event, using subsets 1332 of the PET event. The subsets are used for respective sub iterations in order, and return to the zeroth subset after the last one.
[0073] Update 1340 of an iterative approximation image by a subset of the Compton event is similarly performed to update the iterative approximation image by a subset, using subsets 1342 of the Compton event. The subsets are used for respective sub iterations in order, and return to the zeroth subset after the last one.
[0074] When both the sub iterations for the update 1330 of an iterative approximation image using the subsets of the PET event and the sub iterations for the update 1340 of an iterative approximation image using the subsets of the Compton event end, an adder 1350 performs weighted addition by multiplication of predetermined factors β (0<β<1) and (1−β) to obtain an updated image 1360.
[0075] The processing then proceeds to step 1370 to count up the count value k of the counter by one. In step 1380, whether the count value k is less than the setting value K is determined. If the determination in step 1380 is positive, the processing returns to step 1320 to repeat the main iteration.
[0076] If the count value k is determined to have reached the setting value K in step 1380, the processing proceeds to step 1390 to output the image.
[0077] Next, a fourth technique for setting the numbers of times of sub iterations with a PET event and a Compton event separately in the hybrid image reconstruction according to the embodiment of the present invention will be described with reference to
[0078] In this technique, count values k, l.sub.p, and l.sub.c of counters are each initially reset to zero in step 1400.
[0079] The processing then proceeds to step 1410, where an image is initialized to obtain a current image 1420.
[0080] The processing then proceeds to step 1430. The update 1430 of an iterative approximate image by a PET event uses subsets 1432 of the PET event. The count value l.sub.p of the counter is counted Up in step 1440, and the sub iteration is repeated until the count value l.sub.p reaches a set number of times N.sub.p.
[0081] Meanwhile, the update 1450 of an iterative approximate image by a Compton event uses subsets 1452 of the Compton event. The count value l.sub.c of the counter is counted up in step 1460, and the sub iteration is repeated until the count value l.sub.c reaches a predetermined number of times L.sub.c.
[0082] When the update of the iterative approximation image based on the count value l.sub.p of the PET event subset counter and The update of the iterative approximation image based on the count value l.sub.c of the Compton event subset counter end, an adder 1470 performs weighted addition to obtain an updated image 1480. The processing then proceeds to step 1490 to count up the count value k of the counter by one. In step 1500, whether the count value k has reached the setting value K is determined. If the count value k has not reached the predetermined value, the processing returns to step 1420 to repeat the main iteration.
[0083] If, in step 1500, the count value k of the counter is determined to have reached the setting value K, the processing proceeds to step 1510 to output the image.
[0084]
[0085] Next, a fifth technique for the hybrid image reconstruction according to the embodiment of the present invention will be described. with reference to
[0086] In this technique, the count value k of the counter is initially reset to zero in step 1600. In step 1610, an image is initialized. In step 1620, a current image is obtained.
[0087] Next, the image is updated by a PET event in step 1630, updated by an annihilation radiation Compton event in step 1640, and updated by a single gamma-ray event in step 1650.
[0088] The processing then proceeds to an adder 1660, which weights and adds respective predetermined factors β.sub.1, β.sub.2, and β.sub.3 (β.sub.1+β.sub.2+β.sub.3=1) to obtain an updated image 1670.
[0089] Next, in step 1680, the count value k of the counter is counted up by one. In step 1690, whether the count value k of the counter is less than the setting value K is determined. If the determination is positive, the processing proceeds to step 1620 to repeat the image update in steps 1630, 1640, and 1650.
[0090] If the determination in step 1690 is negative, the processing proceeds to step 1700 to output the image.
[0091] Next, a sixth technique for the hybrid image reconstruction according to the embodiment of the present invention will be described with reference to
[0092] After the image update, an adder 1880 performs weighted addition using factors β.sub.1, β.sub.2, β.sub.3, β.sub.4, and β.sub.5 (β.sub.1+β.sub.2+β.sub.3+β.sub.4+β.sub.5=1) to obtain an updated image 1890. The processing then proceeds to step 1900 to count up the count value k of the counter by one. In step 1910, whether the count value k of the counter is less than, the setting value K is determined. If the determination is positive, the processing proceeds to step 1820 to repeat the image update.
[0093] On the other hand, if the determination in step 1910 is negative, the image is outputted in step 1920.
[0094] Next, a seventh technique for the hybrid image reconstruction according to the embodiment of the present invention will be described with reference to
[0095] In this technique, the count value k of the counter is reset to zero in step 2000. In step 2010, an image is initialized. In step 2020, a current image is obtained.
[0096] Next, an image is updated by a PET event with time of flight (TOF) information in step 2030, updated by a normal PET event without TOF information in step 2040, and updated by a Compton event in step 2050.
[0097] After the end of the respective independent image updates, an adder 2060 weights and adds the respective outputs using factors β.sub.1, β.sub.2, and β.sub.3 (β.sub.1+β.sub.2+β.sub.3=1) to obtain an updated image of step 2070.
[0098] The processing then proceeds to step 2080 to count up the count value k of the counter by one. In step 2090, whether the count value k of the counter is less than the setting value K is determined. If the determination is positive, the processing returns to step 2020 to repeat the image update in steps 2030, 2040, and 2050.
[0099] On the other hand, if the determination in step 2090 is negative, the processing proceeds to step 2100 to output the image.
[0100] Next, an eighth technique for the hybrid image reconstruction according to the embodiment of the present invention will be described with reference to
[0101] In this eighth technique, the count value k of the counter is reset to zero in step 2200. After image initialization in step 2210, a current image is obtained in step 2220.
[0102] Next, the image is updated by a PET event in step 2230, updated by a Compton event in step 2400, and updated by a 3-gamma event in step 2500. After the image update, an adder 2260 performs weighted addition using factors β.sub.1, β.sub.2, and (β.sub.3+β.sub.2β.sub.3=1) to obtain an updated image 2270.
[0103] Next, in step 2280, the count value k of the counter is counted up by one. The processing then proceeds to step 2290, and whether the count value k of the counter is less than the setting value K is determined. If the determination is positive, the processing returns to step 2220.
[0104] On the other hand, if the determination in step 2290 is negative, the processing proceeds to step 2300 to output the image.
[0105] While all of the foregoing techniques use the number of times of iterations as the condition to end the iteration. However, the condition to end iteration is not limited thereto.
[0106] The techniques according to the embodiment of the present invention can correct properties specific to respective events separately like sensitivity correction. This enables stable image update since the information to be combined has the same dimensions and quantitative properties. Moreover, as shown in
[0107] Moreover, if scatterer detectors and absorber detectors differ greatly in spatial resolution, PET event updated images can be produced for respective detector combinations and averaged with weights.
[0108] Since convergence properties vary depending on the event type, the final convergence properties can be improved by devising the numbers of subsets and the timing to combine the updated images. For example, after several iterations for obtaining a Compton event updated image, the Compton event updated image may be combined with a PET event image obtained by one iteration.
[0109] Furthermore, the total value of the weighting factors is not limited to 1. For example, the factors can be changed to make the total value smaller than 1 depending on the iterations, so that both improvement of the convergence properties by the use of the subsets and improvement of the image quality due to reduced noise propagation are achieved.
[0110]
[0111] In the procedure shown in
[0112] If the determination is positive, the processing proceeds to step 3020 to select the pair of single events.
[0113] Next, in step 3030, the combination of the detectors is determined.
[0114] If the detectors are either scatterer detectors or absorber detectors, the processing proceeds to step 3040 to determine whether each event falls within the energy window of annihilation radiation (for example, 400 to 600 keV). If the determination is negative, the processing returns to step 3010.
[0115] On the other hand, if the detectors are a combination of a scatterer detector and an absorber detector, the processing proceeds to step 3050 to determine whether each event falls within the energy window of annihilation radiation (for example, 400 to 600 keV). If the determination in step 3050 is negative, the processing proceeds to step 3060 to determine whether the total energy falls within the energy window of annihilation radiation (for example, 400 to 600 keV).
[0116] If the determination in step 3060 is positive, the processing proceeds to step 3070 to determine whether the scatterer detector falls within the scattering angle-limited energy window of annihilation radiation (for example, 10 to 120 keV). If the determination is positive, the processing proceeds to step 3080 to determine whether there is an event (total of a scatterer detector and an absorber detector, or singly) in the energy window of annihilation radiation within the same time window.
[0117] On the other hand, if the determination in step 3060 or 3070 is negative, the processing proceeds to step 3090 to determine whether the total energy falls within the energy window of a single gamma ray (for example, 800 to 1000 keV) and the scatterer detector falls within the angle-limited energy window of a single gamma-ray (for example, 10 to 350 keV).
[0118] If the determination in step 3090 is positive, the processing proceeds to step 3120 to extract the events as a single gamma-ray Compton event. If the determination is negative, the processing returns to step 3010.
[0119] If the determination in the foregoing step 3040, 3050, or 3080 is positive, the processing proceeds to step 3100 to extract the events as a PET event.
[0120] If the determination in step 3080 is negative, the processing proceeds to step 3110 to extract the events as an annihilation radiation Compton event.
[0121] On the other hand, if the determination in step 3010 is negative, then in step 3200, the processing proceeds to the next time window.
[0122] High quality images can be stably reconstructed by applying the hybrid image reconstruction techniques to the respective extracted events.
[0123] To apply the techniques according to the embodiment of the present invention, PET events and Compton events need to be measurable from the same distribution.
[0124] Instead of the scatterer detector ring 70 being located inside the absorber detector ring 80 with their positions in the body axis direction of the patient 62 matched as shown in
[0125] Instead of the annular configuration, only the scatterer detectors may be configured as a partial ring 76 as shown in
[0126] Examples of the detectors to be used include: a scintillation detector 100 constituted by a scintillator array 102 and a photodetector 104, which is commonly used as a PET detector, as shown in
[0127] The multi-ring system can be implemented by arranging semiconductor radiation detectors 120 at appropriate distances as shown in
[0128] Measurable field of view of a Compton event is wider than that of a PET event. However, the spatial resolution deteriorates in proportion to the distance from the detectors. So, the pixel size can be increased to reduce the amount of calculation in performing image reconstruction outside the range where PET events can be measured as shown in
[0129] Both PET events and Compton events need coincidence measurement. However, a hardware coincidence circuit is considered to be difficult to implement. The reason is that complicate processing is needed, like a Compton event can desirably be extracted as a PET event depending on the energy as illustrated in the flowchart of
[0130] The hybrid image reconstruction technique is characterized in that updated images are produced using a PET event and a Compton event independently of each other in each sub iteration and added to produce a new updated image by weighted averaging. Here, various correction methods such as sensitivity correction, absorption correction, and scattering correction can be independently applied. Since the updated images have the same dimensions and quantitative properties, a stable solution can be easily obtained by combining the updated images. Aside from the list-mode OSEM, various iterative approximation methods such as MAP-EM (Maximum a Posterior-Expectation Maximization) using a priori information about images can be applied.
[0131] Detectors capable of obtaining TOF (Time Of Flight) information can also be used. As shown in
[0132] If a nuclide that simultaneously emits single gamma-rays and positrons, such as .sup.44Sc, is used and a PET event and a single gamma-ray Compton event coincide in the same time window, the position of the radiation source can be limited to an intersection of the LOR and the Compton cone. As shown in
[0133]
[0134] This nuclear medicine device performs on-the-fly software calculation as shown in
[0135] In step 4020, the single event collection device 210 writes single events into the single event storage 220.
[0136] Meanwhile, the software coincidence device 230 starts software coincidence processing at the start of measurement. In step 4030, the software coincidence device 230 extracts PET events and Compton events based on the single events read from the single event storage 220. In step 4040, the software coincidence device 230 writes the extracted events into the extracted event storage 240.
[0137] The processing then proceeds to step 4050, where the hybrid image reconstruction device 250 performs the hybrid image reconstruction according to the embodiment of the present invention using the PET events and Compton events.
[0138]
[0139] To demonstrate the efficiency and safety of the hybrid reconstruction technique, PET events only between the scatterer detectors inside were extracted. For Compton events, only 909-keV single gamma-rays were extracted.
[0140]
[0141] For the iterative approximation image reconstruction method, a list-mode method can be used, for example. However, the image reconstruction method is not limited thereto.
INDUSTRIAL APPLICABILITY
[0142] A new nuclear medicine device combining the principles of PET and a Compton camera can be implemented by using the hybrid image reconstruction technique of the present invention. This device can improve the sensitivity of inspections using a normal PET nuclide and stably improve image quality. In addition, when a nuclide that emits single gamma-rays from the same distribution, such as .sup.89Zr, is used, the device is expected to significantly improve image quality since components that only cause noise in an ordinary PET device can be effectively used for imaging. In particular, long half-life nuclides such as .sup.89Zr having a half-life of 3.3 days enable follow-up over a long period where commonly-used .sup.18F-FDG with a half-life of 110 minutes is unable to be measured due to attenuation. Demand for such a device is expected to grow in the future for various pharmacokinetic analyses and inspections. The present technique absolutely essential for the implementation of the device can be expected to become industrially important.
REFERENCE SIGNS LIST
[0143] 60 . . . nuclide
[0144] 62. . . patient
[0145] 64 . . . bed
[0146] 68 . . . mouse
[0147] 70, 70A, 70B . . . scatterer detector ring
[0148] 72 . . . scatterer detector block
[0149] 74 . . . scatterer detector block array
[0150] 76 . . . partial scatterer detector ring
[0151] 78 . . . scatterer detector
[0152] 80 . . . absorber detector ring
[0153] 82 . . . absorber detector block
[0154] 86 . . . partial absorber detector ring
[0155] 88 . . . absorber detector
[0156] 100 . . . scintillation detector
[0157] 102 . . . scintillator array
[0158] 104 . . . photodetector
[0159] 110 . . . DOI detector
[0160] 120 . . . semiconductor radiation detector
[0161] 200 . . . PET-Compton event simultaneous measurement device
[0162] 210 . . . single event collection device
[0163] 220 . . . single event storage
[0164] 230 . . . software coincidence device
[0165] 240 . . . extracted event storage
[0166] 250 . . . hybrid image reconstruction device
[0167] 260 . . . control device