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AbstractAbstract
[en] Positron emission tomography (PET) is a nuclear imaging modality that allows studying in vivo cellular metabolic and biochemical processes. During the 90's, there has been a growing interest in the applications of PET in oncology related to the use of a glucose analog (FDG) labeled with the positron emitter 18F. This tracer of the glucose metabolism is trapped in the cancer cells characterized by a deregulated glycolytic activity. This allows detecting tumors and metastases. The interest of PET in oncology has lead to develop imaging systems and protocols to perform whole-body acquisitions of the patient. Whole-body PET imaging has been limited in practice by the high level of statistical noise that affects the detection of small lesions due to limited radioactive dose injected to the patient and short acquisition time. In this context, our work focused on the optimization of detection performances in whole-body 18F-FDG PET images. We have first developed an original method to evaluate detectability based on the psychophysical approach of the ROC methodology and adapted to the specificity of whole-body PET images. This method was used to evaluate detection performances of different reconstruction algorithms used for whole-body imaging. We have also studied the influence of the acquisition mode, namely the 2D and the 3D modes. To that purpose, we have used the NEC index to select relevant statistical acquisition conditions in both acquisition modes as a function of the injected dose to the patient. Then, we have compared the detection performances of these different acquisition conditions based on our psychophysical evaluation technique. (author)
[fr]
La tomographie par emission de positons (TEP) est une methode d'imagerie nucleaire permettant d'etudier in vivo les processus metaboliques et biochimiques au niveau cellulaire. Depuis le debut des annees 90, la TEP connait un developpement particulierement prometteur en oncologie, lie a l'utilisation du 18F-FDG. Ce traceur du metabolisme glucidique se concentre dans les cellules cancereuses caracterisees par une activite glycolytique anormalement elevee et permet ainsi de detecter les tumeurs et metastases. L'interet de la TEP en oncologie a motive le developpement de protocoles permettant de fournir une image de l'ensemble du corps. La principale limitation de la TEP corps entier concerne la qualite statistique des images fortement degradee par des contraintes de dose injectee au patient et de duree d'examen. Dans ce cadre, nos travaux ont porte sur l'optimisation des performances de detection des zones d'hyperfixation du 18F-FDG dans les images corps entier. Nous avons developpe une strategie originale d'evaluation de la detectabilite basee sur l'approche psychophysique de la methodologie ROC et adaptee aux specificites de l'imagerie TEP. Cette methode a ete appliquee d'une part a l'evaluation des performances de detection de plusieurs algorithmes de reconstruction utilises en TEP. D'autre part, nous avons etudie l'influence sur la detectabilite des deux modes d'acquisition des donnees, un mode 2D et un mode 3D. Dans cet objectif, nous avons utilise l'index NEC pour selectionner un echantillonnage de conditions statistiques pertinentes en 2D et 3D en fonction de la dose injectee au patient. Puis, nous avons compare les performances de detection de ces differentes configurations d'imagerie a l'aide de la strategie d'evaluation elaboree a cet effetOriginal Title
Optimisation des protocoles d'imagerie corps entier en tomographie par emission de positons pour la detection des hyperfixations du 18F-FDG en oncologie
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Source
31 Mar 2001; 196 p; [200 refs.]; Available from the INIS Liaison Officer for France, see the 'INIS contacts' section of the INIS website for current contact and E-mail addresses: http://www.iaea.org/inis/Contacts/; Also available from Service Commun de la Documentation Direction, Domaine universitaire de Paris-Sud, Bat. 407, Rue du Doyen-Poitou, 91405 ORSAY cedex, (France); Sciences
Record Type
Report
Literature Type
Thesis/Dissertation
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Country of publication
BETA DECAY RADIOISOTOPES, BETA-PLUS DECAY RADIOISOTOPES, COMPUTERIZED TOMOGRAPHY, DIAGNOSTIC TECHNIQUES, EMISSION COMPUTED TOMOGRAPHY, FLUORINE ISOTOPES, HOURS LIVING RADIOISOTOPES, ISOMERIC TRANSITION ISOTOPES, ISOTOPES, LIGHT NUCLEI, MATHEMATICAL LOGIC, NANOSECONDS LIVING RADIOISOTOPES, NUCLEI, ODD-ODD NUCLEI, RADIOISOTOPES, TOMOGRAPHY
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