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KMID : 0861420110150020013
Korean Journal of Nuclear Medicine Technology
2011 Volume.15 No. 2 p.13 ~ p.20
The Evaluation of the Difference of the SUV Caused by DFOV Change in PET/CT
Kwak In-Suk

Lee Hyuk
Choi Sung-Ook
Seok Jae-Dong
Abstract
Purpose:The limited FOV(Field of View) of CT (Computed Tomography) can cause truncation artifact at
external DFOV (Display Field of View) in PET/CT image. In our study, we measured the difference of SUV and
compared the influence affecting to the image reconstructed with the extended DFOV.

Materials and Methods: NEMA 1994 PET Phantom was filled with 18F(FDG) of 5.3 kBq/mL and placed at the center of FOV. Phantom images were acquired through emission scan. Shift the phantom¡¯s location to the external edge of DFOV and images were acquired with same method. All of acquired data through each experiment were reconstructed with same method, DFOV was applied 50 cm and 70 cm respectively. Then ROI was set up on the emission image,
performed the comparative analysis SUV. In the clinical test, patient group shown truncation artifact was
selected. ROI was set up at the liver of patient¡¯s image and performed the comparative analysis SUV according
to the change of DFOV.

Results:The pixel size was increase from 3.91 mm to 5.47 mm according to the DFOV
increment in the centered location phantom study. When extended DFOV was applied, maxSUV of ROI was
decreased from 1.49 to 1.35. In case of shifted the center of phantom location study, maxSUV was decreased from
1.30 to 1.20. The maxSUV was 1.51 at the truncated region in the extended DFOV. The difference of the maxSUV
was 25.9% higher at the outside of the truncated region than inside. When the extended DFOV was applied,
maxSUV was decreased from 3.38 to 3.13.

Conclusion:When the extended DFOV was applied, maxSUV
decreasing phenomenon can cause pixel to pixel noise by increasing of pixel size. In this reason, maxSUV was
underestimated. Therefore, We should consider the underestimation of quantitative result in the whole image
plane in case of patient study applied extended DFOV protocol. Consequently, the result of the quantitative
analysis may show more higher than inside at the truncated region.
KEYWORD
SUV (Standardized Uptake Value), DFOV (Display Field of View)
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