Feasibility of attenuation map alignment in pinhole cardiac SPECT using exponential data consistency conditions.

Purpose: Dedicated cardiac SPECT systems do not typically include an integrated CT scanner and thus attenuation correction requires registration of separately acquired transmission scans. Data consistency conditions are equations that express the redundancy between projections while taking into account the attenuation effects. This study assessed the feasibility of applying exponential data consistency conditions to rebinned pinhole projections for attenuation-map registration in pinhole cardiac SPECT.

Methods: Simulations of an anthropomorphic computer phantom with three different tracer activity distributions were performed with and without clinical levels of noise in the projection data. The first activity distribution contained activity only within the myocardium which satisfied the assumptions of the data consistency conditions. The other two distributions violated these assumptions by adding background activity and uptake in the liver. Simulations included acquisitions with 360, 31, and 9 pinhole projections and detector pixel sizes of 0.75 and 2.5 mm. A metric based on the average difference between pairs of exponential projections was used to evaluate registration accuracy.

Results: When activity is restricted to the myocardium, the registration error was 3.0 mm for 31 noisy pinhole projections with a detector size of 2.5 mm. When activity is added to the background and the liver, a correction for the extra-cardiac activity is needed but when applied, a registration error of 6.0 mm was achieved.

Conclusion: These results suggest that it may be feasible to use exponential data consistency conditions to register pinhole cardiac SPECT and CT transmission data. Taxonomy: 8-6 (IM-SPECT/Registration).