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Short-term PET-derived kinetic estimation for the diagnosis of hepatocellular carcinoma: a combination of the maximum-slope method and dual-input three-compartment model

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机构: [1]Kunming Univ Sci & Technol, Fac Informat Engn & Automat, Yunnan Key Lab Artificial Intelligence, Kunming 650500, Yunnan, Peoples R China [2]Kunming Univ Sci & Technol, Peoples Hosp Yunnan 1, PET CT Ctr, Affiliated Hosp, Kunming 650031, Peoples R China [3]Kunming Univ Sci & Technol, Inst Primate Translat Med, Yunnan Key Lab Primate Biomed Res, Kunming, Peoples R China
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关键词: Hepatocellular carcinomas Positron-emission tomography Compartmental model

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Background Kinetic estimation provides fitted parameters related to blood flow perfusion and fluorine-18-fluorodeoxyglucose (F-18-FDG) transport and intracellular metabolism to characterize hepatocellular carcinoma (HCC) but usually requires 60 min or more for dynamic PET, which is time-consuming and impractical in a busy clinical setting and has poor patient tolerance. Methods This study preliminarily evaluated the equivalence of liver kinetic estimation between short-term (5-min dynamic data supplemented with 1-min static data at 60 min postinjection) and fully 60-min dynamic protocols and whether short-term F-18-FDG PET-derived kinetic parameters using a three-compartment model can be used to discriminate HCC from the background liver tissue. Then, we proposed a combined model, a combination of the maximum-slope method and a three-compartment model, to improve kinetic estimation. Results There is a strong correlation between the kinetic parameters K-1 similar to k(3), HPI and Vb in the short-term and fully dynamic protocols. With the three-compartment model, HCCs were found to have higher k(2), HPI and k3 values than background liver tissues, while K-1, k(4) and V-b values were not significantly different between HCCs and background liver tissues. With the combined model, HCCs were found to have higher HPI, K-1 and k(2), k(3) and V-b values than background liver tissues; however, the k(4) value was not significantly different between HCCs and the background liver tissues. Conclusions Short-term PET is closely equivalent to fully dynamic PET for liver kinetic estimation. Short-term PET derived kinetic parameters can be used to distinguish HCC from background liver tissue, and the combined model improves the kinetic estimation. Clinical relevance statement Short-term PET could be used for hepatic kinetic parameter estimation. The combined model could improve the estimation of liver kinetic parameters.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 2 区 核医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2022]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者机构: [1]Kunming Univ Sci & Technol, Fac Informat Engn & Automat, Yunnan Key Lab Artificial Intelligence, Kunming 650500, Yunnan, Peoples R China
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通讯机构: [2]Kunming Univ Sci & Technol, Peoples Hosp Yunnan 1, PET CT Ctr, Affiliated Hosp, Kunming 650031, Peoples R China [3]Kunming Univ Sci & Technol, Inst Primate Translat Med, Yunnan Key Lab Primate Biomed Res, Kunming, Peoples R China
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