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@ARTICLE{Taeubert:163182,
author = {L. Taeubert$^*$ and Y. Berker$^*$ and B.
Beuthien-Baumann$^*$ and A. L. Hoffmann and E. G. C.
Troost$^*$ and M. Kachelriess$^*$ and C. Gillmann$^*$},
title = {{CT}-based attenuation correction of whole-body
radiotherapy treatment positioning devices in {PET}/{MRI}
hybrid imaging.},
journal = {Physics in medicine and biology},
volume = {65},
number = {23},
issn = {1361-6560},
address = {Bristol},
publisher = {IOP Publ.},
reportid = {DKFZ-2020-01885},
pages = {23NT02},
year = {2020},
note = {#EA:E040#LA:#E0402020 Nov 27;65(23):23NT02},
abstract = {Objective To implement Computed Tomography (CT)-based
attenuation maps of radiotherapy (RT) positioning hardware
and radiofrequency (RF) coils to enable hybrid positron
emission tomography/magnetic resonance imaging
(PET/MRI)-based RT treatment planning. Materials and Methods
The RT positioning hardware consisted of a flat RT table
overlay, coil holders for abdominal scans, coil holders for
head and neck scans and an MRI compatible hip and leg
immobilization system. CT images of each hardware element
were acquired on a CT scanner. Based on the CT images,
attenuation maps of the devices were created. Validation
measurements were performed on a PET/MR scanner using a 68Ge
phantom (48 MBq, 10 min scan time). Scans with each device
in treatment position were performed. Then, reference scans
containing only the phantom were taken. The scans were
reconstructed online (at the PET/MRI scanner) and offline
(via e7tools on a PC) using identical reconstruction
parameters. Average reconstructed activity concentrations of
the device and reference scans were compared. Results The
device attenuation maps were successfully implemented. The
RT positioning devices caused an average decrease of
reconstructed PET activity concentration in the range
between -8.3 ± 2.1 $\%$ (mean ± SD) (head and neck coil
holder with coils) to -1.0 ± 0.5 $\%$ (abdominal coil
holder). With attenuation correction taking into account RT
hardware, these values were reduced to -2.0 ± 1.2 $\%$ and
0.6 ± 0.5 $\%,$ respectively. The results of the offline
and online reconstructions were nearly identical, with a
difference of up to 0.2 $\%.$ Conclusion The decrease in
reconstructed activity concentration caused by the RT
positioning devices is clinically relevant and can
successfully be corrected using CT-based attenuation maps.
Both the offline and online reconstruction methods are
viable options.},
cin = {E040 / E025 / E010 / DD01},
ddc = {530},
cid = {I:(DE-He78)E040-20160331 / I:(DE-He78)E025-20160331 /
I:(DE-He78)E010-20160331 / I:(DE-He78)DD01-20160331},
pnm = {315 - Imaging and radiooncology (POF3-315)},
pid = {G:(DE-HGF)POF3-315},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32916667},
doi = {10.1088/1361-6560/abb7c3},
url = {https://inrepo02.dkfz.de/record/163182},
}