A1 Refereed original research article in a scientific journal
Measurement uncertainty quantification for myocardial perfusion using cardiac positron emission tomography imaging
Authors: Partarrieu Ignacio X., Jagan Kavya, Fenwick Andrew, Han Chunlei, Siekkinen Reetta, Teuho Jarmo, Saraste Antti, Smith Nadia A. S.
Publisher: IOP Publishing Ltd
Publication year: 2022
Journal: Measurement Science and Technology
Journal name in source: MEASUREMENT SCIENCE AND TECHNOLOGY
Journal acronym: MEAS SCI TECHNOL
Article number: 064002
Volume: 33
Number of pages: 7
ISSN: 0957-0233
eISSN: 1361-6501
DOI: https://doi.org/10.1088/1361-6501/ac58e3(external)
Web address : https://iopscience.iop.org/article/10.1088/1361-6501/ac58e3(external)
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/175062266(external)
Perfusion, the flow of blood, and hence oxygen, is essential to the functioning of the heart. Reduced perfusion (or ischemia), is a reliable indicator of the presence of significant obstructive coronary artery disease (CAD), which is one of the biggest causes of death in Europe. Myocardial perfusion imaging is a non-invasive technique used in the diagnosis, management and prognosis of CAD and is a key component in the triage of patients into treatment and non-treatment groups. Cardiac positron emission tomography (PET) is an imaging technique with high sensitivity and specificity to CAD, however perfusion measurements are difficult to calibrate against a common reference standard, and confidence in them is generally not quantified in terms of measurement uncertainty. There are a number of steps involved in measuring perfusion using cardiac PET-from patient preparation to data analysis-each associated with potential sources of uncertainty. The absence of measurement uncertainty quantification can lead to inaccuracies in measurement results, a lack of comparability between devices or scanning facilities, and is likely to be detrimental to a decision-making process. In this paper, we identify some of the sources of measurement uncertainty in the cardiac PET perfusion measurement pipeline. We assess their relative contribution by performing a sensitivity analysis using experimental data of a flow phantom acquired on a PET scanner. The results of this analysis will inform users of how parameter choices in their imaging pipeline affect the output of their measurements, and serves as a starting point to develop an uncertainty quantification method.
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