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Brain Single Photon Emission Computed Tomography and Magnetic Resonance Imaging Volume Co-registration: Reproducibilty of a New Methodology

 A. Koerner, B. B. Roberts, J. P. Norenberg, J. A. Sanders, L. K. Arata and M. H. Hartshorne
  
 

Abstract:
Abstract: This project was designed to determine the reproducibility of brain SPECT-MR volume co-registration using a semi-automated computer program developed by Picker International. SPECT images were acquired using a triple-headed Picker 3000 gamma camera with a 20-minute acquisition starting 10 minutes after intravenous injections of 99mTc-HMPAO. Image reconstruction used simultaneous transmission-emission protocol. MR images were obtained with a Picker Edge 1.5 tesla MR scanner. SPECT and MR images for six subjects were volume co-registered on six separate occasions using a semi-automated Picker program and workstation by three operators. The co- registration program initially brings an individual's SPECT and MR images to the screen in the same relative position each time, with pre-registration values of '0' assigned to three axes and three angles. These coordinate values are derived from image pixel addresses assigned during acquisition. As the structural and functional images are manipulated simultaneously in transverse, coronal, and sagittal views, the registration coordinates change accordingly and are expressed in millimeters and degrees. Post-registration coordinate and angle values were compared across operators, registrations, subjects, axes, and angles to determine the degree of variability inherent in the co-registration process. The results were highly reproducible, with spatial variations smaller than the 3.56 mm thickness of a SPECT slice.

 
 


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