Emission Tomography Image Reconstruction Confidence Metrics

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Solution Overview

Problem

Iterative image reconstruction in emission imaging, such as PET and SPECT, often results in incomplete convergence and noise amplification, leading to quantitative uncertainty in medical images, especially for small lesions and low radiopharmaceutical dosages, which can cause erroneous clinical conclusions.

Innovation Solution

A method that computes convergence quality metrics by generating intensity versus iteration curves and displaying convergence curves for regions of interest, allowing for improved confidence in image reconstruction and providing quantitative accuracy information, while reducing noise amplification and facilitating reduced iteration numbers.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If the number of iterations is increased to improve convergence, then quantitative accuracy is improved, but noise levels increase

Engineering Contradiction:
Improvequantitative accuracyVSAvoidnoise levels
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by computing convergence metrics specifically for regions of interest (ROIs) rather than uniformly across the entire image. This allows the system to identify which specific regions have converged and which have not, enabling localized assessment of quantitative accuracy without being constrained by noise in non-ROI areas.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent implements partial action by performing a fixed number of iterations that may not achieve full convergence for all regions. Instead of iterating until complete convergence (which would amplify noise excessively), the system performs a predetermined number of iterations and then assesses which regions have sufficiently converged, accepting partial convergence as adequate for clinical purposes.

Inventive Principle:
Principle #16Partial or excessive action

2Object-affected harmful factors

If the iterative reconstruction is stopped early to reduce noise, then noise levels are reduced, but convergence is incomplete leading to quantitative uncertainty

Engineering Contradiction:
Improvenoise levelsVSAvoidquantitative accuracy
Core Design Contradiction:
Object-affected harmful factorsVSMeasurement precision

Solution Approach 1:

The patent implements feedback by computing convergence metrics after a fixed number of iterations and using this information to assess whether regions have converged sufficiently. The convergence metric provides feedback on the quality of reconstruction, allowing clinicians to understand the reliability of quantitative values in different regions without requiring further iterations.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent applies preliminary action by pre-defining regions of interest before the convergence assessment. This allows the system to focus computational resources on evaluating convergence specifically in clinically relevant areas, and to provide targeted convergence information to guide further imaging or treatment decisions.

Inventive Principle:
Principle #10Preliminary action

3Productivity

If a fixed number of iterations is used for all regions, then reconstruction efficiency is improved, but small lesions may not be fully converged

Engineering Contradiction:
Improvereconstruction efficiencyVSAvoidconvergence completeness
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The patent applies segmentation by dividing the image into regions of interest and non-ROI areas, and further segmenting ROIs into subregions based on convergence status. This allows the system to process and assess different regions independently, identifying which specific areas have converged and which require additional iterations or attention.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent implements parameter changes by computing convergence metrics that quantify the state of convergence for each region. These metrics provide information about whether the current number of iterations is sufficient for each specific region, allowing adaptive adjustment of iteration parameters for different anatomical or pathological regions.

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentEP3631762B1Systems and methods to provide confidence values as a measure of quantitative assurance for iteratively reconstructed images in emission tomography
Publication Date: 2021.12.01 KONINKLIJKE PHILIPS NV
  • EP3631762B1 patent drawingFigure 1
  • EP3631762B1 patent drawingFigure 2
  • EP3631762B1 patent drawingFigure 3

AI summary

A non-transitory storage medium stores instructions readable and executable by an imaging workstation (14) including at least one electronic processor (16) operatively connected with a display device (20) to perform an image reconstruction method (100). The method includes: reconstructing imaging data acquired by an image acquisition device (12) using an iterative image reconstruction algorithm to generate at least one reconstructed image (22); delineating one or more contours (26) of the at least one reconstructed image to determine a region of interest (ROI) (24) of the at least one reconstructed image; computing at least one quality metric value (30) of the ROI, the at least one quality metric value including at least one of a convergence quality metric, a partial volume effect (PVE) quality metric, and a local count quality metric; and displaying, on the display device, the at least one quality metric value and the at least one reconstructed image showing the ROI.