# Supplemental transmission aided attenuation correction for high performance quantitative PET imaging

> **NIH NIH R03** · UT SOUTHWESTERN MEDICAL CENTER · 2020 · $86,276

## Abstract

PROJECT SUMMARY
Quantitative tracer images from combined PET-CT and PET-MR are increasingly being utilized for radiological
decision-making and clinical trials. CT and MR based data corrections for PET photon attenuation, typically the
largest impact on tracer quantification, can lead to increased radiation dose to the subject or require lengthy
additional dedicated MR scans, respectively. Algorithms using the PET signal originating from the subject to
jointly estimate both the attenuation and tracer contrast have been proposed as robust alternatives, but, to
date, have failed to match the quantification of CT approaches. Consequently, no single approach for PET
attenuation correction that produces high quantification and does not compromise patient safety or throughput
currently exists. This is an important problem, since research and clinical findings must balance these practical
issues with data quality. The overall objective of this proposal is to develop and characterize a high
performance attenuation correction scheme that utilizes both the PET signal from the subject and a variable
activity external source. The central hypothesis is that the proposed reconstruction method will have
significantly improved performance over algorithms using PET signal originating from the subject alone,
independent of the imaging study. The two specific aims include: 1) developing and validating a supplemental
transmission-based algorithm for correcting PET images for photon attenuation during commercial PET
imaging and 2) prototyping and characterizing a device capable of dynamically varying external source activity.
The result of Aim 1 will be a reconstruction algorithm that is optimized to produce quantitative PET data for
some of the most common clinical PET studies. Under Aim 2, a prototype device that can repeatability vary the
external source activity in order to maximize tracer quantification while minimizing the unavoidable degradation
to patient tracer image noise, caused by the introduction of any external source, will be produced. The
innovation is an attenuation correction strategy that greatly mitigates the limitations of previous joint
reconstruction methods to deliver quantitative PET diagnostics that are expected to match those of silver
standard CT approaches. This is significant because the number of patients receiving brain and cardiac PET-
CT scans, exams the proposed method is expected to benefit, is steadily increasing. For PET-MR, the method
may improve tracer quantification where MR has limited performance and increase patient throughput by
eliminating the need for non-diagnostic attenuation-only MR acquisitions. Thus, the proposed strategy has
great potential to significantly improve radiological decision-making and clinical trial findings that rely on
quantitative PET uptake measurements.

## Key facts

- **NIH application ID:** 10308169
- **Project number:** 7R03EB028946-02
- **Recipient organization:** UT SOUTHWESTERN MEDICAL CENTER
- **Principal Investigator:** Spencer L. Bowen
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $86,276
- **Award type:** 7
- **Project period:** 2020-08-01 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10308169

## Citation

> US National Institutes of Health, RePORTER application 10308169, Supplemental transmission aided attenuation correction for high performance quantitative PET imaging (7R03EB028946-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10308169. Licensed CC0.

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