Assessment of a digital and an analog PET/CT system for accurate myocardial perfusion imaging with a flow phantom

ABSTRACT: In Myocardial Perfusion Imaging (MPI) with Positron Emission Tomography/Computed Tomography (PET/CT) systems, accurate quantification is essential. We assessed flow quantification accuracy over various injected activities using a flow phantom. METHODS: The study was performed on the digital 4-ring Discovery MI (DMI-20) and analog Discovery 690 (D690) PET/CT systems, using 325-1257 MBq of [(15)O]H(2)O. PET performance and flow quantification accuracy were assessed in terms of count-rates, dead-time factors (DTF), scatter fractions (SF), time-activity curves (TACs), areas-under-the-curves (AUCs) and flow values. RESULTS: On DMI-20, prompts of 12.8 Mcps, DTF of 2.06 and SF of 46.1% were measured with 1257 MBq of activity. On the D690, prompts of 6.85 Mcps, DTF of 1.57 and SF of 32.5% were measured with 1230 MBq of activity. AUC values were linear over all activities. Mean wash-in flow error was − 9% for both systems whereas wash-out flow error was − 5% and − 6% for DMI-20 and D690. With the highest activity, wash-out flow error was − 12% and − 7% for the DMI-20 and D690. CONCLUSION: DMI-20 and D690 preserved accurate flow quantification over all injected activities, with maximum error of − 12%. In the future, flow quantification accuracy over the activities and count-rates evaluated in this study should be assessed. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s12350-021-02631-9) contains supplementary material, which is available to authorized users.