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Biomedical subjects

B M Mazoyer

Publications and source records attributed to B M Mazoyer.

23 records · Page 2Linked to original sources

Chest radiography with a shaped filter at 140 kVp: its diagnostic accuracy compared with that of standard radiographs.

The effectiveness of a shaped filter in the detection of mediastinal and retrocardiac abnormalities on 140-kVp posteroanterior chest radiographs was measured by observer-performance testing. A set of 100 radiographs (the filtered and nonfiltered radiographs of 50 patients) were randomly selected from 1000 radiographs obtained from 500 outpatients or hospitalized patients. Five observers independently interpreted the set of radiographs, with one observer interpreting the set twice. Observer performance in detecting abnormalities in the mediastinum and the retrocardiac lung were analyzed by using receiver-operating characteristic techniques. The results indicate that the use of a filter has no significant overall diagnostic advantage (areas under the receiver-operating characteristic curves were 0.90 for the filtered radiographs and 0.89 for the unfiltered radiographs). No significant differences were found in the analysis of the various types or locations of lesions in the mediastinum.

Filtration↗

Kinetic data analysis with a noisy input function.

Methods of parameter estimation are proposed for the analysis of dynamic experiments in which the input function is noisy. Noise in the input function leads to uncertainties in the calculated model-predicted values, and therefore the covariance matrix of the residuals is a function of the model parameters. These statistical uncertainties in the model-predicted values significantly change the nature of the fitting process and the quality of the results. The proposed optimisation methods use weighted least-squares criteria, and three choices for the weighting matrix are considered. The proposed weighting matrices, in order of complexity are: (1) the identity matrix (no weighting), (2) the covariance matrix of the data (ignoring the noise in the input function), and (3) the full covariance matrix of the residuals (incorporating both the noise in the data and the noise in the input function). The methodology is applied to dynamic emission tomography studies of the heart, where the blood (input) and tissue tracer concentrations at each time are derived from two regions of interest in the same tomographic slice. Computer stimulations of compartmental systems show that parameters and their covariance matrix are more accurately estimated when the full covariance matrix of the residuals is used as a weighting matrix rather than either of the other two methods. For the practical example considered, parameter bias was increased by a factor of at least four when the noise in the input function was ignored, and one parameter had a bias of 24% when the unweighted least-squares criterion was used.

Computer Simulation↗

Methodologic factors affecting PET measurements of cerebral glucose metabolism.

Measurements of cerebral glucose utilization rates in similar populations of human subjects under similar conditions vary considerably because of methods used in data collection and analysis. Using data acquired in two patients, we evaluated the effects of time schedule of data collection, region of interest size, method of attenuation correction, and input function shape on LCMRglu determined by dynamic positron emission tomographic scanning and calculation of rate constants. These different strategies of data acquisition and analysis produced variations of 3 to 14% in calculated LCMRglu. These factors, in conjunction with the well described effects of instrument resolution and sensitivity may account for data discrepancies in the literature.

Brain↗

Dead time correction and counting statistics for positron tomography.

A correction for loss of events due to dead time in dynamic positron emission tomography (PET) is presented. The model employs a paralysing dead time to describe the behaviour of a tomograph over the range of event rates normally encountered in patient studies (up to 200 000 events/s per detector layer). The Donner 280-crystal positron tomograph has a dead time of 1.8 microseconds/event for observed count rates less than 200 000 events/s. The dead time correction factor is 1.8 at 180 000 events/s. The correction is applied to projection data and region of interest analysis of dynamic PET studies, and formulae for the covariances between corrected projection data and between counts in regions of interest in different images from the same dynamic study are established. At 180 000 events/s, the variance of the actual (corrected) number of events in a region containing 3.34 X 10(5) actual events is predicted from the model to be 3.86 X 10(6) (events)2, more than 10 times the variance that would be expected from a naive assumption of Poisson statistics. These statistical results are verified experimentally. An error of 25% is observed in myocardial flow if dead time compensation is not applied, showing the necessity for this correction.

Animals↗

Dynamic PET data analysis.

A general method for estimating the precision of parameters resulting from the use of various experimental designs (rate of injection and rate of tomographic data collection) in emission tomography studies is proposed. The sensitivity matrix of the study model and an estimate of the statistical uncertainty of the tomographic data are used to compute the covariance matrix of the parameters. The determinant of this covariance matrix (proportional to the total volume of uncertainty of the model parameters) serves as a criterion to be minimized. The method is applied to a three-compartment, three-transfer rate constant for glucose metabolism using dynamic positron emission tomography, and a comparison of various current protocols is made with simulated data. The results show that higher rates of injection and higher rates of tomographic data collection at early times lead to smaller statistical uncertainties for the estimates of rate constants. However, for the range of rate constants encountered in practice, differences are insignificant when an initial scan duration less than 30 s is used, without regarding the injection duration.

Deoxyglucose↗