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50 protocols using xeleris

1

PET Imaging of [18F]-FLT Uptake

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Patients received an intravenous injection of 185 MBq of [18F]-FLT and then rested for 60 minutes prior to imaging. Imaging was performed with an integrated PET/CT scanner (Discovery LS, GE Healthcare), consisting of a combined full-ring PET scanner (Advance NXi) and an eight-section helical CT scanner (Light Speed Plus). The CT was performed with 140 kV, 80 mA, a tube-rotation time of 0.8 seconds per rotation, a pitch of 1.675 mm/rotation, with CT slice thickness of 3.75 mm at intervals of 3.27 mm and a matrix of 512 by 512 pixels. The CT data were reconstructed with a slice thickness of 5.0 mm and a matrix of 512 by 512 pixels. Patients were allowed normal, quiet breathing during imaging. PET data sets were reconstructed iteratively using the ordered subsets expectation maximization (OSEM) algorithm with segmented attenuation correction (two iterations). PET images were up-interpolated by vendor-provided software to match the CT matrix for image fusion. Independent as well as co-registered images were displayed by using a vendor provided workstation (Xeleris; GE Medical Systems). Images were evaluated by a qualified nuclear medicine physician (RCW).
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2

PET/CT Imaging of Immunotherapy Response

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18F-FDG PET/CT scans were obtained prior to start the combined immunotherapy and chemotherapy treatment within 3 months. PET/CT images were acquired by a dedicated scanner (GEMINI TF Big Bore; Philips Healthcare) in the Department of Nuclear Medicine and PET-CT Centre. All subjects were advised to fast for at least 6 h and have serum glucose levels of less than 11 mol/l before receiving 370 MBq (10 mCi) of FDG administered intravenously. After resting in a lounge chair for at least 1 h, the patients went through 5 min whole-body Emission scanning from the head to the thighs. During PET scanning, all subjects were asked to slow and shallow breath. The reconstructed images were obtained by ordered-subset expectation maximization (OSEM) after transmission data from CT were attenuation corrected. Thereafter, the attenuation-corrected images of PET and CT, as well as fused PET/CT images in the transverse, coronal, and sagittal planes were observed on a dedicated workstation (Xeleris; GE Healthcare).
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3

Optimized PET/CT Imaging Protocol

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The patients were required to fast at least 6 h prior to 18F-FDG PET/CT examination, with injection of approximately 3.70-4.81 MBq/kg. Blood glucose was measured to ensure the level was below 6.8 mmol/L. After injection, patients were kept lying comfortably for an uptake period of 45-60 min. Before the examination, patients were asked to drink 500-800 mL water to distend the stomach and to accelerate renal tracer elimination. Scanning from head to thigh was performed using a PET/CT system (Discovery ST4, General Electric Healthcare, Waukesha, WI, United States). The protocol included an initial CT scan followed by PET data acquisition. The initial CT was performed with 120 kV, 100 mA and a slice thickness of 5 mm. PET data were obtained in a three-dimensional mode with an acquisition time of 2 min for each bed position (for a total of 6-8 bed positions). The CT-based attenuation-corrected PET images were reconstructed using an iterative algorithm. After completion of data acquisition, separate PET images, CT images and fused PET/CT data were available for review in coronal, sagittal and axial planes using the manufacturer’s review station (Xeleris, General Electric Healthcare).
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4

Myocardial Perfusion SPECT Imaging

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At rest, myocardial perfusion SPECT imaging was performed 30 min after an intravenous injection of Tc-99m-labeled Tetrofosmin (296 MBq) in an electrocardiogram-gated (ECG) mode. A single-head gamma camera equipped with a high-resolution, parallel-hole collimator (Infinia, GE Healthcare Japan) was used to collect data at 180° (6° × 30) using the Step & Shoot method. Short-axis SPECT images were reconstructed and depicted as a polar map using serial short-axis images together with a display of the regional percent uptake (%) of the tracer activity, then a three-dimensional image was reconstructed for the following fusion imaging (Xeleris, GE Healthcare Japan).
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5

Resting SPECT/CT Imaging of Feet Before and After Revascularization

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All patients reported to the hospital following an 8 hour fast and underwent resting SPECT/CT imaging of the feet before and 1–3 days after lower extremity revascularization using a conventional hybrid SPECT/CT imaging system with large field-of-view sodium iodide detectors (Infinia Hawkeye, GE Healthcare). During each imaging visit, patients received an intravenous injection of technetium-99m (99mTc)-tetrofosmin (554.6 ± 35.8 MBq) under resting conditions and underwent SPECT imaging of the feet 15 minutes later. SPECT images were acquired using a 360° step and shoot acquisition with a 140.5 keV±10% window, 3° projections, and 30 seconds per stop. Immediately following the SPECT acquisition, CT images were acquired with a slice thickness of 5 mm, at 140 kVp, and 2.5 mA for the purposes of attenuation correction and future image segmentation of angiosomes. All SPECT images were reconstructed using 2 iterations and 10 subsets of ordered subset expectation and maximization algorithm, applying corrections for attenuation, scatter, and resolution loss. SPECT/CT images were reconstructed using commercially available system software (Xeleris, GE Healthcare, Buckinghamshire, UK).
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6

PET/CT Imaging Protocol for Tumor Metabolic Analysis

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All patients fasted for at least 6 hours before receiving PET/CT examination. Their blood glucose levels were then suitable for intravenous injection of 18F-FDG. The PET images were reconstructed by attenuation and iterative reconstruction, then multi-layered, multi-imaged, and merged with the CT images to ensure image clarity. This procedure was conducted by manufacturer review workstation (Xeleris™; GE Healthcare Bio-Sciences Corp., Piscataway, NJ, USA). The SUVmax and SUVmean parameters of the primary tumor area were automatically captured and calculated. In our study, MTV was defined as the sum of the primary tumor metabolic volumes using a SUVmax of 2.5 as the threshold.15 (link),16 (link)
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7

SPECT Imaging with Pinhole Collimators

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The SPECT system used was Discovery NM 530c (GE Healthcare, Milwaukee, WI, USA) equipped with 19 pinhole collimators (9 ), employed list-mode raw data acquisition over 5 minutes. The matrix size was 70 × 70, and the image reconstruction voxel size was 4.0 × 4.0 × 4.0 mm. The data processor was the Xeleris (GE Healthcare, Milwaukee, WI, USA).
In this study, reconstruction was based on an implementation of a 3-D iterative Bayesian reconstruction algorithm. A Butterworth filter (order 7, cutoff frequency = 0.37 cycles/cm) was used as a post-filter (10 (link)).
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8

PET/CT Imaging Protocol for NSCLC Tumor Analysis

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Pretreatment PET/CT scans were performed using a PET/CT scanner (Discovery LS, GE Healthcare). The patients fasted for no less than 6 hours before the examination, and blood glucose levels met the requirement before intravenous injection of [18F] FDG. Sixty minutes later, PET and CT scans were obtained during free breathing with axial sampling at 4.25 millimeters thickness per slide. Reconstruction and analysis of PET and CT images were achieved using the manufacturer's review station (Xeleris; GE Healthcare).
Two experienced PET/CT physicians (M.L. and H.Y.) measured tumor SUVmax, SUVmean and MTV for all patients. MTV was defined as the volume of the part of the primary lesion that was obtained using the cutoff (SUV≥2.5), which has been widely approved for NSCLC [33 (link)]. SUVmax and SUVmean of the MTV were obtained automatically through the manufacturer's software. The details of the procedure have been reported previously [33 (link)].
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9

18F-FDG PET/CT Imaging Protocol

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Patients were asked to fast for at least 4 hours before undergoing the examination. All patients had glucose levels below 150 mg/dL. The patients received an intravenous injection of 370 to 666 MBq (10–18 mCi) of 18F-FDG. Data acquisitions were performed 60 to 120 minutes after injection using an integrated in-line PET/CT system (Discovery 690; GE Medical Systems, Milwaukee). Data acquisition was as follows: CT scanning was performed first followed by PET scan with acquisition time of 4 minutes per each table position. PET image datasets were reconstructed iteratively by using CT data for attenuation correction, and coregistered images were displayed on a workstation (Xeleris, GE, Haifa, Israel).
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10

In Vivo Canine Radionuclide Imaging

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Dogs received an intravenous injection of 629 MBq (22.2 MBq/kg) of 99 mTcO4 (left distal cephalic vein) and were anaesthetized as described above. Scintigraphic static acquisitions were performed on the same day as the cell injections (4 h after injection), at 48 h, 7 days, and 30 days after using an Infinia II 3/8 Hawkeye Hybrid NM/CT (GE) with low energy high-resolution collimators and energy window peaked at 140 keV.
The same imaging protocol was applied for each dog at each acquisition: first, at 45 min after 99 mTcO4 injection, a whole body planar acquisition (20 min) was performed, using a 256 × 256 matrix and a pixel size of 2.21 × 2.21 mm. Then a SPECT/CT sequence lasting 30 min was performed at the level of the thoracic or pelvic limbs, depending on the injection sites. A SPECT sequence lasting 20 min was performed using a 128 × 128 matrix, a pixel size of 4.42 × 4.42 mm, and acquisitions of images at 30 different positions of the dual head camera, over a 360° rotation, each projection being acquired during 40 s. A CT lasting 10 min was then performed, at 140 kV, 2.5 mA, and with a slice thickness of 10 mm. The images were reconstructed in the Xeleris (GE) workstation.
For cell dishes imaging, the plates were positioned directly on one of the collimators, a 256 × 256 matrix was used, and the size of pixels was 2.21 × 2.21. The static acquisition lasted 5 min.
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