Inter-operator variability in compartmental kinetic analysis of F-fluoromisonidazole dynamic PET.

TitleInter-operator variability in compartmental kinetic analysis of F-fluoromisonidazole dynamic PET.
Publication TypeJournal Article
Year of Publication2018
AuthorsNehmeh SA, Schwartz J, Grkovski M, Yeung I, Laymon CM, Muzi M, Humm JL
JournalClin Imaging
Volume49
Pagination121-127
Date Published2018 May - Jun
ISSN1873-4499
KeywordsCarcinoma, Non-Small-Cell Lung, Humans, Lung Neoplasms, Misonidazole, Positron-Emission Tomography, Radiopharmaceuticals
Abstract

PURPOSE: To assess the inter-operator variability in compartment analysis (CA) of dynamic-FMISO (dyn-FMISO) PET.

METHODS: Study-I: Five investigators conducted CA for 23 NSCLC dyn-FMISO tumor time-activity-curves. Study-II: Four operators performed CA for four NSCLC dyn-FMISO datasets. Repeatability of Kinetic-Rate-Constants (KRCs) was assessed.

RESULTS: Study-I: Strong correlation (ICC > 0.9) and interchangeable results among operators existed for all KRCs. Study-II: Up to 103% variability in tumor segmentation, and weaker ICC in KRCs (ICC-V = 0.53; ICC-K = 0.91; ICC-K/k = 0.25; ICC-k3 = 0.32; ICC-K = 0.54) existed. All KRCs were repeatable among the different operators.

CONCLUSIONS: Inter-operator variability in CA of dyn-FMISO was shown to be within statistical errors.

DOI10.1016/j.clinimag.2017.12.015
Alternate JournalClin Imaging
PubMed ID29414505
PubMed Central IDPMC6059771
Grant ListU01 CA190254 / CA / NCI NIH HHS / United States
P30 CA047904 / CA / NCI NIH HHS / United States
R50 CA211270 / CA / NCI NIH HHS / United States
P30 CA008748 / CA / NCI NIH HHS / United States
U01 CA140230 / CA / NCI NIH HHS / United States
U01 CA157442 / CA / NCI NIH HHS / United States

Weill Cornell Medicine
Department of Radiology
525 East 68th Street New York, NY 10065