Lr. Vanelmbt et al., VALIDATION OF AUTOMATED BRAIN CONTOUR DETERMINATION IN NORMAL AND ABNORMAL CEREBRAL SINGLE-PHOTON EMISSION TOMOGRAPHY, European journal of nuclear medicine, 22(6), 1995, pp. 537-542
A contour detection algorithm for cerebral studies, using the method o
f Tomitani, has been implemented on a single-photon emission tomograph
ic (SPET) system. It is based on the detetion by threshold of the brai
n edge in the sinogram and does not depend on the reconstruction algor
ithm. Thirteen normal subjects underwent an examination on both comput
ed tomography (CT) and SPET using a head holder to ensure the reproduc
ibility of the positioning. The CT scan contour of the brain was drawn
manually according to the brain parenchyma limits. The SPET brain con
tour was obtained by use of the Tomitani algorithm after the threshold
had been determined on an active cylindrical phantom. Using a thresho
ld of 37% of the maximum uptake, the length of the contour as well as
the area obtained with SPET and CT were not found to be statistically
different. The method of Tomitani, which is simpler and faster then pr
evious methods, provides contours which superimpose very well with CT
scan images. Application to patients with unilateral pathological defe
cts is possible by requiring that the contour is symmetrical.