F. Bonnin et al., A COMPARATIVE-STUDY OF SCATTER CORRECTION METHODS FOR SCINTIGRAPHIC IMAGES, European journal of nuclear medicine, 21(5), 1994, pp. 388-393
Phantom studies have demonstrated that factor analysis of medical imag
e sequences using target apex-seeking (FAMIS-TAS) applied to spectral
scintigraphic image sequences is an efficient adaptive scatter correct
ion method. We assessed the improvement in quality of clinical images
using FAMIS-TAS as compared with two other scatter correction techniqu
es: conventional 20% photopeak window (PW) and scatter window subtract
ion (SWS). Thirty normal technetium-99m hydroxymethylene diphosphonate
bone scans were processed. Bone to soft tissue contrasts and signal-t
o-noise and contrast-to-noise ratios were measured. The overall image
quality was evaluated using an observer testing questionnaire submitte
d to four physicians. Quantitative parameters showed that FAMIS-TAS im
ages displayed the best bone to soft tissue contrasts and contrast-to-
noise ratios, but the lowest signal-to-noise ratios. PW images present
ed the lowest contrasts and contrast-to-noise ratios, and the highest
signal-to-noise ratios. SWS gave intermediate results. According to th
e observer testing results, PW images showed the lowest bone to soft t
issue contrasts and the highest signal-to-noise ratios. FAMIS-TAS imag
es showed the lowest signal-to-noise ratios. The images processed by t
he three methods displayed the same anatomical information.