Correction for partial volume effects in regional blood flow measurements adjacent to hematomas in humans with intracerebral hemorrhage: Implementation and validation

Purpose: Reduced blood flow measured with PET and SPECT has been reported i n brain surrounding intracerebral hemorrhage (ICH). These studies have not corrected for partial volume effects from adjacent hematomas or ventricles. We have implemented a method to correct for these effects at brain boundar ies (but not at internal gray/white matter boundaries), tested it with a br ain phantom, and applied it to patients. Method: Using PET and X-ray CT images of a Hoffman brain phantom containing artificial hematomas, we segmented CT images to binary images representing brain tissue and convolved these to the 3D resolution of the PET. PET imag es were then scaled by this net tissue contribution. Corrected images were compared with other images of the same phantom without hematomas. The same correction was then applied to human images. Results: Uncorrected phantom images had artifactual reductions surrounding hematomas that were eliminated by the correction. Corrected images,of patie nts with acute ICH had areas of reduced flow in white and deep gray matter, whereas overlying cortical flow was preserved. Conclusion: We have validated a method to correct for artifactual reduction s in blood flow measurements at brain boundaries. Using this method, we obs erve areas with reduced flow near acute hematomas.