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Orita E, Becker D, Mueller M, Hefti M, Schuler MJ, Bautista Borrego L, Dutkowski P, Zeimpekis K, Treyer V, Kaufmann PA, Eshmuminov D, Clavien PA, Huellner MW. FDG-PET/CT: novel method for viability assessment of livers perfused ex vivo. Nucl Med Commun 2021; 42:826-832. [PMID: 33741853 DOI: 10.1097/mnm.0000000000001399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE Ex vivo liver machine perfusion is a promising option to rescue marginal liver grafts mitigating the donated organ shortage. Recently, a novel liver perfusion machine that can keep injured liver grafts alive for 1 week ex vivo was developed and reported in Nature Biotechnology. However, liver viability assessment ex vivo is an unsolved issue and the value of 18F-fluorodeoxyglucose (FDG)-PET/CT for such purpose was explored. MATERIALS AND METHODS Discarded two human and six porcine liver grafts underwent FDG-PET/CT for viability assessment after 1 week of ex vivo perfusion. PET parameters [standardized uptake value (SUV)max, SUVmean, SUVpeak and total lesion glycolysis] were compared between hepatic lobes and between porcine and human livers. The prevalence of FDG-negative organ parts was recorded. The estimated effective radiation dose for PET/CT was calculated. RESULTS All organs were viable with essentially homogeneous FDG uptake. Of note, viability was preserved in contact areas disclosing the absence of pressure necrosis. Four porcine and two human organs had small superficial FDG-negative areas confirmed as biopsy sites. Total lesion glycolysis was significantly higher in the right hepatic lobe (P = 0.012), while there was no significant difference of SUVmax, SUVmean and SUVpeak between hepatic lobes. There was no significant difference in FDG uptake parameters between porcine and human organs. The estimated effective radiation dose was 1.99 ± 1.67 mSv per organ. CONCLUSION This study demonstrates the feasibility of FDG-PET/CT for viability assessment of ex vivo perfused liver grafts after 1 week.
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Affiliation(s)
- Erika Orita
- Department of Nuclear Medicine, University Hospital of Zurich, University of Zurich
| | - Dustin Becker
- Wyss Zurich, ETH Zurich and University of Zurich
- Transport Processes and Reactions Laboratory, Department of Mechanical and Process Engineering, ETH Zurich
| | - Matteo Mueller
- Wyss Zurich, ETH Zurich and University of Zurich
- Department of Surgery & Transplantation, Swiss Hepato-Pancreato-Biliary (HPB) Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Max Hefti
- Wyss Zurich, ETH Zurich and University of Zurich
- Transport Processes and Reactions Laboratory, Department of Mechanical and Process Engineering, ETH Zurich
| | - Martin J Schuler
- Wyss Zurich, ETH Zurich and University of Zurich
- Transport Processes and Reactions Laboratory, Department of Mechanical and Process Engineering, ETH Zurich
| | - Lucia Bautista Borrego
- Wyss Zurich, ETH Zurich and University of Zurich
- Department of Surgery & Transplantation, Swiss Hepato-Pancreato-Biliary (HPB) Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Philipp Dutkowski
- Wyss Zurich, ETH Zurich and University of Zurich
- Department of Surgery & Transplantation, Swiss Hepato-Pancreato-Biliary (HPB) Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | | | - Valerie Treyer
- Department of Nuclear Medicine, University Hospital of Zurich, University of Zurich
| | - Philipp A Kaufmann
- Department of Nuclear Medicine, University Hospital of Zurich, University of Zurich
| | - Dilmurodjon Eshmuminov
- Wyss Zurich, ETH Zurich and University of Zurich
- Department of Surgery & Transplantation, Swiss Hepato-Pancreato-Biliary (HPB) Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Pierre-Alain Clavien
- Department of Surgery & Transplantation, Swiss Hepato-Pancreato-Biliary (HPB) Center, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Martin W Huellner
- Department of Nuclear Medicine, University Hospital of Zurich, University of Zurich
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Amakusa S, Matsuoka K, Kawano M, Hasegawa K, Ouchida M, Date A, Yoshida T, Sasaki M. Influence of region-of-interest determination on measurement of signal-to-noise ratio in liver on PET images. Ann Nucl Med 2017; 32:1-6. [PMID: 29058224 DOI: 10.1007/s12149-017-1215-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 09/22/2017] [Indexed: 01/01/2023]
Abstract
OBJECTIVE On 18F-fluoro-2-deoxy-D-glucose (18F-FDG) positron emission tomography (PET), signal-to-noise ratio in the liver (SNRliver) is used as a metric to assess image quality. However, some regions-of-interest (ROIs) are used when measuring the SNRliver. The purpose of this study is to examine the different ROIs and volumes of interest (VOIs) to obtain a reproducible SNRliver. METHODS This study included 108 patients who underwent 18F-FDG-PET/CT scans for the purpose of cancer screening. We examined four different ROIs and VOIs; a 3-cm-diameter and a 4-cm-diameter circular ROI and a 3-cm-diameter and a 4-cm-diameter spherical VOI on the right lobe of the patients' livers. The average of SUV (SUVmean), standard deviation (SD) of SUV (SUVSD), SNRliver and SD of the SNRliver obtained using ROIs and VOIs were then compared. RESULTS Although the SUVmean was not different among the ROIs and VOIs, the SUVSD was small with a 3-cm-diameter ROI. The largest SUVSD was obtained with a 4-cm-diameter spherical VOI. The SNRliver and the SD of the SNRliver with a 4-cm-diameter spherical VOI were the smallest, while those with a 3-cm-diameter circular ROI were the largest. These results suggest that a small ROI may be placed on a relatively homogeneous region not representing whole liver unintentionally. CONCLUSION The SNRliver varied according to the shape and size of ROIs or VOIs. A 4-cm-diameter spherical VOI is recommended to obtain stable and reproducible SNRliver.
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Affiliation(s)
- Shinji Amakusa
- Department of Radiological Technology, Koga Hospital 21, Kurume, Japan
| | - Koki Matsuoka
- Department of Radiological Technology, Koga Hospital 21, Kurume, Japan
| | - Masayuki Kawano
- Department of Radiological Technology, Koga Hospital 21, Kurume, Japan
| | - Kiyotaka Hasegawa
- Department of Radiological Technology, Koga Hospital 21, Kurume, Japan
| | - Mio Ouchida
- Department of Radiological Technology, Koga Hospital 21, Kurume, Japan
| | - Ayaka Date
- Department of Radiological Technology, Koga Hospital 21, Kurume, Japan
| | - Tsuyoshi Yoshida
- PET Imaging and Diagnostic Center, Koga Hospital 21, Kurume, Japan
| | - Masayuki Sasaki
- Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
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Watanuki S, Tashiro M, Miyake M, Ishikawa Y, Itoh M, Yanai K, Sakemi Y, Fukuda H, Ishii K. Long-term performance evaluation of positron emission tomography: analysis and proposal of a maintenance protocol for long-term utilization. Ann Nucl Med 2010; 24:461-8. [DOI: 10.1007/s12149-010-0381-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2009] [Accepted: 03/26/2010] [Indexed: 10/19/2022]
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