Penalized PET/CT Reconstruction Algorithms with Automatic Realignment for Anatomical Priors
Yu-Jung Tsai, Alexandre Bousse, Simon Arridge, Charles W. Stearns,, Brian F. Hutton, Kris Thielemans

TL;DR
This paper introduces two algorithms for correcting misalignments in PET/CT reconstruction using anatomical priors, demonstrating that deforming both images yields faster convergence and is less workflow-sensitive.
Contribution
The paper proposes two novel algorithms for joint motion estimation and image reconstruction to address misalignment issues in PET/CT with anatomical priors.
Findings
Second approach converges faster and is less workflow-sensitive.
Anatomical information improves convergence in the second approach.
Both methods can estimate and correct misalignments effectively.
Abstract
Two algorithms for solving misalignment issues in penalized PET/CT reconstruction using anatomical priors are proposed. Both approaches are based on a recently published joint motion estimation and image reconstruction method. The first approach deforms the anatomical image to align it with the functional one while the second approach deforms both images to align them with the measured data. Our current implementation alternates between image reconstruction and alignment estimation. To evaluate the potential of these approaches, we have chosen Parallel Level Sets (PLS) as a representative anatomical penalty, incorporating a spatially-variant penalty strength to achieve uniform local contrast. The performance was evaluated using simulated non-TOF data generated with an XCAT phantom in the thorax region. We used the attenuation image in the anatomical prior. The results demonstrated that…
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