Postinjection single photon transmission tomography with ordered-subset algorithms for whole-body PET imaging

We have evaluated the penalized ordered-subset transmission reconstruction (OSTR) algorithm for postinjection single photon transmission scanning. The OSTR algorithm of Erdogan and Fessler (1999) uses a more accurate model for transmission tomography than ordered-subsets expectation-maximization (OSEM) when OSEM is applied to the logarithm of the transmission data. The OSTR algorithm is directly applicable to postinjection transmission scanning with a single photon source, as emission contamination from the patient mimics the effect, in the original derivation of OSTR, of random coincidence contamination in a positron source transmission scan. Multiple noise realizations of simulated postinjection transmission data were reconstructed using OSTR, filtered backprojection (FBP), and OSEM algorithms. Due to the nonspecific task performance, or multiple uses, of the transmission image, multiple figures of merit were evaluated, including image noise, contrast, uniformity, and root mean square (rms) error. We show that: 1) the use of a three-dimensional (3-D) regularizing image roughness penalty with OSTR improves the tradeoffs in noise, contrast, and rms error relative to the use of a two-dimensional penalty; 2) OSTR with a 3-D penalty has improved tradeoffs in noise, contrast, and rms error relative to FBP or OSEM; and 3) the use of image standard deviation from a single realization to estimate the true noise can be misleading in the case of OSEM. We conclude that using OSTR with a 3-D penalty potentially allows for shorter postinjection transmission scans in single photon transmission tomography in positron emission tomography (PET) relative to FBP or OSEM reconstructed images with the same noise properties. This combination of singles+OSTR is particularly suitable for whole-body PET oncology imaging.