Hybrid Kernelised Expectation Maximisation Reconstruction Algorithms for Quantitative Positron Emission Tomography

Positron emission tomography (PET) imaging is commonly used in clinical practice to diagnose different diseases. However, the limited spatial resolution sometimes
prevents the desired diagnostic accuracy. This work examines some of the issues related to PET image reconstruction in the context of PET-magnetic resonance (MR) imaging, and proposes a novel PET iterative reconstruction algorithm,
hybrid kernelised expectation maximisation (HKEM), to overcome these issues by exploiting synergistic information from PET and MR images. When the number of detected events is low, the reconstructed images are often biased
and noisy. Anatomically-guided PET image reconstruction techniques have been demonstrated to reduce partial volume effect (PVE), noise, and improve quantification, but, they have also been shown to rely on the accurate registration
between the anatomical image and the PET image, otherwise they may suppress important PET information that may lead to false negative detection of disease. The aim of the HKEM algorithm is to maintain the benefits of the anatomically-guided methods and overcome their limitations by incorporating synergistic information iteratively. The findings obtained using simulated and real datasets, by performing region of interest (ROI) analysis and voxel-wise analysis are as follows: first, anatomically-guided techniques provide reduced PVE and higher contrast compared to standard techniques, and HKEM provides even
higher contrast in almost all the cases; second, the absolute bias and the noise affecting low-count datasets is reduced; third, HKEM reduces PET unique features suppression due to PET-MR spatial inconsistency. This thesis, therefore
argues that using synergistic information, via the kernel method, increases the
accuracy and precision of the PET clinical diagnostic examination. The promising
quantitative features of the HKEM method give the opportunity to explore many possible clinical applications, such as cancer and inflammation.