Abstract:
Single Photon Emission Computed Tomography (SPECT) is one of the most important 
imaging modalities in nuclear medicine used for imaging different body organs for diagnostic 
purposes. It is well known that patient movement during the acquisition time do introduce 
artifacts in the reconstructed SPECT images. The projection frames become out of alignment 
due to the patient's movements, degrading the reconstructed image and do introducing 
artifacts. The accuracy of the diagnosis could be considerably impacted by these motion 
artifacts. Getting consistent projection data from the acquisition requires motion correction. 
Therefore, the motion correction of patients in tomographic images is very essential for more 
accurate diagnosis of diseases. 
The aim of this project is to develop and evaluate a data driven approach to motion estimation 
and correction of SPECT data without necessity for motion tracking system. The objectives 
can be summarized as the different groups of experiment were carried out on several set of 
data to validate the motion estimation and correction procedure. A fully three-dimensional 
(3-D) algorithm is proposed that estimates the patient motion based on the projection of 
motion-corrupted data and updated the image and finally correct the motion. At first, initial 
studies have been performed using a digital version of the Hoffman brain phantom. 
Movement was simulated by constructing a mixed set of projections in discrete positions of 
the phantom. Several number of motion induced projections set were generated from the 
physical phantom. The single or multiple movement have been applied to the 
physical phantom and the data were acquired. The translational movement, angular location 
and rotational motion (all 6 dof parameters) were analyzed. Motion estimation and correction 
algorithms were applied to the acquired data as well as simulated motion induced physical 
phantom data. Clinical data with/without motion were collected and motion correction 
algorithms were applied to estimate motion and reconstructed image were improved. 
The proposed method iteratively estimate and compensate the motion during image 
reconstruction. In every iteration, the rigid motion was assessed view-by-view and then used 
to update the system matrix. A first rough motion estimate can be produced using the initial 
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reconstructed image, which is motion contaminated. In order to provide a motion-corrected 
image at the initial iteration, this motion is taken into consideration during the reconstruction 
process. To increase the likelihood, the motion estimate and the motion-corrected image are 
then updated alternately. The iterations are stopped when it appears that the updated motion 
has converged. There are two steps in the algorithm: (1) combined image and motion 
estimation, and (2) final reconstruction (motion compensation). Each iteration consists of 2 
steps: a motion update and an image update. The OSEM algorithm is run through several 
iterations to update the image. With the last motion estimate, a final iterative reconstruction 
was carried out. 
The method was evaluated on physical phantom study, simulations phantom study and patient 
scans. In the physical phantom studies, the motion correction algorithms were applied to the 
phantom’s both stationary data and motion induced data. Most of motion blurring in the 
reconstructed images disappeared after the compensation on the motion induced data. Various 
simulated motion-induced data sets were produced from the simulation phantom data and 
calculated the Mean Square Difference (MSD) value. The average MSD values between two 
different data sets were found 933.25 and 1247.5. With the simulated motion-induced data, 
motion correction algorithms were applied. The quality of the reconstructed images was 
improved significantly after the compensation. In the physical phantom studies, the motion 
estimation for translational movements were found 7.6 mm in X axis, 7.1 mm in Y axis and 
8.2 mm in Z axis. And it was also found that the heighest rotational motions were 12.3⁰ in X 
axis, 16.6⁰ in Y axis and -14.1⁰ in Z axis. The motion correction algorithms were applied to 
the clinical patient’s data also. And it was clearly seen that the motion corrected reconstructed 
images were significantly improved after the compensation.   
The proposed method effectively eliminated motion-induced artifacts in mentioned three 
types of SPECT data. The proposed method can be used retroactively on SPECT scans 
affected by motion because only measured raw data are required for motion estimate and 
compensation in this method. 
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The contributions of this research are summarized as the development of an innovative 
technique that can correct the six DOF motion in SPECT using the acquired data only. The 
methodology for six DOF data-driven motion estimation and correction in SPECT was 
developed and validated for using the digital and physical phantom studies as well as in 
clinical applications including human subjects. The developed technique was made automated 
and did not require any external equipment. It was not necessary to have any prior knowledge 
of motion. It can be readily adjusted to various types of collimation and multiple detector 
geometries.