Registration of CT with PET: A Comparison of Intensity-Based Approaches

Abstract

The integration of functional imaging modality provided by Positron Emission Tomography (PET) and associated anatomical imaging modality provided by Computed Tomography (CT) has become an essential procedure both in the evaluation of different types of malignancy and in radiotherapy planning. The alignment of these two exams is thus of great importance. In this research work, three registration approaches (1) intensity-based registration, (2) rigid translation followed by intensity-based registration and (3) coarse registration followed by fine-tuning were evaluated and compared. To characterize the performance of these methods, 161 real volume scans from patients involved in Hodgkin Lymphoma staging were used: CT volumes used for radiotherapy planning were registered with PET volumes before any treatment. Registration results achieved 78%, 60%, and 91% of accuracy for methods (1), (2) and (3), respectively. Registration methods validation was extended to a corresponding landmarks points distance calculation. Methods (1), (2) and (3) achieved a median improvement registration rate of 66% mm, 51% mm and 70% mm, respectively. The accuracy of the proposed methods was further confirmed by extending our experiments to other multimodal datasets and in a monomodal dataset with different acquisition conditions.