Evaluation of the Effect of the Injected Dose and Body Mass Index on the Signal-to-Noise Ratio (SNR) Detected using a PET/CT Scan.

This study aims to investigate, using patient studies, the impact of Injected Dose (ID), Body Mass Index (BMI), and image noise assessments in PET imaging. This study included 59 liver cancer patients weighing between 45 and 107 kg. After intravenously injecting 0.1 millicurie (mCi) of 18F-FDG per kilogram of body weight, PET scans were obtained for 1, 1.5, and 3 min/bed position based on the patient's weight. Weight, height, and body mass index were calculated using a spreadsheet. Five regions of interest (ROIs) were placed at the same site in the liver, which was considered to have a homogeneous metabolism, in five successive slices of PET/CT scans to determine the mean uptake (signal) values and their standard deviation (noise). The ratio of both gives the liver's Signal-to-Noise Ratio (SNR). Graphs were created to determine the relationship between these characteristics. The plots demonstrated that the dose injected increased when body weight and/or BMI increased, and that the SNR fell even as the dose administered increased. This is owing to the fact that heavier patients having a higher administered dose and, have a lower SNR even when greater 18F-FDG doses are delivered. These data indicate that the image quality, as measured by the SNR, is inferior in heavier persons compared to those who are thinner.