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Mathematical Data Processing of Gated Spect Myocardial Perfusion Imaging with Using Wavelet Analysis Andrey V. Babin Saint Petersburg State University, Saint-Petersburg, Russia, 198504, Universitetskij pr. 35 E-mail: [email protected] Elena D. Kotina Saint Petersburg State University, Saint-Petersburg, Russia, 198504, Universitetskij pr. 35 E-mail: [email protected] Abstract—The problem of mathematical data processing of gated SPECT myocardial perfusion imaging (MPI) is considered in the study. MPI is modern radionuclide cardiac study that allows evaluating a function of a myocardium. In the study we developed method to measure and visualize myocardial dyssynchrony using wavelet transforms from MPI data. The problem of mathematical data processing of electrocardiogram-gated single-photon emission computed tomography (GSPECT) myocardial perfusion imaging (MPI) studies are considered in the study [1-4]. MPI is a modern radionuclide study which is used for diagnosis and differential diagnosis of a ischemic heart disease. The purpose of this study was to develop a wavelet anal- ysis method to measure systolic and diastolic dyssynchrony from conventional GSPECT MPI data. Phase analysis using Fourier harmonic functions has been developed for measuring LV systolic dyssynchrony from gated SPECT MPI [5].It is important that dyssynchrony as assessed by phase analysis can provide incremental prognostic information to other parame- ters measured from gated SPECT MPI such as perfusion and LV ejection fraction (LVEF) and predict response to cardiac resynchronization therapy (CRT). Input data for this method is sequence of three-dimensional distribution density of radio-pharmaceuticals, corresponding to intervals of cardiac cycle. This distributions are represented as polar diagrams of perfusion which are used for construction of sequence of wall thickening curves. Using approximation of the curves based on wavelet analysis, we obtain functional images of systolic and diastolic dyssynchrony. As wavelets are considered two of the family of complex wavelets with the following basal functions: 1) Morlet wavelet ψ(t)= e 2πt e -t 2 2 ; 2) B-spline wavelet ψ(t)= e 2πt sin(( t 3 ) 3 ) ( t 3 ) 3 ; The functional images of dyssyncrony were constructed using Fourier phase analysis [5-8] for comparative analysis (Fig. 1). Phase analysis using wavelet functions can better approximate the variation of myocardial wall thickness over the cardiac cycle to calculate the onset of mechanical con- traction (OMC) and onset of mechanical relaxation (OMR) as Figure 1. Approximation of thickening curve using wavelet analysis (a) and 3-harmonic phase analysis (b) 978-1-4799-5317-2/14/$31.00 ©2014 IEEE

[IEEE 2014 International Conference on Computer Technologies in Physical and Engineering Applications (ICCTPEA) - Saint-Petersburg, Russia (2014.6.30-2014.7.4)] 2014 International

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Mathematical Data Processing of Gated SpectMyocardial Perfusion Imaging with Using Wavelet

AnalysisAndrey V. Babin

Saint Petersburg State University,Saint-Petersburg, Russia, 198504,

Universitetskij pr. 35E-mail: [email protected]

Elena D. KotinaSaint Petersburg State University,Saint-Petersburg, Russia, 198504,

Universitetskij pr. 35E-mail: [email protected]

Abstract—The problem of mathematical data processing ofgated SPECT myocardial perfusion imaging (MPI) is consideredin the study. MPI is modern radionuclide cardiac study thatallows evaluating a function of a myocardium. In the studywe developed method to measure and visualize myocardialdyssynchrony using wavelet transforms from MPI data.

The problem of mathematical data processing ofelectrocardiogram-gated single-photon emission computedtomography (GSPECT) myocardial perfusion imaging (MPI)studies are considered in the study [1-4]. MPI is a modernradionuclide study which is used for diagnosis and differentialdiagnosis of a ischemic heart disease.

The purpose of this study was to develop a wavelet anal-ysis method to measure systolic and diastolic dyssynchronyfrom conventional GSPECT MPI data. Phase analysis usingFourier harmonic functions has been developed for measuringLV systolic dyssynchrony from gated SPECT MPI [5].It isimportant that dyssynchrony as assessed by phase analysis canprovide incremental prognostic information to other parame-ters measured from gated SPECT MPI such as perfusion andLV ejection fraction (LVEF) and predict response to cardiacresynchronization therapy (CRT).

Input data for this method is sequence of three-dimensionaldistribution density of radio-pharmaceuticals, corresponding tointervals of cardiac cycle. This distributions are represented aspolar diagrams of perfusion which are used for constructionof sequence of wall thickening curves. Using approximationof the curves based on wavelet analysis, we obtain functionalimages of systolic and diastolic dyssynchrony. As waveletsare considered two of the family of complex wavelets withthe following basal functions:

1) Morlet wavelet ψ(t) = e2πte−t2

2 ;2) B-spline wavelet ψ(t) = e2πt

sin(( t3 )

3)

( t3 )

3 ;

The functional images of dyssyncrony were constructedusing Fourier phase analysis [5-8] for comparative analysis(Fig. 1). Phase analysis using wavelet functions can betterapproximate the variation of myocardial wall thickness overthe cardiac cycle to calculate the onset of mechanical con-traction (OMC) and onset of mechanical relaxation (OMR) as

Figure 1. Approximation of thickening curve using wavelet analysis (a) and3-harmonic phase analysis (b)

978-1-4799-5317-2/14/$31.00 ©2014 IEEE

measures of LV systolic and diastolic dyssynchrony. Waveletanalysis using more accurate approximation of wall thickeningcurves allows to get a more detailed functional images.

The wavelet analysis tool to measure systolic and diastolicdyssynchrony from conventional gated SPECT MPI data wasdeveloped in this study.

REFERENCES

[1] Kotina E.D., Ploskikh V.A., Babin A.V Radionuclide Methods Applica-tion in Cardiac Studies // Problems of Atomic Science and Technology,2013. — Issue 6(88).. — P. 179 "— 182

[2] Kotina E.D., Ostroumov E.N., Ploskikh V.A. Left and Right VentricularPhase Analysis of Gated SPECT Myocardial Perfusion // EuropeanJournal of Nuclear Medicine and Molecular Imaging, 2012. — Vol. 39,— issue 2. — P. 213.

[3] Kotina E.D. Data processing in radionuclide studies. Problems ofAtomic Science and Technology. 2012. Vol. 79, No 3. P.195–198.

[4] Arlychev M. A., Novikov V.L., Sidorov A.V., Fialkovskii A.M., KotinaE.D., Ovsyannikov D.A., Ploskikh V.A.. EFATOM Two-Detector One-

[4] Arlychev M. A., Novikov V.L., Sidorov A.V., Fialkovskii A.M., KotinaE.D., Ovsyannikov D.A., Ploskikh V.A.. EFATOM Two-Detector One-Photon Emission Gamma Tomograph // Technical Physics. 2009. Vol.54. No 10. P. 1539-1547.

[5] Chen Ji, Garcia E.V., Folks R.D. et al. Onset of left ventricularmechanical contraction as determined by phase analysis of ECG-gatedmyocardial perfusion SPECT imaging: Development of a diagnostic toolfor assessment of cardiac mechanical dyssynchrony // J. Nucl. Cardiol.2005. Vol. 12(6). P. 687-95.

[6] Chen Ji, Kalogeropoulos A.P. Verdes L. et al. Left-ventricular systolicand diastolic dyssynchrony as assessed by multi-harmonic phase analysisof gated SPECT myocardial perfusion imaging in patients with end-stagerenal disease and normal LVEF // J. Nucl. Cardiol. 2011. Vol. 18(2). P.299-308.

[7] Younis I.A. Ajmone-Marsan N. Westenberg J.M. et al. Ventriculardyssynchrony assessed by gated myocardial perfusion SPECT using ageometrical approach: a feasibility study // Eur. J. Nucl. Med. Mol.Imaging. 2012. Vol. 29. P. 421-429.

[8] Hsu T.H. Huang W.S. Chen C.C. et al. Left ventricular systolicand diastolic dyssynchrony assessed by phase analysis of gated SPECTmyocardial perfusion imaging: a comparison with speckle tracking

echocardiography // Ann. Nucl. Med. 2013. Vol. 27. P. 764-771.