Comparison of static standardized uptake value (SUV) and standard Patlak
(sPatlak)–derived parametric images in a representative
examination from group A. This 72-year-old woman with a history of right
cavernous sinus meningioma who underwent gamma knife radiosurgery 12
years prior presented with an avidly enhancing soft-tissue mass
involving the right cavernous sinus, not well delineated on
(A) T1-weighted postcontrast images alone.
(B) Static PET image summed over the entire 50-minute
acquisition period and (C) PET/MRI fusion image demonstrate
markedly improved delineation of the tumor. (D) Static PET
image from the last 10 minutes of acquisition (50–60 minutes
after injection), along with (E)
PatlakslopeKi and (F)
Patlak interceptVb parametric images from
the same PET/MRI examination. The color bars are to maximum SUV for
C and D, from 0 to maximum
Ki (0–0.4 mL of reference
tissue/min/grams of targeted tissue) for E, and from 0 to
maximum Vb (0–11 mL of reference
tissue/grams of targeted tissue) for F.
Ki = net binding rate constant,
Vb = sum of blood volume fraction
and distribution volume.