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MPR Average Intensity Projection & Minimum Intensity Projections

Overview

This section guide radiologists in using different intensity projection options in the Image Viewer Module during PET/CT studies. These options include Minimum Intensity Projection (MinIP), Average Intensity Projection (AveIP), and the default Maximum Intensity Projection (MIP).

Selecting Intensity Projection Options

  1. Launch the Image Viewer Module and select the PET/CT study you would like to view.

  2. Navigate to the Multiplanar Reconstruction (MPR) mode.

  3. Click on Adjustments option.

  4. A pop-up with three buttons will appear at the bottom:

    • MIP (Maximum Intensity Projection): This option will be selected by default.

    • MinIP (Minimum Intensity Projection)

    • AveIP (Average Intensity Projection)

  5. Click on your preferred projection method. The visual feedback in all three images will adjust accordingly.

Note: These buttons will remain visible as long as you are in MPR mode. Once you exit MPR mode they will no longer be displayed.

Understanding Intensity Projection Methods

  • Minimum Intensity Projection (MinIP): This method projects the voxel with the lowest attenuation value along each view throughout the volume onto a 2D image. It can highlight lower-attenuation structures and soft tissues.

  • Average Intensity Projection (AveIP): This method calculates the average attenuation value for each voxel along each view throughout the volume and represents it in a 2D image. It provides a balanced representation of attenuation values across the volume.

  • Maximum Intensity Projection (MIP): This is the default method and it projects the voxel with the highest attenuation value along each view throughout the volume onto a 2D image.

Clinical Applications

  • MinIP: Useful for improving the detection and characterization of lesions and abnormalities, particularly in lower-attenuation structures and soft tissues.

  • AveIP: Provides insights into tissue perfusion and the distribution of contrast material, offering a balanced representation of attenuation values across the volume.

  • MIP: Offers a high-contrast view of high-attenuation structures, useful for identifying calcifications, nodules, and other abnormalities.