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Joint motion correction and image reconstruction in respiratory-gated SPECT

Due to the irregularity in respiratory patterns observed clinically, the acquired data in cardiac SPECT with respiratory-gating can exhibit high variability among both gate intervals and acquisition angles. Such variability can lead to differing noise characteristics among respiratory gates, which would adversely affect the accuracy of motion estimation. To address this difficulty, we develop a joint motion-estimation and image-reconstruction approach, in which the respiratory motion is estimated simultaneously along with the source distribution. In the experiments, we demonstrated this joint estimation-reconstruction approach with both quantitative simulated NCAT data and a set of clinical acquisition. We also explored its robustness with reduced imaging dose. The results show that the proposed approach can further improve the reconstructed myocardium over a pre-reconstruction motion-estimation approach.