Accurate PET attenuation correction remains challenging in PET/MR. Skeletal bone is usually not included and metal implants can cause serious artifacts. In this study we investigate the application of the ‘joint estimation of activity and attenuation’ PET reconstruction algorithm, using MR based priors, in prostate cancer patients with metal hip implants who were scheduled for 68Ga-PSMA TOF PET/MR. The results indicate that, even with the low background-signal of this tracer, the JE algorithm can recover most of the metal hip implant(s), thereby potentially improving the PET attenuation map as well as the activity images.
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