Truncation Artifact Presenting as Cropped Projections and Wedge Defect in Sinogram During Single-Photon Emission Computed Tomography
PDF
Cite
Share
Request
Interesting Image
E-PUB
11 November 2025

Truncation Artifact Presenting as Cropped Projections and Wedge Defect in Sinogram During Single-Photon Emission Computed Tomography

Mol Imaging Radionucl Ther. Published online 11 November 2025.
1. Shahid Beheshti University of Medical Sciences Faculty of Medicine, Department of Nuclear Medicine, Tehran, Iran
2. Hamadan University of Medical Sciences Faculty of Medicine, Farshchian Heart Center, Department of Nuclear Medicine and Molecular Imaging, Hamadan, Iran
No information available.
No information available
Received Date: 30.08.2024
Accepted Date: 03.08.2025
E-Pub Date: 11.11.2025
PDF
Cite
Share
Request

Abstract

Truncation artifact during single-photon emission computed tomography occurs when some part of body, such as left ventricle in myocardial perfusion imaging, lies outside the field-of-view during image acquisition. Improper adjustment of axis of rotation of detectors regarding the patient on the scanning table is the main cause. Large or slim patient body habitus is reported as source of this artifact. However, there may be other sources including that in our case, in which the artifact was present in prone position but not in supine imaging. The appearance was one-sided incremental cropping of projections of one of detectors and a wedge-shaped or triangular defect in the corresponding sinogram. This finding may suggest a possible mechanical instability of the gantry during motion over the patient’s left side in prone imaging.

Keywords:
Truncation artifact, single-photon emission computed tomography, myocardial perfusion imaging

Ethics

Informed Consent: An informed written consent was obtained from the patient both for performing the scanning and also for use and anonymous publishing of the images.

Authorship Contributions

Concept: M.Q., R.A., Design: M.Q., R.A., A.A., Data Collection or Processing: R.A., Analysis or Interpretation: M.Q., R.A., A.A., Literature Search: R.A., A.A., Writing: M.Q., R.A., A.A.
Conflict of Interest: No conflicts of interest were declared by the authors.
Financial Disclosure: The authors declare that this study has received no financial support.

References

1
Wosnitzer B, Gadiraju R, Depuey G. The truncation artifact. J Nucl Cardiol. 2011;18:187-191.
2
Matsumoto N, Suzuki Y, Yoda S, Hirayama A. The truncation artefact in patients with a high body mass index on myocardial perfusion SPECT. BMJ Case Rep. 2014;2014.
3
McGowan SE, Greaves CD, Evans S. An investigation into truncation artefacts experienced in cardiac imaging using a dedicated cardiac SPECT gamma camera with transmission attenuation correction. Nucl Med Commun. 2012;33:1287-1291.
4
Tsougos I, Alexiou S, Theodorou K, Valotassiou V, Georgoulias P. The prevalence of a false-positive myocardial perfusion stress SPET test in a skinny patient, induced by projection truncation. Hell J Nucl Med. 2015;18:79-80.
5
Yapici O, Baris S, Alic T, Basoglu T. Auto-contouring at 90 degrees dual head fitting angle: a potential cause of a myocardial perfusion SPET artifact in slim patients. Hell J Nucl Med. 2009;12:289-290.