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Tinsu Pan, Ph.D., DABR, ABSNM

Present Title & Affiliation

Primary Appointment

Professor, Department of Imaging Physics, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX

Bio Statement

Dr. Pan received his Ph.D. in Electrical Engineering and Computer Science from the University of Michigan, Ann Arbor, Michigan in 1991, and post-doctoral training in Nuclear Medicine at the University of Massachusetts Medical Center, Worcester, Massachusetts, from 1991 to 1993. He continued on as a research faculty on quantification of SPECT until 1996 when he joined the Applied Science Laboratory of GE Healthcare, Waukesha, Wisconsin as a senior scientist researching on CT. He became a faculty in the Department of Imaging Physics at the University of Texas, MD Anderson Cancer Center, Houston, Texas in 2004. Currently, he is a professor in the Department of Imaging Physics and holds a joint faculty appointment in the Department of Radiation Physics at the University of Texas, MD Anderson Cancer Center.

Dr. Pan designed the cardiac CT and invented the 4D-CT on the GE LightSpeed CT during his tenure with GE. His design of 4D-CT is the most used 4D-CT in Radiation Oncology. There are over 10,000 patients scanned with his 4D-CT at MD Anderson Cancer Center. He also invented average CT to help register the CT and PET images in the thorax,. The average CT whas been applied in patient care at the University of Texas Medical School by Dr. K. Lance Gould for over 6,000 patients since 2006. He has published 9 book chapters, 12 patents and over 100 peer-reviewed articles.  Dr. Pan is certified by the ABR and ABSNM.

Research Interests

His research aim is to improve the accuracy of quantitative imaging of the thorax on hybrid PET/CT imaging. He invented and designed the first commercial application of 4D-CT.  He contributed to the first research of 4D PET/CT, which incorporated 4D PET and 4D CT to improve the accuracy of quantitative imaging of the lung tumor. He also developed one of the first 4D Cone Beam CT’s to image the lung tumor, at the treatment position for radiation therapy. He also invented the average CT to improve registration of the CT and PET data in free-breathing. His average CT design does not need respiratory gating and is readily applicable to the GE PET/CT scanner. The average CT has found its use in treatment planning and image guided radiation therapy.

Clinical Interests

  • PET
  • CT

Education & Training

Degree-Granting Education

1991 The University of Michigan, Ann Arbor, MI, PHD, Electrical Engineering and Computer Science
1985 National Tsing-Hua University, Hsin-Chu, MS, Electrical Engineering
1983 National Tsing-Hua University, Hsin-Chu, BS, Electrical Engineering

Board Certifications

2007 American Board of Radiology - Diagnostic Physics
1996 American Board of Science in Nuclear Medicine

Professional Memberships

American Association of Physicists in Medicine
Member, 1992-present
Society of Nuclear Medicine
Member, 2004-present

Selected Publications

Peer-Reviewed Original Research Articles

1. Nehmeh SA, Erdi YE, Kalaigian H, Kolbert KS, Pan T, Yeung H, Squire O, Sinha A, Larson SM, Humm JL. Correction for oral contrast artifacts in the CT attenuation corrected PET images of the Discovery LS PET/CT. J. Nuc. Med 44(12):1940-1944, 2003.
2. Pan T, Lee TY, Rietzel E and Chen GTY. 4D-CT imaging of a volume influenced by respiratory motion on multi-slice CT. Med. Phys 31(2):333-340, 2004.
3. Nehmeh SA, Erdi YE, Pan T, Pevsner A, Rosenzweig KE, York E, Mageras GS, Schoder H, Vernon P, Squire O, Mostafavi H, Larson SM, Humm JL. Four-dimensional (4D) PET/CT imaging of the thorax. Med. Phys 31(12):3179-3186, 2004.
4. Erdi YE, Nehmeh SA, Pan T, Pevsner A, Rosenzweig KE, Mageras GS, York E, Schoder H, Hsiao W, Squire OD, Vernon P, Ashman JB, Mostafavi H, Larson SM, Humm JL. The CT motion quantitation of lung lesions and its impact on PET-measured SUVs. J. Nuc. Med 45(8):1287-1292, 2004.
5. Pan T, Mawlawi O, Nehmeh SA, Erdi YE, Luo D, Liu HH, Castillo R, Mohan R, Liao Z, Macapinlac HA. Attenuation correction of PET images with respiration-averaged CT images in PET/CT. Journal of nuclear medicine : official publication, Society of Nuclear Medicine 46(9):1481-1487, 2005.
6. Pan T. Comparison of helical and cine acquisitions for 4D-CT imaging with multislice CT. Medical Physics 32(2):627-634, 2005.
7. Rietzel E, Pan T, Chen GTY. Four-dimensional computed tomography: imaging formation and clinical protocol. Med. Phys 32(4):874-889, 2005.
8. Qiao F, Pan T, Clark JW, Mawlawi O. A motion-incorporated reconstruction method for gated PET studies. Phys Med Biol 51:3769-3783, 2006.
9. Liu HH, Balter P, Tutt T, Choi B, Zhang J, Wang C, Chi M, Luo D, Pan TS, Hunjan S, Starkschall G, Rosen I, Prado K, Liao Z, Chang J, Komaki R, Cox JD, Mohan R, Dong L. Assessing respiration-induced tumor motion and internal target volume using four-dimensional computed tomography for radiotherapy of lung cancer. Int J Radiat Oncol Biol Phys 68(2):531-40, 6/2007. e-Pub 3/2007. PMID: 17398035.
10. Pan T, Sun X, Luo D. Improvement of the cine-CT based 4D-CT imaging. Med Phys 34(11):4499-503, 11/2007. PMID: 18072515.
11. Liu H, Balter P, Tutt T, Bum C, Zhang J, Wang C, Chi P, Luo D, Pan T, Hunjan S. Assessing respiration-induced tumor motion and internal target volume using 4DCT for radition therapy of lung cancer. Int J Radiat Oncol Biol Phys 68:531-540, 2007.
12. Gould KL, Pan T, Loghin C, Johnson N, Guha A, Sdringola S. Frequent diagnostic errors in cardiac PET-CT due to misregistration of CT attentuation and emission PET images: a definite analyis of causes, consequences and corrections. J Nuc Med (*Cover Illustration) 48:1112-1121, 2007.
13. Gould KL, Pan T. Reply:attenuation correction for stress and rest PET 82Rb myocardial perfusion images. J Nuc Med 48:1913-1914, 2007.
14. Gould KL, Pan T, Loghin C, Johnson NP, Sdringola S. Reducing radiation dose in rest-stress cardiac PET/CT by single poststress cine CT for attenuation correction: quantitative validation. J Nucl Med 49(5):738-45, 5/2008. e-Pub 4/2008. PMID: 18413384.
15. Chi PC, Mawlawi O, Luo D, Liao Z, Macapinlac HA, Pan T. Effects of respiration-averaged computed tomography on positron emission tomography/computed tomography quantification and its potential impact on gross tumor volume delineation. Int J Radiat Oncol Biol Phys 71(3):890-9, 7/2008. PMCID: PMC4103781.
16. Chi PM, Mawlawi O, Luo D, Liao Z, Macapinlac H, Pan T. Effect of respiration-averaged CT on PET/CT quantification and its potential impact on ross tumor volume delineation. Int J Radiat Oncol Biol Phys 71:890-899, 2008.
17. Riegel AC, Bucci MK, Mawlawi OR, Johnson V, Ahmad M, Sun X, Luo D, Chandler AG, Pan T. Target definition of moving lung tumors in positron emission tomography: correlation of optimal activity concentration thresholds with object size, motion extent, and source-to-background ratio. Med Phys 37(4):1742-1752, 4/2010. PMCID: PMC3820629.
18. Johnson NP, Pan T, Gould KL. Shifted helical computed tomography to optimize cardiac positron emission tomography-computed tomography coregistration: quantitative improvement and limitations. Mol Imaging 9(5):256-67, 10/2010. PMID: 20868626.
19. Zamora DA, Riegel AC, Sun X, Balter P, Starkschall G, Mawlawi O, Pan T. Thoracic target volume delineation using various maximum-intensity-projection computed tomography image sets for radiotherapy treatment planning. Med Phys 37(11):5811-20, 11/2010. PMCID: PMC3810265.
20. Ahmad M, Balter P, Pan T. Four-dimensional volume-of-interest reconstruction for cone-beam computed tomography-guided radiation therapy. Med Phys 38(10):5646-56, 10/2011. PMCID: PMC4032402.
21. Wang X, Pan T, Pinnix C, Zhang SX, Salehpour M, Sun TL, Gladish G, Strom EA, Perkins GH, Tereffe W, Woodward W, Hoffman KE, Buchholz TA, Yu TK. Cardiac motion during deep-inspiration breath-hold: implications for breast cancer radiotherapy. Int J Radiat Oncol Biol Phys 82(2):708-14, 2/2012. e-Pub 3/2011. PMID: 21444161.
22. Pan T, Riegel AC, Ahmad MU, Sun X, Chang JY, Luo D. New weighted maximum-intensity-projection images from cine CT for delineation of the lung tumor plus motion. Med Phys 40(6/061901):061901, 6/2013. PMID: 23718592.
23. Busse N, Erwin W, Pan T. Evaluation of a semiautomated lung mass calculation technique for internal dosimetry applications. Med Phys 40(12):122503, 12/2013. PMID: 24320539.
24. Oki Y, Chuang H, Chasen B, Jessop A, Pan T, Fanale M, Dabaja B, Fowler N, Romaguera J, Fayad L, Hagemeister F, Rodriguez MA, Neelapu S, Samaniego F, Kwak L, Younes A. The prognostic value of interim positron emission tomography scan in patients with classical Hodgkin lymphoma. Br J Haematol 165(1):112-6, 4/2014. e-Pub 1/2014. PMID: 24386943.
25. Fave X, Yang J, Carvalho L, Martin R, Pan T Balter P, Court L. Upright cone beam CT imaging using the onboard imager. Med Phys 41(6):061906, 6/2014. PMID: 24877817.
26. Yan H, Zhen X, Folkerts M, Li Y, Pan T, Cervino L, Jiang SB, Jia X. A hybrid reconstruction algorithm for fast and accurate 4D cone-beam CT imaging. Med Phys 41(7):071903, 7/2014. PMCID: PMC4187347.
27. Yen TC, Visvikis D, Pan T, Fang YH. Biomedical imaging: role and opportunities of medical imaging in the "omics" era. Biomed Res Int 2014:930213, 2014. e-Pub 6/2014. PMCID: PMC4065776.
28. Riegel AC, Bucci MK, Mawlawi OR, Ahmad M, Luo D, Chandler A, Pan T. Defining internal target volume using positron emission tomography for radiation therapy planning of moving lung tumors. J Appl Clin Med Phys 15(1):4600, 2014. e-Pub 1/2014. PMID: 24423860.
29. Palmer J, Yang J, Pan T, Court LE. Motion of the esophagus due to cardiac motion. PLoS One 9(2):e89126, 2014. e-Pub 2/2014. PMCID: PMC3938435.
30. Mathieu KB, Ai H, Fox PS, Godoy MC, Munden RF, de Groot PM, Pan T. Radiation dose reduction for CT lung cancer screening using ASIR and MBIR: a phantom study. J Appl Clin Med Phys 15(2):4515, 2014. e-Pub 3/2014. PMID: 24710436.

Invited Articles

1. Pan T, Zaidi H. Attenuation correction strategies for PET/CT and 4D PET/CT. PET Clinics 8:37-50, 2013.
2. Zaidi H, Pan T. Recent advances in hybrid imaging for radiation therapy planning: the cutting edge. PET Clinics 6(2):207-226, 2011.

Book Chapters

1. Pan T. Four-Dimensional Computed Tomography. In: Technology and Applications (Devices, Circuits, and Systems). Ed(s) Farncombe T and Iniewski K. CRC Press, 2013.
2. Pan T. Helical 4D-CT and comparison with cine 4D-CT. In: 4D Modeling and Estimation of Respiratory Motion for Radiation Therapy. Chapter 2. Ed(s) Ehrhardt J and Lorenz C. Springer, 25-41, 2013.

Grant & Contract Support

Title: Optimization of 4D PET/CT
Funding Source: MDACC/GE-CABI
Role: Principal Investigator
Duration: 2/1/2014 - 3/31/2015
Title: 4D Cone Beam CT for IGRT: Advanced Volumetric Imaging and Adaptive Radiotherapy for Detecting and Correcting for Inter-fractional Changes (Center Grant PI: Hak)
Funding Source: CPRIT
Role: Sub-Project PI
Duration: 6/1/2011 - 6/30/2016
Title: Evaluation of Helical CT and Average CT in PET/CT Simulation of the Lung Cancer Patients
Funding Source: GE Health Care
Role: Principal Investigator
Duration: 5/30/2008 - 11/30/2008
Title: Phase II validation of 4-dimensional computer tomography derived ventilation image-guided radiotherapy of lung cancer
Funding Source: NIH/NCI
Role: Co-Investigator
Principal Investigator: Thomas Guerrero
Duration: 6/15/2007 - 5/31/2009
Title: New PET/CT techniques for improving cancer imaging
Funding Source: Goodwin Fund for Technology Review Committee
Role: Principal Investigator
Duration: 3/15/2006 - 9/15/2006
Title: 4D PET/CT Imaging of the lung and esophageal tumors in the lower thorax
Funding Source: GE Health Care
Role: Principal Investigator
Duration: 2/1/2006 - 3/31/2007
Title: 4D Cone Beam CT
Funding Source: Varian Medical Systems
Role: Principal Investigator
Duration: 10/1/2005 - 5/31/2010

Last updated: 9/28/2016