BrainPET Studio: An Atlas-Based, User-Friendly Desktop Tool for Quantitative PET Neuroimaging Analysis

Quantitative analysis of positron emission tomography (PET) neuroimaging data is essential for studying neurodegenerative diseases, yet existing processing pipelines often rely on computationally intensive software packages such as FreeSurfer, limiting accessibility for many research groups. Here I introduce BrainPET Studio, an open-source desktop application for atlas-based regional PET quantification that operates entirely in Montreal Neurological Institute (MNI) standard space. BrainPET Studio integrates affine registration, optional Muller-Gartner (MG) partial volume correction (PVC), interactive quality control (QC), and standardized uptake value ratio (SUVR) calculation into a single graphical user interface (GUI), eliminating the requirement for FreeSurfer-based cortical reconstruction. I validated BrainPET Studio against two established pipelines: (1) the UC Berkeley Alzheimers Disease Neuroimaging Initiative (ADNI) AV1451 (flortaucipir) pipeline, which employs FreeSurfer v7.1.1 parcellation, SPM-based coregistration, and Geometric Transfer Matrix (GTM) PVC in native subject space; and (2) the volBrain/petBrain online platform. Region-of-interest (ROI) SUVR values were compared across 322 subjects. Overall Pearson correlation coefficients for meta-ROI composites ranged from r = 0.83-0.96 versus ADNI and r = 0.86-0.94 versus volBrain/petBrain. Detailed per-subject validation on four representative cases across 112 FreeSurfer-defined regions demonstrated strong agreement for large cortical composites and acceptable variability for smaller medial temporal structures. These results establish BrainPET Studio as a reliable, accessible, and extensible tool for multi-site PET research, educational applications, and studies where FreeSurfer-based processing is impractical.