Alexandre Bousse

Alessandro Perelli, Suxer Alfonso Garcia, Alexandre Bousse et al.

Objective. Dual-energy computed tomography (DECT) has the potential to improve contrast, reduce artifacts and the ability to perform material decomposition in advanced imaging applications. The increased number or measurements results with a higher radiation dose and it is therefore essential to reduce either number of projections per energy or the source X-ray intensity, but this makes tomographic reconstruction more ill-posed. Approach. We developed the multi-channel convolutional analysis operator learning (MCAOL) method to exploit common spatial features within attenuation images at different energies and we propose an optimization method which jointly reconstructs the attenuation images at low and high energies with a mixed norm regularization on the sparse features obtained by pre-trained convolutional filters through the convolutional analysis operator learning (CAOL) algorithm. Main results. Extensive experiments with simulated and real computed tomography (CT) data were performed to validate the effectiveness of the proposed methods and we reported increased reconstruction accuracy compared to CAOL and iterative methods with single and joint total-variation (TV) regularization. Significance. Qualitative and quantitative results on sparse-views and low-dose DECT demonstrate that the proposed MCAOL method outperforms both CAOL applied on each energy independently and several existing state-of-the-art model-based iterative reconstruction (MBIR) techniques, thus paving the way for dose reduction.

Jing Zhang, Alexandre Bousse, Chi-Hieu Pham et al.

Targeted Radionuclide Therapy (TRT) is a modern strategy in radiation oncology that aims to administer a potent radiation dose specifically to cancer cells using cancer-targeting radiopharmaceuticals. Accurate radiation dose estimation tailored to individual patients is crucial. Deep learning, particularly with pre-therapy imaging, holds promise for personalizing TRT doses. However, current methods require large time series of SPECT imaging, which is hardly achievable in routine clinical practice, and thus raises issues of data availability. Our objective is to develop a semi-supervised learning (SSL) solution to personalize dosimetry using pre-therapy images. The aim is to develop an approach that achieves accurate results when PET/CT images are available, but are associated with only a few post-therapy dosimetry data provided by SPECT images. In this work, we introduce an SSL method using a pseudo-label generation approach for regression tasks inspired by the FixMatch framework. The feasibility of the proposed solution was preliminarily evaluated through an in-silico study using synthetic data and Monte Carlo simulation. Experimental results for organ dose prediction yielded promising outcomes, showing that the use of pseudo-labeled data provides better accuracy compared to using only labeled data.

Noel Jeffrey Pinton, Alexandre Bousse, Catherine Cheze-Le-Rest et al.

This paper presents a novel approach for learned synergistic reconstruction of medical images using multibranch generative models. Leveraging variational autoencoders (VAEs), our model learns from pairs of images simultaneously, enabling effective denoising and reconstruction. Synergistic image reconstruction is achieved by incorporating the trained models in a regularizer that evaluates the distance between the images and the model. We demonstrate the efficacy of our approach on both Modified National Institute of Standards and Technology (MNIST) and positron emission tomography (PET)/computed tomography (CT) datasets, showcasing improved image quality for low-dose imaging. Despite challenges such as patch decomposition and model limitations, our results underscore the potential of generative models for enhancing medical imaging reconstruction.

Hang Xu, Alexandre Bousse, Alessandro Perelli

Dual-energy X-ray Computed Tomography (DECT) constitutes an advanced technology which enables automatic decomposition of materials in clinical images without manual segmentation using the dependency of the X-ray linear attenuation with energy. However, most methods perform material decomposition in the image domain as a post-processing step after reconstruction but this procedure does not account for the beam-hardening effect and it results in sub-optimal results. In this work, we propose a deep learning procedure called Dual-Energy Decomposition Model-based Diffusion (DEcomp-MoD) for quantitative material decomposition which directly converts the DECT projection data into material images. The algorithm is based on incorporating the knowledge of the spectral DECT model into the deep learning training loss and combining a score-based denoising diffusion learned prior in the material image domain. Importantly the inference optimization loss takes as inputs directly the sinogram and converts to material images through a model-based conditional diffusion model which guarantees consistency of the results. We evaluate the performance with both quantitative and qualitative estimation of the proposed DEcomp-MoD method on synthetic DECT sinograms from the low-dose AAPM dataset. Finally, we show that DEcomp-MoD outperform state-of-the-art unsupervised score-based model and supervised deep learning networks, with the potential to be deployed for clinical diagnosis.