Xiangsong Zhang

Linmi Tao, Donglai Tao, Ruiyang Liu et al.

As global population aging intensifies, there is growing interest in the study of biological age. Bones have long been used to evaluate biological age, and the decline in bone density with age is a well-recognized phenomenon in adults. However, the pattern of this decline remains controversial, making it difficult to serve as a reliable indicator of the aging process. Here we present a novel AI-driven statistical method to assess the bone density, and a discovery that the bone mass distribution in trabecular bone of vertebrae follows a non-Gaussian, unimodal, and skewed distribution in CT images. The statistical mode of the distribution is defined as the measure of bone mass, which is a groundbreaking assessment of bone density, named Trabecular Bone Density (TBD). The dataset of CT images are collected from 1,719 patients who underwent PET/CT scans in three hospitals, in which a subset of the dataset is used for AI model training and generalization. Based upon the cases, we demonstrate that the pattern of bone density declining with aging exhibits a consistent trend of exponential decline across sexes and age groups using TBD assessment. The developed AI-driven statistical method blazes a trail in the field of AI for reliable quantitative computation and AI for medicine. The findings suggest that human aging is a gradual process, with the rate of decline slowing progressively over time, which will provide a valuable basis for scientific prediction of life expectancy.

Bohui Shen, Wei Zhang, Xubiao Liu et al.

Positron emission tomography (PET) serves as an essential tool for diagnosis of encephalopathy and brain science research. However, it suffers from the limited choice of tracers. Nowadays, with the wide application of PET imaging in neuropsychiatric treatment, 6-18F-fluoro-3, 4-dihydroxy-L-phenylalanine (DOPA) has been found to be more effective than 18F-labeled fluorine-2-deoxyglucose (FDG) in the field. Nevertheless, due to the complexity of its preparation and other limitations, DOPA is far less widely used than FDG. To address this issue, a tracer conversion invertible neural network (TC-INN) for image projection is developed to map FDG images to DOPA images through deep learning. More diagnostic information is obtained by generating PET images from FDG to DOPA. Specifically, the proposed TC-INN consists of two separate phases, one for training traceable data, the other for rebuilding new data. The reference DOPA PET image is used as a learning target for the corresponding network during the training process of tracer conversion. Meanwhile, the invertible network iteratively estimates the resultant DOPA PET data and compares it to the reference DOPA PET data. Notably, the reversible model employs variable enhancement technique to achieve better power generation. Moreover, image registration needs to be performed before training due to the angular deviation of the acquired FDG and DOPA data information. Experimental results exhibited excellent generation capability in mapping between FDG and DOPA, suggesting that PET tracer conversion has great potential in the case of limited tracer applications.

Yu Guan, Bohui Shen, Xinchong Shi et al.

Attenuation correction (AC) is essential for the generation of artifact-free and quantitatively accurate positron emission tomography (PET) images. However, AC of PET faces challenges including inter-scan motion and erroneous transformation of structural voxel-intensities to PET attenuation-correction factors. Nowadays, the problem of AC for quantitative PET have been solved to a large extent after the commercial availability of devices combining PET with computed tomography (CT). Meanwhile, considering the feasibility of a deep learning approach for PET AC without anatomical imaging, this paper develops a PET AC method, which uses deep learning to generate continuously valued CT images from non-attenuation corrected PET images for AC on brain PET imaging. Specifically, an invertible network combined with the variable augmentation strategy that can achieve the bidirectional inference processes is proposed for synthetic CT generation (IVNAC). To evaluate the performance of the proposed algorithm, we conducted a comprehensive study on a total of 1440 data from 37 clinical patients using comparative algorithms (such as Cycle-GAN and Pix2pix). Perceptual analysis and quantitative evaluations illustrate that the invertible network for PET AC outperforms other existing AC models, which demonstrates the potential of the proposed method and the feasibility of achieving brain PET AC without CT.