Roger Lecomte

Alexandre St-Georges, Gabriel Richard, Maxime Toussaint et al.

Accurate quantification in positron emission tomography (PET) is essential for accurate diagnostic results and effective treatment tracking. A major issue encountered in PET imaging is attenuation. Attenuation refers to the diminution of photon detected as they traverse biological tissues before reaching detectors. When such corrections are absent or inadequate, this signal degradation can introduce inaccurate quantification, making it difficult to differentiate benign from malignant conditions, and can potentially lead to misdiagnosis. Typically, this correction is done with co-computed Computed Tomography (CT) imaging to obtain structural data for calculating photon attenuation across the body. However, this methodology subjects patients to extra ionizing radiation exposure, suffers from potential spatial misregistration between PET/CT imaging sequences, and demands costly equipment infrastructure. Emerging advances in neural network architectures present an alternative approach via synthetic CT image synthesis. Our investigation reveals that Conditional Denoising Diffusion Probabilistic Models (DDPMs) can generate high quality CT images from non attenuation corrected PET images in order to correct attenuation. By utilizing all three orthogonal views from non-attenuation-corrected PET images, the DDPM approach combined with ensemble voting generates higher quality pseudo-CT images with reduced artifacts and improved slice-to-slice consistency. Results from a study of 159 head scans acquired with the Siemens Biograph Vision PET/CT scanner demonstrate both qualitative and quantitative improvements in pseudo-CT generation. The method achieved a mean absolute error of 32 $\pm$ 10.4 HU on the CT images and an average error of (1.48 $\pm$ 0.68)\% across all regions of interest when comparing PET images reconstructed using the attenuation map of the generated pseudo-CT versus the true CT.

Jonathan Charest, Jean-François Beaudoin, Jules Cadorette et al.

Fault detection and diagnosis is critical to many applications in order to ensure proper operation and performance over time. Positron emission tomography (PET) systems that require regular calibrations by qualified scanner operators are good candidates for such continuous improvements. Furthermore, for scanners employing one-to-one coupling of crystals to photodetectors to achieve enhanced spatial resolution and contrast, the calibration task is even more daunting because of the large number of independent channels involved. To cope with the additional complexity of the calibration and quality control procedures of these scanners, an intelligent system (IS) was designed to perform fault detection and diagnosis (FDD) of malfunctioning channels. The IS can be broken down into four hierarchical modules: parameter extraction, channel fault detection, fault prioritization and diagnosis. Of these modules, the first two have previously been reported and this paper focuses on fault prioritization and diagnosis. The purpose of the fault prioritization module is to help the operator to zero in on the faults that need immediate attention. The fault diagnosis module will then identify the causes of the malfunction and propose an explanation of the reasons that lead to the diagnosis. The FDD system was implemented on a LabPET avalanche photodiode (APD)-based digital PET scanner. Experiments demonstrated a FDD Sensitivity of 99.3 % (with a 95% confidence interval (CI) of: [98.7, 99.9]) for major faults. Globally, the Balanced Accuracy of the diagnosis for varying fault severities is 92 %. This suggests the IS can greatly benefit the operators in their maintenance task.