Currently, deep learning (DL) has achieved the automatic prediction of dose distribution in radiotherapy planning, enhancing its efficiency and quality. However, existing methods suffer from the over-smoothing problem for their commonly used L_1 or L_2 loss with posterior average calculations. To alleviate this limitation, we innovatively introduce a diffusion-based dose prediction (DiffDP) model for predicting the radiotherapy dose distribution of cancer patients. Specifically, the DiffDP model contains a forward process and a reverse process. In the forward process, DiffDP gradually transforms dose distribution maps into Gaussian noise by adding small noise and trains a noise predictor to predict the noise added in each timestep. In the reverse process, it removes the noise from the original Gaussian noise in multiple steps with the well-trained noise predictor and finally outputs the predicted dose distribution map. To ensure the accuracy of the prediction, we further design a structure encoder to extract anatomical information from patient anatomy images and enable the noise predictor to be aware of the dose constraints within several essential organs, i.e., the planning target volume and organs at risk. Extensive experiments on an in-house dataset with 130 rectum cancer patients demonstrate the s
Deep learning has revolutionized the early detection of breast cancer, resulting in a significant decrease in mortality rates. However, difficulties in obtaining annotations and huge variations in distribution between training sets and real scenes have limited their clinical applications. To address these limitations, unsupervised domain adaptation (UDA) methods have been used to transfer knowledge from one labeled source domain to the unlabeled target domain, yet these approaches suffer from severe domain shift issues and often ignore the potential benefits of leveraging multiple relevant sources in practical applications. To address these limitations, in this work, we construct a Three-Branch Mixed extractor and propose a Bi-level Multi-source unsupervised domain adaptation method called BTMuda for breast cancer diagnosis. Our method addresses the problems of domain shift by dividing domain shift issues into two levels: intra-domain and inter-domain. To reduce the intra-domain shift, we jointly train a CNN and a Transformer as two paths of a domain mixed feature extractor to obtain robust representations rich in both low-level local and high-level global information. As for the inter-domain shift, we redesign the Transformer delicately to a three-branch architecture with cross-attention and distillation, which learns domain-invariant representations from multiple domains. Besides, we introduce two alignment modules - one for feature alignment and one for classifier alignment - to improve the alignment process. Extensive experiments conducted on three public mammographic datasets demonstrate that our BTMuda outperforms state-of-the-art methods.
To acquire high-quality positron emission tomography (PET) images while reducing the radiation tracer dose, numerous efforts have been devoted to reconstructing standard-dose PET (SPET) images from low-dose PET (LPET). However, the success of current fully-supervised approaches relies on abundant paired LPET and SPET images, which are often unavailable in clinic. Moreover, these methods often mix the dose-invariant content with dose level-related dose-specific details during reconstruction, resulting in distorted images. To alleviate these problems, in this paper, we propose a two-stage Semi-Supervised SPET reconstruction framework, namely S3PET, to accommodate the training of abundant unpaired and limited paired SPET and LPET images. Our S3PET involves an un-supervised pre-training stage (Stage I) to extract representations from unpaired images, and a supervised dose-aware reconstruction stage (Stage II) to achieve LPET-to-SPET reconstruction by transferring the dose-specific knowledge between paired images. Specifically, in stage I, two independent dose-specific masked autoencoders (DsMAEs) are adopted to comprehensively understand the unpaired SPET and LPET images. Then, in Stage II, the pre-trained DsMAEs are further finetuned using paired images. To prevent distortions in both content and details, we introduce two elaborate modules, i.e., a dose knowledge decouple module to disentangle the respective dose-specific and dose-invariant knowledge of LPET and SPET, and a dose-specific knowledge learning module to transfer the dose-specific information from SPET to LPET, thereby achieving high-quality SPET reconstruction from LPET images. Experiments on two datasets demonstrate that our S3PET achieves state-of-the-art performance quantitatively and qualitatively.
Metal implants can heavily attenuate X-rays in computed tomography (CT) scans, leading to severe artifacts in reconstructed images, which significantly jeopardize image quality and negatively impact subsequent diagnoses and treatment planning. With the rapid development of deep learning in the field of medical imaging, several network models have been proposed for metal artifact reduction (MAR) in CT. Despite the encouraging results achieved by these methods, there is still much room to further improve performance. In this paper, a novel Dual-domain Adaptive-scaling Non-local network (DAN-Net) for MAR. We correct the corrupted sinogram using adaptive scaling first to preserve more tissue and bone details as a more informative input. Then, an end-to-end dual-domain network is adopted to successively process the sinogram and its corresponding reconstructed image generated by the analytical reconstruction layer. In addition, to better suppress the existing artifacts and restrain the potential secondary artifacts caused by inaccurate results of the sinogram-domain network, a novel residual sinogram learning strategy and nonlocal module are leveraged in the proposed network model. In the experiments, the proposed DAN-Net demonstrates performance competitive with several state-of-the-art MAR methods in both qualitative and quantitative aspects.
Spectral computed tomography (CT) can reconstruct spectral images from different energy bins using photon counting detectors (PCDs). However, due to the limited photons and counting rate in the corresponding spectral fraction, the reconstructed spectral images usually suffer from severe noise. In this paper, a fourth-order nonlocal tensor decomposition model for spectral CT image reconstruction (FONT-SIR) method is proposed. Similar patches are collected in both spatial and spectral dimensions simultaneously to form the basic tensor unit. Additionally, principal component analysis (PCA) is applied to extract latent features from the patches for a robust and efficient similarity measure. Then, low-rank and sparsity decomposition is performed on the produced fourth-order tensor unit, and the weighted nuclear norm and total variation (TV) norm are used to enforce the low-rank and sparsity constraints, respectively. The alternating direction method of multipliers (ADMM) is adopted to optimize the objective function. The experimental results with our proposed FONT-SIR demonstrates a superior qualitative and quantitative performance for both simulated and real data sets relative to several state-of-the-art methods, in terms of noise suppression and detail preservation.
Traditional dictionary learning based CT reconstruction methods are patch-based and the features learned with these methods often contain shifted versions of the same features. To deal with these problems, the convolutional sparse coding (CSC) has been proposed and introduced into various applications. In this paper, inspired by the successful applications of CSC in the field of signal processing, we propose a novel sparse-view CT reconstruction method based on CSC with gradient regularization on feature maps. By directly working on whole image, which need not to divide the image into overlapped patches like dictionary learning based methods, the proposed method can maintain more details and avoid the artifacts caused by patch aggregation. Experimental results demonstrate that the proposed method has better performance than several existing algorithms in both qualitative and quantitative aspects.
Given the potential X-ray radiation risk to the patient, low-dose CT has attracted a considerable interest in the medical imaging field. The current main stream low-dose CT methods include vendor-specific sinogram domain filtration and iterative reconstruction, but they need to access original raw data whose formats are not transparent to most users. Due to the difficulty of modeling the statistical characteristics in the image domain, the existing methods for directly processing reconstructed images cannot eliminate image noise very well while keeping structural details. Inspired by the idea of deep learning, here we combine the autoencoder, the deconvolution network, and shortcut connections into the residual encoder-decoder convolutional neural network (RED-CNN) for low-dose CT imaging. After patch-based training, the proposed RED-CNN achieves a competitive performance relative to the-state-of-art methods in both simulated and clinical cases. Especially, our method has been favorably evaluated in terms of noise suppression, structural preservation and lesion detection.
To reduce the potential radiation risk, low-dose CT has attracted much attention. However, simply lowering the radiation dose will lead to significant deterioration of the image quality. In this paper, we propose a noise reduction method for low-dose CT via deep neural network without accessing original projection data. A deep convolutional neural network is trained to transform low-dose CT images towards normal-dose CT images, patch by patch. Visual and quantitative evaluation demonstrates a competing performance of the proposed method.