Jianyong Jiang

Yingkai Zhang, Shuang Chen, Ye Tian et al.

Positron emission tomography (PET) offers powerful functional imaging but involves radiation exposure. Efforts to reduce this exposure by lowering the radiotracer dose or scan time can degrade image quality. While using magnetic resonance (MR) images with clearer anatomical information to restore standard-dose PET (SPET) from low-dose PET (LPET) is a promising approach, it faces challenges with the inconsistencies in the structure and texture of multi-modality fusion, as well as the mismatch in out-of-distribution (OOD) data. In this paper, we propose a supervise-assisted multi-modality fusion diffusion model (MFdiff) for addressing these challenges for high-quality PET restoration. Firstly, to fully utilize auxiliary MR images without introducing extraneous details in the restored image, a multi-modality feature fusion module is designed to learn an optimized fusion feature. Secondly, using the fusion feature as an additional condition, high-quality SPET images are iteratively generated based on the diffusion model. Furthermore, we introduce a two-stage supervise-assisted learning strategy that harnesses both generalized priors from simulated in-distribution datasets and specific priors tailored to in-vivo OOD data. Experiments demonstrate that the proposed MFdiff effectively restores high-quality SPET images from multi-modality inputs and outperforms state-of-the-art methods both qualitatively and quantitatively.

Yucun Hou, Fenglin Zhan, Xin Cheng et al.

Positron emission tomography (PET) is a critical tool for diagnosing tumors and neurological disorders but poses radiation risks to patients, particularly to sensitive populations. While reducing injected radiation dose mitigates this risk, it often compromises image quality. To reconstruct full-dose-quality images from low-dose scans, we propose a Cycle-constrained Adversarial Denoising Convolutional Network (Cycle-DCN). This model integrates a noise predictor, two discriminators, and a consistency network, and is optimized using a combination of supervised loss, adversarial loss, cycle consistency loss, identity loss, and neighboring Structural Similarity Index (SSIM) loss. Experiments were conducted on a large dataset consisting of raw PET brain data from 1,224 patients, acquired using a Siemens Biograph Vision PET/CT scanner. Each patient underwent a 120-seconds brain scan. To simulate low-dose PET conditions, images were reconstructed from shortened scan durations of 30, 12, and 5 seconds, corresponding to 1/4, 1/10, and 1/24 of the full-dose acquisition, respectively, using a custom-developed GPU-based image reconstruction software. The results show that Cycle-DCN significantly improves average Peak Signal-to-Noise Ratio (PSNR), SSIM, and Normalized Root Mean Square Error (NRMSE) across three dose levels, with improvements of up to 56%, 35%, and 71%, respectively. Additionally, it achieves contrast-to-noise ratio (CNR) and Edge Preservation Index (EPI) values that closely align with full-dose images, effectively preserving image details, tumor shape, and contrast, while resolving issues with blurred edges. The results of reader studies indicated that the images restored by Cycle-DCN consistently received the highest ratings from nuclear medicine physicians, highlighting their strong clinical relevance.