ALL-PET: A Low-resource and Low-shot PET Foundation Model in Projection Domain
This addresses data scarcity and efficiency limitations in medical imaging for PET applications, though it appears to be an incremental improvement combining existing techniques like latent diffusion models with domain-specific adaptations.
The researchers tackled the problem of building PET imaging foundation models with limited labeled data and computational resources by proposing ALL-PET, a low-resource, low-shot model operating in the projection domain that achieves high-quality sinogram generation using only 500 samples with performance comparable to models trained on larger datasets.
Building large-scale foundation model for PET imaging is hindered by limited access to labeled data and insufficient computational resources. To overcome data scarcity and efficiency limitations, we propose ALL-PET, a low-resource, low-shot PET foundation model operating directly in projection domain. ALL-PET leverages a latent diffusion model (LDM) with three key innovations. First, we design a Radon mask augmentation strategy (RMAS) that generates over 200,000 structurally diverse training samples by projecting randomized image-domain masks into sinogram space, significantly improving generalization with minimal data. This is extended by a dynamic multi-mask (DMM) mechanism that varies mask quantity and distribution, enhancing data diversity without added model complexity. Second, we implement positive/negative mask constraints to embed strict geometric consistency, reducing parameter burden while preserving generation quality. Third, we introduce transparent medical attention (TMA), a parameter-free, geometry-driven mechanism that enhances lesion-related regions in raw projection data. Lesion-focused attention maps are derived from coarse segmentation, covering both hypermetabolic and hypometabolic areas, and projected into sinogram space for physically consistent guidance. The system supports clinician-defined ROI adjustments, ensuring flexible, interpretable, and task-adaptive emphasis aligned with PET acquisition physics. Experimental results show that ALL-PET achieves high-quality sinogram generation using only 500 samples, with performance comparable to models trained on larger datasets. ALL-PET generalizes across tasks including low-dose reconstruction, attenuation correction, delayed-frame prediction, and tracer separation, operating efficiently with memory use under 24GB.