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Objectives: This study aims to decrease the scan time and enhance image quality in pediatric total-body PET imaging by utilizing multimodal artificial intelligence techniques. Methods: A total of 270 pediatric patients who underwent total-body PET/CT scans with a uEXPLORER at the Sun Yat-sen University Cancer Center were retrospectively enrolled. 18F-fluorodeoxyglucose (18F-FDG) was administered at a dose of 3.7 MBq/kg with an acquisition time of 600 s. Short-term scan PET images (acquired within 6, 15, 30, 60 and 150 s) were obtained by truncating the list-mode data. A three-dimensional (3D) neural network was developed with a residual network as the basic structure, fusing low-dose CT images as prior information, which were fed to the network at different scales. The short-term PET images and low-dose CT images were processed by the multimodal 3D network to generate full-length, high-dose PET images. The nonlocal means method and the same 3D network without the fused CT information were used as reference methods. The performance of the network model was evaluated by quantitative and qualitative analyses. Results: Multimodal artificial intelligence techniques can significantly improve PET image quality. When fused with prior CT information, the anatomical information of the images was enhanced, and 60 s of scan data produced images of quality comparable to that of the full-time data. Conclusion: Multimodal artificial intelligence techniques can effectively improve the quality of pediatric total-body PET/CT images acquired using ultrashort scan times. This has the potential to decrease the use of sedation, enhance guardian confidence, and reduce the probability of motion artifacts. [ABSTRACT FROM AUTHOR]

Positron emission tomography (PET) imaging can be used for early detection, diagnosis and postoperative patient monitoring of many diseases. Traditional PET imaging requires not only additional computed tomography (CT) imaging or magnetic resonance imaging (MR) to provide anatomical information but also attenuation correction (AC) map calculation based on CT images or MR images for accurate quantitative estimation. During a patient's treatment, PET/CT or PET/MR scans are inevitably repeated many times, leading to additional doses of ionizing radiation (CT scans) and additional economic and time costs (MR scans). To reduce adverse effects while obtaining high-quality PET/MR images in the course of a patient's treatment, especially in the stage of evaluating the effect of postoperative treatment, in this work, we propose a new method based on deep learning, which can directly obtain synthetic attenuation-corrected PET (sAC PET) and synthetic T1-weighted MR (sMR) images based only on non-attenuation-corrected PET (NAC PET) images. Our model, based on the Wasserstein generative adversarial network, first removes noise and artifacts from the NAC PET images to generate sAC PET images and then generates sMR images from the obtained sAC PET images. To evaluate the performance of this generative model, we evaluated it on paired PET/MR images from a total of eighty clinical patients. Based on qualitative and quantitative analysis, the generated sAC PET and sMR images showed a high degree of similarity to the real AC PET and real MR images. These results indicated that our proposed method can reduce the frequency of additional anatomical imaging scans during PET imaging and has great potential in improving doctors' clinical diagnosis efficiency, saving patients' economic expenditure and reducing the radiation risk brought by CT scanning. [ABSTRACT FROM AUTHOR]

BACKGROUND: Radiation risk from computed tomography (CT) is always an issue for patients, especially those in clinical conditions in which repeated CT scanning is required. For patients undergoing repeated CT scanning, a low-dose protocol, such as sparse scanning, is often used, and consequently, an advanced reconstruction algorithm is also needed. OBJECTIVE: To develop a novel algorithm used for sparse-view CT reconstruction associated with the prior image. METHODS: A low-dose CT reconstruction method based on prior information of normal-dose image (PI-NDI) involving a transformed model for attenuation coefficients of the object to be reconstructed and prior information application in the forward-projection process was used to reconstruct CT images from sparse-view projection data. A digital extended cardiac-torso (XCAT) ventral phantom and a diagnostic head phantom were employed to evaluate the performance of the proposed PI-NDI method. The root-mean-square error (RMSE), peak signal-to-noise ratio (PSNR) and mean percent absolute error (MPAE) of the reconstructed images were measured for quantitative evaluation of the proposed PI-NDI method. RESULTS: The reconstructed images with sparse-view projection data via the proposed PI-NDI method have higher quality by visual inspection than that via the compared methods. In terms of quantitative evaluations, the RMSE measured on the images reconstructed by the PI-NDI method with sparse projection data is comparable to that by MLEM-TV, PWLS-TV and PWLS-PICCS with fully sampled projection data. When the projection data are very sparse, images reconstructed by the PI-NDI method have higher PSNR values and lower MPAE values than those from the compared algorithms. CONCLUSIONS: This study presents a new low-dose CT reconstruction method based on prior information of normal-dose image (PI-NDI) for sparse-view CT image reconstruction. The experimental results validate that the new method has superior performance over other state-of-art methods. [ABSTRACT FROM AUTHOR]

The suppression of streak artifacts in computed tomography with a limited-angle configuration is challenging. Conventional analytical algorithms, such as filtered backprojection (FBP), are not successful due to incomplete projection data. Moreover, model-based iterative total variation algorithms effectively reduce small streaks but do not work well at eliminating large streaks. In contrast, FBP mapping networks and deep-learning-based postprocessing networks are outstanding at removing large streak artifacts; however, these methods perform processing in separate domains, and the advantages of multiple deep learning algorithms operating in different domains have not been simultaneously explored. In this paper, we present a hybrid-domain convolutional neural network (hdNet) for the reduction of streak artifacts in limited-angle computed tomography. The network consists of three components: the first component is a convolutional neural network operating in the sinogram domain, the second is a domain transformation operation, and the last is a convolutional neural network operating in the CT image domain. After training the network, we can obtain artifact-suppressed CT images directly from the sinogram domain. Verification results based on numerical, experimental and clinical data confirm that the proposed method can significantly reduce serious artifacts. [ABSTRACT FROM AUTHOR]

PURPOSE: To reduce the cost of positron emission tomography (PET) scanning systems, image reconstruction algorithms for low-sampled data have been extensively studied. However, the current method based on total variation (TV) minimization regularization nested in the maximum likelihood-expectation maximization (MLEM) algorithm cannot distinguish true structures from noise resulting losing some fine features in the images. Thus, this work aims to recover fine features lost in the MLEM-TV algorithm from low-sampled data. METHOD: A feature refinement (FR) approach previously developed for statistical interior computed tomography (CT) reconstruction is applied to PET imaging to recover fine features in this study. The proposed method starts with a constant initial image and the FR step is performed after each MLEM-TV iteration to extract the desired structural information lost during TV minimization. A feature descriptor is specifically designed to distinguish structure from noise and artifacts. A modified steepest descent method is adopted to minimize the objective function. After evaluating the impacts of different patch sizes on the outcome of the presented method, an optimal patch size of 7×7 is selected in this study to balance structure-detection ability and computational efficiency. RESULTS: Applying MLEM-TV-FR algorithm to the simulated brain PET imaging using an emission activity phantom, a standard Shepp-Logan phantom, and mouse results in the increased peak signal-to-noise ratio (PSNR) and structural similarity (SSIM) as comparing to using the conventional MLEM-TV algorithm, as well as the substantial reduction of the used sampling numbers, which improves the computational efficiency. CONCLUSIONS: The presented algorithm can achieve image quality superior to that of the MLEM and MLEM-TV approaches in terms of the preservation of fine structure and the suppression of undesired artifacts and noise, indicating its useful potential for low-sampled data in PET imaging. [ABSTRACT FROM AUTHOR]

Recently, low-dose computed tomography (CT) has become highly desirable due to the increasing attention paid to the potential risks of excessive radiation of the regular dose CT. However, ensuring image quality while reducing the radiation dose in the low-dose CT imaging is a major challenge. Compared to classical filtered back-projection (FBP) algorithms, statistical iterative reconstruction (SIR) methods for modeling measurement statistics and imaging geometry can significantly reduce the radiation dose, while maintaining the image quality in a variety of CT applications. To facilitate low-dose CT imaging, we in this study proposed an improved statistical iterative reconstruction scheme based on the penalized weighted least squares (PWLS) standard combined with total variation (TV) minimization and sparse dictionary learning (DL), which is named as a method of PWLS-TV-DL. To evaluate this PWLS-TV-DL method, we performed experiments on digital phantoms and physical phantoms, and analyzed the results in terms of image quality and calculation. The results show that the proposed method is better than the comparison methods, which indicates the potential of applying this PWLS-TV-DL method to reconstruct low-dose CT images. [ABSTRACT FROM AUTHOR]

Purpose: In recent years, health risks concerning high‐dose x‐ray radiation have become a major concern in dental computed tomography (CT) examinations. Therefore, adopting low‐dose computed tomography (LDCT) technology has become a major focus in the CT imaging field. One of these LDCT technologies is downsampling data acquisition during low‐dose x‐ray imaging processes. However, reducing the radiation dose can adversely affect CT image quality by introducing noise and artifacts in the resultant image that can compromise diagnostic information. In this paper, we propose an artifact correction method for downsampling CT reconstruction based on deep learning. Method: We used clinical dental CT data with low‐dose artifacts reconstructed by conventional filtered back projection (FBP) as inputs to a deep neural network and corresponding high‐quality labeled normal‐dose CT data during training. We trained a generative adversarial network (GAN) with Wasserstein distance (WGAN) and mean squared error (MSE) loss, called m‐WGAN, to remove artifacts and obtain high‐quality CT dental images in a clinical dental CT examination environment. Results: The experimental results confirmed that the proposed algorithm effectively removes low‐dose artifacts from dental CT scans. In addition, we showed that the proposed method is efficient for removing noise from low‐dose CT scan images compared to existing approaches. We compared the performances of the general GAN, convolutional neural networks, and m‐WGAN. Through quantitative and qualitative analysis of the results, we concluded that the proposed m‐WGAN method resulted in better artifact correction performance preserving the texture in dental CT scanning. Conclusions: The image quality evaluation metrics indicated that the proposed method effectively improves image quality when used as a postprocessing technique for dental CT images. To the best of our knowledge, this work is the first deep learning architecture used with a commercial cone‐beam dental CT scanner. The artifact correction performance was rigorously evaluated and demonstrated to be effective. Therefore, we believe that the proposed algorithm represents a new direction in the research area of low‐dose dental CT artifact correction. [ABSTRACT FROM AUTHOR]

Dynamic cerebral perfusion computed tomography (DCP-CT) is an advanced imaging technique that helps in the clinical diagnosis of cerebrovascular diseases (CVDs). However, radiation dose deposition during repeated CT scans seriously limits its clinical application. Effective DCP-CT imaging method based on low-dose protocol is needed. A regularized least-squares method with high interpretability based on voxel-level time-attenuation curve (TAC) correction (VTC) is proposed in this study for low-dose DCP-CT image reconstruction. The theory of third-order Hermite interpolation (THI) is applied to voxel-level TAC correction during dynamic images reconstruction. The peak signal-to-noise ratio (PSNR) and structural similarity (SSIM) are used to quantitatively evaluate the proposed method in terms of imaging accuracy and noise reduction, while hemodynamic maps, including cerebral blood flow (CBF), cerebral blood volume (CBV) and mean transition time (MTT), are calculated to validate its ability to restore hemodynamic parameters. It is proven that the proposed VTC method for low-dose DCP-CT imaging has better performance than several state-of-the-art dynamic CT imaging methods. It can be expected that the VTC method can play an important role in the promotion of the clinical application of DCP-CT for the diagnosis of CVD. [ABSTRACT FROM AUTHOR]

Micro-CT with a high spatial resolution in combination with computer-based-reconstruction techniques is considered a powerful tool for morphological study of insects. The quality of CT images crucially depends on the precise knowledge of the scan geometry of the micro-CT system. In this paper, we have proposed a method to calculate the deviation of rotating axis for compensating deficiency of existing methods. A practical application of this geometric calibration method of the micro-CT system for insect imaging is presented. We have performed the computer-simulation study and experimental study with our prototype micro-CT system. The results demonstrate that the proposed technique is accurate and robust. In addition, we have evaluated the imaging characteristics of the detector in terms of modulation-transfer function (MTF). Finally, insect imaging performance and image reconstruction from data acquired with different energies are presented. [ABSTRACT FROM PUBLISHER]

Aiming at reducing computed tomography (CT) scan radiation while ensuring CT image quality, a new low-dose CT super-resolution reconstruction method based on combining a random forest with coupled dictionary learning is proposed. The random forest classifier finds the optimal solution of the mapping relationship between low-dose CT (LDCT) images and high-dose CT (HDCT) images and then completes CT image reconstruction by coupled dictionary learning. An iterative method is developed to improve robustness, the important coefficients for the tree structure are discussed and the optimal solutions are reported. The proposed method is further compared with a traditional interpolation method. The results show that the proposed algorithm can obtain a higher peak signal-to-noise ratio (PSNR) and structural similarity index measurement (SSIM) and has better ability to reduce noise and artifacts. This method can be applied to many different medical imaging fields in the future and the addition of computer multithreaded computing can reduce time consumption. [ABSTRACT FROM AUTHOR]

Low-dose CT techniques attempt to minimize the radiation exposure of patients by estimating the high-resolution normal-dose CT images to reduce the risk of radiation-induced cancer. In recent years, many deep learning methods have been proposed to solve this problem by building a mapping function between low-dose CT images and their high-dose counterparts. However, most of these methods ignore the effect of different radiation doses on the final CT images, which results in large differences in the intensity of the noise observable in CT images. What'more, the noise intensity of low-dose CT images exists significantly differences under different medical devices manufacturers. In this paper, we propose a multi-level noise-aware network (MLNAN) implemented with constrained cycle Wasserstein generative adversarial networks to recovery the low-dose CT images under uncertain noise levels. Particularly, the noise-level classification is predicted and reused as a prior pattern in generator networks. Moreover, the discriminator network introduces noise-level determination. Under two dose-reduction strategies, experiments to evaluate the performance of proposed method are conducted on two datasets, including the simulated clinical AAPM challenge datasets and commercial CT datasets from United Imaging Healthcare (UIH). The experimental results illustrate the effectiveness of our proposed method in terms of noise suppression and structural detail preservation compared with several other deep-learning based methods. Ablation studies validate the effectiveness of the individual components regarding the afforded performance improvement. Further research for practical clinical applications and other medical modalities is required in future works. • A framework is proposed to focus on the improvement of image quality under different noise intensities. • To gain better performance, we introduce several strategies for overview network framework. • The quantitative and visual results reflect the superiority of the proposed method. [ABSTRACT FROM AUTHOR]