Alzheimer's disease (AD) is the most common cause of dementia. An early detection is crucial for slowing down the disease and mitigating risks related to the progression. While the combination of MRI and FDG-PET is the best image-based tool for diagnosis, FDG-PET is not always available. The reliable detection of Alzheimer's disease with only MRI could be beneficial, especially in regions where FDG-PET might not be affordable for all patients. To this end, we propose a multi-task method based on U-Net that takes T1-weighted MR images as an input to generate synthetic FDG-PET images and classifies the dementia progression of the patient into cognitive normal (CN), cognitive impairment (MCI), and AD. The attention gates used in both task heads can visualize the most relevant parts of the brain, guiding the examiner and adding interpretability. Results show the successful generation of synthetic FDG-PET images and a performance increase in disease classification over the naive single-task baseline.
FDG PET/CT imaging is a resource intensive examination critical for managing malignant disease and is particularly important for longitudinal assessment during therapy. Approaches to automate longtudinal analysis present many challenges including lack of available longitudinal datasets, managing complex large multimodal imaging examinations, and need for detailed annotations for traditional supervised machine learning. In this work we develop OncoNet, novel machine learning algorithm that assesses treatment response from a 1,954 pairs of sequential FDG PET/CT exams through weak supervision usi…
Shanghai AI Lab（上海人工智能实验室）；Shanghai Jiao Tong University（上海交通大学）；University of Surrey（萨里大学）；University of Electronic Science and Technology of China（电子科技大学）；Tongji University（同济大学）
Tumor lesion segmentation is one of the most important tasks in medical image analysis. In clinical practice, Fluorodeoxyglucose Positron-Emission Tomography~(FDG-PET) is a widely used technique to identify and quantify metabolically active tumors. However, since FDG-PET scans only provide metabolic information, healthy tissue or benign disease with irregular glucose consumption may be mistaken for cancer. To handle this challenge, PET is commonly combined with Computed Tomography~(CT), with the CT used to obtain the anatomic structure of the patient. The combination of PET-based metabolic and…
There has been growing research interest in using deep learning based method to achieve fully automated segmentation of lesion in Positron emission tomography computed tomography(PET CT) scans for the prognosis of various cancers. Recent advances in the medical image segmentation shows the nnUNET is feasible for diverse tasks. However, lesion segmentation in the PET images is not straightforward, because lesion and physiological uptake has similar distribution patterns. The Distinction of them requires extra structural information in the CT images. The present paper introduces a nnUNet based m…
Recent studies suggest that combined analysis of Magnetic resonance imaging~(MRI) that measures brain atrophy and positron emission tomography~(PET) that quantifies hypo-metabolism provides improved accuracy in diagnosing Alzheimer's disease. However, such techniques are limited by the availability of corresponding scans of each modality. Current work focuses on a cross-modal approach to estimate FDG-PET scans for the given MR scans using a 3D U-Net architecture. The use of the complete MR image instead of a local patch based approach helps in capturing non-local and non-linear correlations be…
Diffusion Bridge Networks Simulate Clinical-grade PET from MRI for Dementia Diagnostics
Lab for AI in Medical Imaging, Institute for Diagnostic and Interventional Radiology, School of Medicine and Health（人工智能在医学影像中的实验室，诊断与介入放射学研究所，医学院与健康学院）；Technical University of Munich (TUM)（慕尼黑技术大学）；Munich Center for Machine Learning (MCML)（慕尼黑机器学习中心）；University Medical Center Hamburg-Eppendorf（汉堡-埃本达大学医学中心）；Department of Neuroradiology, TUM University Hospital, School of Medicine and Health（神经放射学部，慕尼黑技术大学医院，医学院与健康学院）；Department of Neurology, TUM University Hospital, School of Medicine and Health（神经病学部，慕尼黑技术大学医院，医学院与健康学院）
PETWB-REP: A Multi-Cancer Whole-Body FDG PET/CT and Radiology Report Dataset for Medical Imaging Research
PET Center, Huashan Hospital, Fudan University（复旦大学附属华山医院PET中心）；Shanghai Academy of Artificial Intelligence for Science（上海科学智能研究院）；Institute of Science and Technology for Brain-inspired Intelligence, Fudan University（复旦大学类脑智能科学与技术研究院）；Shanghai Universal Medical Imaging Diagnostic Center（上海环球医学影像诊断中心）；Human Phenome Institute, Fudan University（复旦大学人类表型组研究院）；School of Data Science, Fudan University（复旦大学数据科学学院）
Pseudo-MRI-Guided PET Image Reconstruction Method Based on a Diffusion Probabilistic Model
Washington University in St. Louis（圣路易斯华盛顿大学）；Yale University（耶鲁大学）；Western University（西安大略大学）；Lawson Health Research Institute（劳森健康研究所）；McGill University（麦吉尔大学）；Siemens Healthineers AG（西门子医疗保健公司）；Mallinckrodt Institute of Radiology（马林克罗特放射学研究所）
Time-driven Survival Analysis from FDG-PET/CT in Non-Small Cell Lung Cancer
Radiology, Department of Surgical Sciences（外科科学系放射学部）；Antaros Medical（Antaros医疗）；Molecular Imaging and Medical Physics, Department of Surgical Sciences（外科科学系分子成像与医学物理部）
Background: A crucial initial processing step for quantitative PET/CT analysis is the segmentation of tumor lesions enabling accurate feature ex-traction, tumor characterization, oncologic staging, and image-based therapy response assessment. Manual lesion segmentation is however associated with enormous effort and cost and is thus infeasible in clinical routine. Goal: The goal of this study was to report the performance of a deep neural network designed to automatically segment regions suspected of cancer in whole-body 18F-FDG PET/CT images in the context of the AutoPET challenge. Method: A c…
University of California, San Francisco（加州大学旧金山分校）；University of New Mexico（新墨西哥大学）；Washington University（华盛顿大学）；University of Iowa（爱荷华大学）；University of Washington（华盛顿大学）
Historically, patient datasets have been used to develop and validate various reconstruction algorithms for PET/MRI and PET/CT. To enable such algorithm development, without the need for acquiring hundreds of patient exams, in this paper we demonstrate a deep learning technique to generate synthetic but realistic whole-body PET sinograms from abundantly-available whole-body MRI. Specifically, we use a dataset of 56 $^{18}$F-FDG-PET/MRI exams to train a 3D residual UNet to predict physiologic PET uptake from whole-body T1-weighted MRI. In training we implemented a balanced loss function to gene…
HES-SO Valais-Wallis University of Applied Sciences and Arts Western Switzerland（瑞士西部应用科学与艺术大学瓦莱州分校）；Centre Hospitalier Universitaire Vaudois (CHUV)（沃州大学中心医院）；Centre Hospitalier Universitaire de Poitiers (CHUP)（普瓦捷大学中心医院）；Univ Brest（布雷斯特大学）；INSERM（法国国家健康与医学研究院）；LaTIM（医学信息处理实验室）；Cleveland Clinic Foundation（克利夫兰医学中心基金会）；University of Sherbrooke（舍布鲁克大学）
This paper presents an overview of the second edition of the HEad and neCK TumOR (HECKTOR) challenge, organized as a satellite event of the 24th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) 2021. The challenge is composed of three tasks related to the automatic analysis of PET/CT images for patients with Head and Neck cancer (H&N), focusing on the oropharynx region. Task 1 is the automatic segmentation of H&N primary Gross Tumor Volume (GTVt) in FDG-PET/CT images. Task 2 is the automatic prediction of Progression Free Survival (PFS) from the s…
Numerous oncology indications have extensively quantified metabolically active tumors using positron emission tomography (PET) and computed tomography (CT). F-fluorodeoxyglucose-positron emission tomography (FDG-PET) is frequently utilized in clinical practice and clinical drug research to detect and measure metabolically active malignancies. The assessment of tumor burden using manual or computer-assisted tumor segmentation in FDG-PET images is widespread. Deep learning algorithms have also produced effective solutions in this area. However, there may be a need to improve the performance of a…
Shanghai University（上海大学）；Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences（中国科学院苏州生物医学工程技术研究所）；University of Science and Technology of China（中国科学技术大学）；Nanjing Medical University（南京医科大学）；The University of Electronic Science and Technology of China（电子科技大学）
FDG-PET reveals altered brain metabolism in individuals with mild cognitive impairment (MCI) and Alzheimer's disease (AD). Some biomarkers derived from FDG-PET by computer-aided-diagnosis (CAD) technologies have been proved that they can accurately diagnosis normal control (NC), MCI, and AD. However, the studies of identification of early MCI (EMCI) and late MCI (LMCI) with FDG-PET images are still insufficient. Compared with studies based on fMRI and DTI images, the researches of the inter-region representation features in FDG-PET images are insufficient. Moreover, considering the variability…
University Medical Center Groningen（格罗宁根大学医学中心）；University of Texas MD Anderson Cancer Center（德克萨斯大学MD安德森癌症中心）
Tumor segmentation is a fundamental step for radiotherapy treatment planning. To define an accurate segmentation of the primary tumor (GTVp) of oropharyngeal cancer patients (OPC), simultaneous assessment of different image modalities is needed, and each image volume is explored slice-by-slice from different orientations. Moreover, the manual fixed boundary of segmentation neglects the spatial uncertainty known to occur in tumor delineation. This study proposes a novel automatic deep learning (DL) model to assist radiation oncologists in a slice-by-slice adaptive GTVp segmentation on registere…
Recent progress in automated PET/CT lesion segmentation using deep learning methods has demonstrated the feasibility of this task. However, tumor lesion detection and segmentation in whole-body PET/CT is still a chal-lenging task. To promote research on machine learning-based automated tumor lesion segmentation on whole-body FDG-PET/CT data, Automated Lesion Segmentation in Whole-Body FDG-PET/CT (autoPET) challenge is held, and a large, publicly available training dataset is provided. In this report, we present our solution to the autoPET challenge. We employ multi-modal residual U-Net with de…
Automatic segmentation of tumor lesions is a critical initial processing step for quantitative PET/CT analysis. However, numerous tumor lesions with different shapes, sizes, and uptake intensity may be distributed in different anatomical contexts throughout the body, and there is also significant uptake in healthy organs. Therefore, building a systemic PET/CT tumor lesion segmentation model is a challenging task. In this paper, we propose a novel step-by-step 3D segmentation method to address this problem. We achieved Dice score of 0.92, false positive volume of 0.89 and false negative volume …
University of California Los Angeles（加利福尼亚大学洛杉矶分校）；Duke University Medical Center（杜克大学医学中心）
This paper develops a method of biologically guided deep learning for post-radiation FDG-PET image outcome prediction based on pre-radiation images and radiotherapy dose information. Based on the classic reaction-diffusion mechanism, a novel biological model was proposed using a partial differential equation that incorporates spatial radiation dose distribution as a patient-specific treatment information variable. A 7-layer encoder-decoder-based convolutional neural network (CNN) was designed and trained to learn the proposed biological model. As such, the model could generate post-radiation F…
Attenuation and scatter correction (AC) is crucial for quantitative Positron Emission Tomography (PET) imaging. Recently, direct application of AC in the image domain using deep learning approaches has been proposed for the hybrid PET/MR and dedicated PET systems that lack accompanying transmission or anatomical imaging. This study set out to investigate deep learning-based AC in the image domain using different input settings.
Lab for Artificial Intelligence in Medical Imaging (AI-Med), KJP, LMU Klinikum（慕尼黑大学附属医院儿童与青少年精神病学系医学影像人工智能实验室）；Technical University of Munich, School of Medicine（慕尼黑工业大学医学院）
Alzheimer's Disease (AD) is the most common form of dementia and often difficult to diagnose due to the multifactorial etiology of dementia. Recent works on neuroimaging-based computer-aided diagnosis with deep neural networks (DNNs) showed that fusing structural magnetic resonance images (sMRI) and fluorodeoxyglucose positron emission tomography (FDG-PET) leads to improved accuracy in a study population of healthy controls and subjects with AD. However, this result conflicts with the established clinical knowledge that FDG-PET better captures AD-specific pathologies than sMRI. Therefore, we p…
In medical imaging, radiological scans of different modalities serve to enhance different sets of features for clinical diagnosis and treatment planning. This variety enriches the source information that could be used for outcome prediction. Deep learning methods are particularly well-suited for feature extraction from high-dimensional inputs such as images. In this work, we apply a CNN classification network augmented with a FCN preprocessor sub-network to a public TCIA head and neck cancer dataset. The training goal is survival prediction of radiotherapy cases based on pre-treatment FDG PET-…
Gordon Center for Medical Imaging（戈登医学影像中心）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Martinos Center for Biomedical Imaging（马蒂诺斯生物医学影像中心）；University of California, Davis（加州大学戴维斯分校）
Direct reconstruction methods have been developed to estimate parametric images directly from the measured PET sinograms by combining the PET imaging model and tracer kinetics in an integrated framework. Due to limited counts received, signal-to-noise-ratio (SNR) and resolution of parametric images produced by direct reconstruction frameworks are still limited. Recently supervised deep learning methods have been successfully applied to medical imaging denoising/reconstruction when large number of high-quality training labels are available. For static PET imaging, high-quality training labels c…
Automatic segmentation of tumor lesions is a critical initial processing step for quantitative PET/CT analysis. However, numerous tumor lesion with different shapes, sizes, and uptake intensity may be distributed in different anatomical contexts throughout the body, and there is also significant uptake in healthy organs. Therefore, building a systemic PET/CT tumor lesion segmentation model is a challenging task. In this paper, we propose a novel training strategy to build deep learning models capable of systemic tumor segmentation. Our method is validated on the training set of the AutoPET 202…
GLOW-FDG: Generalized cancer LesiOn Whole-body segmentation model for $^{18}$F-FDG-PET/CT
Department of Radiation Oncology, University Hospital Zurich, University of Zurich, Zurich, Switzerland（苏黎世大学放射肿瘤科，苏黎世大学，苏黎世，瑞士）；Faculty of Medicine, University of Zurich, Zurich, Switzerland（苏黎世大学医学院，苏黎世，瑞士）；Division of Medical Image Computing, German Cancer Research Center (DKFZ), Heidelberg, Germany（德国癌症研究中心（DKFZ）医学图像计算部，海德堡，德国）；Department of Radiation Oncology, Institut de Cancérologie de Lorraine, Vandœuvre-lès-Nancy, France（洛林癌症研究所放射肿瘤科，法国 Vandœuvre-lès-Nancy）；Department of Thoracic Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland（苏黎世大学胸外科科，苏黎世大学，苏黎世，瑞士）；ETOP IBCSG Partners Foundation, Bern, Switzerland（ETOP IBCSG合作伙伴基金会，瑞士伯恩）；Department of Nuclear Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland（苏黎世大学核医学科，苏黎世大学，苏黎世，瑞士）
INSA Rouen Normandie, Univ Rouen Normandie, Université Le Havre Normandie, Normandie Univ, LITIS UR 4108, F-76000 Rouen, France（法国诺曼底 Rouen 大学）；Nuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France（亨利·贝克勒尔癌症中心核医学部）；Radiotherapy Department, Henri Becquerel Cancer Center, Rouen, France（亨利·贝克勒尔癌症中心放射治疗部）；Siemens Healthineers（西门子医疗）
Leveraging healthy population variability in deep learning unsupervised anomaly detection in brain FDG PET
Sorbonne Université（索邦大学）；Institut du Cerveau - Paris Brain Institute - ICM（大脑研究所 - 巴黎大脑研究所 - ICM）；CNRS（法国国家科学研究中心）；Inria（法国国家信息与自动化研究所）；Inserm（法国国家健康与医学研究院）；AP-HP（巴黎公共医疗集团）；Hôpital de la Pitié Salpêtrière（皮蒂-萨尔皮特里耶医院）
针对脑部 FDG PET 无监督异常检测中残差图像方法的局限性，提出受 Z-scores 启发、利用健康人群变异性的新方法，在 ADNI 数据库上证明其能准确识别阿尔茨海默病相关异常。
3D Lymphoma Segmentation on PET/CT Images via Multi-Scale Information Fusion with Cross-Attention
Zhengzhou University of Light Industry（郑州轻工业大学）；Peking University Institute of Hematology（北京大学血液病研究所）；Kennesaw State University（肯尼索州立大学）；Michigan Technological University（密歇根理工大学）
Modality Contribution Score - A Per-Patient Framework for Quantifying the Relative Diagnostic Contribution of Structural MRI and Amyloid PET in Alzheimer's Disease
Taipei Medical University（台北医学大学）；University of Memphis（孟菲斯大学）；Chitkara University（奇特卡拉大学）；University College London（伦敦大学学院）；UPES（石油与能源研究大学）；University of Eastern Finland（东芬兰大学）；CNRS（法国国家科学研究中心）；University Bordeaux（波尔多大学）；Bordeaux INP（波尔多国立理工学院）
Collaborative Attention and Consistent-Guided Fusion of MRI and PET for Alzheimer's Disease Diagnosis
School of Software Yunnan University（软件学院 云南大学）；Department of Computer Science The University of Sheffield（计算机科学系 剑桥大学）；Department of Computing Xian JiaoTong-Liverpool University（计算系 西交利物浦大学）
Evaluation of pseudo-healthy image reconstruction for anomaly detection with deep generative models: Application to brain FDG PET
Sorbonne Université（索邦大学）；Institut du Cerveau - Paris Brain Institute - ICM（巴黎大脑研究所）；CNRS（法国国家科学研究中心）；Inria（法国国家信息与自动化研究所）；Inserm（法国国家健康与医学研究院）；AP-HP（巴黎公立医院集团）；Hôpital de la Pitié Salpêtrière（皮提耶-萨勒佩特里医院）
Cyclic 2.5D Perceptual Loss for Cross-Modal 3D Medical Image Synthesis: T1w MRI to Tau PET
Department of Artificial Intelligence, Hanyang University, Seoul, South Korea（人工智能系，翰阳大学，首尔，韩国）；Department of Electronic Engineering, Hanyang University, Seoul, South Korea（电子工程系，翰阳大学，首尔，韩国）；Division of Computer Engineering, Hankuk University of Foreign Studies, Yongin, South Korea（计算机工程系，韩国外语大学， Yongin，韩国）；Division of AI Data Convergence, Hankuk University of Foreign Studies, Yongin, South Korea（AI数据融合系，韩国外语大学， Yongin，韩国）；Division of Language & AI, Hankuk University of Foreign Studies, Seoul, South Korea（语言与AI系，韩国外语大学，首尔，韩国）
University of Sydney（悉尼大学）；Shanghai Jiao Tong University（上海交通大学）
Multi-modality Fluorodeoxyglucose (FDG) positron emission tomography / computed tomography (PET/CT) has been routinely used in the assessment of common cancers, such as lung cancer, lymphoma, and melanoma. This is mainly attributed to the fact that PET/CT combines the high sensitivity for tumor detection of PET and anatomical information from CT. In PET/CT image assessment, automatic tumor segmentation is an important step, and in recent years, deep learning based methods have become the state-of-the-art. Unfortunately, existing methods tend to over-segment the tumor regions and include region…
A robust and versatile deep learning model for prediction of the arterial input function in dynamic small animal $\left[^{18}\text{F}\right]$FDG PET imaging
Department of Physics and Technology, UiT The Arctic University of Norway（物理与技术系，UiT 北极大学）
Functional Imaging Constrained Diffusion for Brain PET Synthesis from Structural MRI
University of North Carolina at Chapel Hill（北卡罗来纳大学教堂山分校）；Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University（北卡罗来纳大学教堂山分校与北卡罗来纳州立大学生物医学工程联合系）；Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine（上海交通大学医学院附属精神卫生中心）
Zhejiang University（浙江大学）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；First Hospital of Shanxi Medical University（山西医科大学第一医院）
Patlak model is widely used in 18F-FDG dynamic positron emission tomography (PET) imaging, where the estimated parametric images reveal important biochemical and physiology information. Because of better noise modeling and more information extracted from raw sinogram, direct Patlak reconstruction gains its popularity over the indirect approach which utilizes reconstructed dynamic PET images alone. As the prerequisite of direct Patlak methods, raw data from dynamic PET are rarely stored in clinics and difficult to obtain. In addition, the direct reconstruction is time-consuming due to the bottl…
Anatomy-constrained modelling of image-derived input functions in dynamic PET using multi-organ segmentation
Department of diagnostic and interventional Radiology and Neuroradiology, University Hospital Augsburg（诊断与介入放射学及神经放射学系，奥格斯堡大学医院）；Computer-Aided Medical Procedures and Augmented Reality, Technical University of Munich（计算机辅助医疗程序与增强现实，慕尼黑技术大学）；Digital Medicine, University Hospital Augsburg（数字医学，奥格斯堡大学医院）；Center of Advanced Analytics and Predictive Sciences, University of Augsburg（高级分析与预测科学中心，奥格斯堡大学）
