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arXiv 2409.01622eess.IVcs.AIcs.CV

基于潜在肿瘤条件化的胶质瘤患者多参数MRI生成T1对比增强MRI

T1-contrast Enhanced MRI Generation from Multi-parametric MRI for Glioma Patients with Latent Tumor Conditioning

Emory University(埃默里大学);Winship Cancer Institute(温希普癌症研究所)

Zach Eidex, Mojtaba Safari, Richard L. J. Qiu, David S. Yu, Hui-Kuo Shu, Hui Mao, Xiaofeng Yang

AI总结:

本文提出肿瘤感知视觉Transformer(TA-ViT)模型,利用预测分割图通过自适应层归一化零机制条件化Transformer层,从多参数MRI生成高质量T1C图像,在胶质瘤患者数据上显著优于基准模型,为无对比剂MRI提供可能。

摘要:

目的:钆基对比剂(GBCAs)常用于胶质瘤患者的MRI扫描,以利用T1加权(T1W)MRI增强脑肿瘤特征刻画。然而,人们对GBCA毒性的担忧日益增加。本研究开发了一个深度学习框架,从对比前的多参数MRI生成T1增强后(T1C)图像。方法:我们提出了肿瘤感知视觉Transformer(TA-ViT)模型,用于预测高质量的T1C图像。通过自适应层归一化零机制,利用预测的分割图对Transformer层进行条件化,预测的肿瘤区域得到显著改善(P < .001)。预测的分割图由多参数残差(MPR)ViT模型生成,并被变换到潜在空间以产生压缩的、特征丰富的表示。TA-ViT模型预测了501例胶质瘤病例的T1C MRI图像。所选患者被划分为训练集(N=400)、验证集(N=50)和测试集(N=51)。主要结果:定性和定量结果均表明,TA-ViT模型优于基准MRP-ViT模型。我们的方法生成的合成T1C MRI具有高软组织对比度,并且能更准确地重建肿瘤和全脑体积。与MRP-ViT模型相比,合成的T1C图像在肿瘤和健康组织区域均取得了显著改善。对于健康组织和肿瘤区域,结果分别如下:NMSE:8.53 +/- 4.61E-4;PSNR:31.2 +/- 2.2;NCC:0.908 +/- .041,以及NMSE:1.22 +/- 1.27E-4,PSNR:41.3 +/- 4.7,NCC:0.879 +/- 0.042。意义:所提出的方法生成的合成T1C图像与真实T1C图像高度相似。该方法的未来发展和应用可能使脑肿瘤患者实现无对比剂MRI,消除GBCA毒性风险并简化MRI扫描流程。

英文摘要:

Objective: Gadolinium-based contrast agents (GBCAs) are commonly used in MRI scans of patients with gliomas to enhance brain tumor characterization using T1-weighted (T1W) MRI. However, there is growing concern about GBCA toxicity. This study develops a deep-learning framework to generate T1-postcontrast (T1C) from pre-contrast multiparametric MRI. Approach: We propose the tumor-aware vision transformer (TA-ViT) model that predicts high-quality T1C images. The predicted tumor region is significantly improved (P < .001) by conditioning the transformer layers from predicted segmentation maps through adaptive layer norm zero mechanism. The predicted segmentation maps were generated with the multi-parametric residual (MPR) ViT model and transformed into a latent space to produce compressed, feature-rich representations. The TA-ViT model predicted T1C MRI images of 501 glioma cases. Selected patients were split into training (N=400), validation (N=50), and test (N=51) sets. Main Results: Both qualitative and quantitative results demonstrate that the TA-ViT model performs superior against the benchmark MRP-ViT model. Our method produces synthetic T1C MRI with high soft tissue contrast and more accurately reconstructs both the tumor and whole brain volumes. The synthesized T1C images achieved remarkable improvements in both tumor and healthy tissue regions compared to the MRP-ViT model. For healthy tissue and tumor regions, the results were as follows: NMSE: 8.53 +/- 4.61E-4; PSNR: 31.2 +/- 2.2; NCC: 0.908 +/- .041 and NMSE: 1.22 +/- 1.27E-4, PSNR: 41.3 +/- 4.7, and NCC: 0.879 +/- 0.042, respectively. Significance: The proposed method generates synthetic T1C images that closely resemble real T1C images. Future development and application of this approach may enable contrast-agent-free MRI for brain tumor patients, eliminating the risk of GBCA toxicity and simplifying the MRI scan protocol.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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