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arXiv 2603.18896cs.CVcs.AI

通过增强病理意识的条件扩散模型将MRI翻译为PET

Translating MRI to PET through Conditional Diffusion Models with Enhanced Pathology Awareness

Lab for Artificial Intelligence in Medical Imaging, Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum, Technical University of Munich (TUM)(人工智能医学成像实验室,诊断与介入放射学研究所,医学院与健康学院,TUM医院,慕尼黑技术大学);Munich Center for Machine Learning (MCML)(慕尼黑机器学习中心);Department of Nuclear Medicine, School of Medicine and Health(核医学系,医学院与健康学院);Department of Neuroradiology, School of Medicine and Health(神经放射学系,医学院与健康学院)

Yitong Li, Igor Yakushev, Dennis M. Hedderich, Christian Wachinger

AI总结:

本文提出PASTA框架,利用条件扩散模型生成高质量3D PET图像,通过双臂架构和多模态条件整合提升结构与病理细节的保留,使合成PET在阿尔茨海默病诊断中性能优于MRI,接近真实PET。

摘要:

正电子发射断层扫描(PET)是诊断神经退行性疾病的常用技术,提供关键的功能信息,但其高成本和辐射暴露限制了广泛应用。相比之下,磁共振成像(MRI)不具这些限制。虽然MRI也能检测神经退行性变化,但其诊断灵敏度低于PET。为克服这些限制,一种方法是从MRI生成合成PET。生成模型的最新进展为跨模态医学图像翻译铺平了道路;然而,现有方法大多强调结构保持而忽视了病理意识的必要性。为解决这一差距,我们提出了PASTA,一种基于条件扩散模型的新型图像翻译框架,具有增强的病理意识。PASTA通过高度交互的双臂架构和多模态条件整合,在结构和病理细节的保留上超越了现有方法。此外,我们引入了一种新的循环交换一致性与体积生成策略,显著增强了PASTA生成高质量3D PET图像的能力。我们的定性与定量结果证明了合成PET扫描的高质量和病理意识。对于阿尔茨海默病诊断,这些合成扫描的性能比MRI提高4%,几乎达到真实PET的性能。我们的代码可在https://github.com/ai-med/PASTA获取。

英文摘要:

Positron emission tomography (PET) is a widely recognized technique for diagnosing neurodegenerative diseases, offering critical functional insights. However, its high costs and radiation exposure hinder its widespread use. In contrast, magnetic resonance imaging (MRI) does not involve such limitations. While MRI also detects neurodegenerative changes, it is less sensitive for diagnosis compared to PET. To overcome such limitations, one approach is to generate synthetic PET from MRI. Recent advances in generative models have paved the way for cross-modality medical image translation; however, existing methods largely emphasize structural preservation while neglecting the critical need for pathology awareness. To address this gap, we propose PASTA, a novel image translation framework built on conditional diffusion models with enhanced pathology awareness. PASTA surpasses state-of-the-art methods by preserving both structural and pathological details through its highly interactive dual-arm architecture and multi-modal condition integration. Additionally, we introduce a novel cycle exchange consistency and volumetric generation strategy that significantly enhances PASTA's ability to produce high-quality 3D PET images. Our qualitative and quantitative results demonstrate the high quality and pathology awareness of the synthesized PET scans. For Alzheimer's diagnosis, the performance of these synthesized scans improves over MRI by 4%, almost reaching the performance of actual PET. Our code is available at https://github.com/ai-med/PASTA.

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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