Journal article

Deep-JASC: joint attenuation and scatter correction in whole-body 18F-FDG PET using a deep residual network.

  • Shiri I Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, CH-1211, Geneva 4, Switzerland.
  • Arabi H Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, CH-1211, Geneva 4, Switzerland.
  • Geramifar P Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  • Hajianfar G Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran.
  • Ghafarian P Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Rahmim A Departments of Radiology and Physics, University of British Columbia, Vancouver, BC, Canada.
  • Ay MR Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran.
  • Zaidi H Division of Nuclear Medicine and Molecular Imaging, Geneva University Hospital, CH-1211, Geneva 4, Switzerland. habib.zaidi@hcuge.ch.
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  • 2020-05-17
Published in:
  • European journal of nuclear medicine and molecular imaging. - 2020
English OBJECTIVE
We demonstrate the feasibility of direct generation of attenuation and scatter-corrected images from uncorrected images (PET-nonASC) using deep residual networks in whole-body 18F-FDG PET imaging.


METHODS
Two- and three-dimensional deep residual networks using 2D successive slices (DL-2DS), 3D slices (DL-3DS) and 3D patches (DL-3DP) as input were constructed to perform joint attenuation and scatter correction on uncorrected whole-body images in an end-to-end fashion. We included 1150 clinical whole-body 18F-FDG PET/CT studies, among which 900, 100 and 150 patients were randomly partitioned into training, validation and independent validation sets, respectively. The images generated by the proposed approach were assessed using various evaluation metrics, including the root-mean-squared-error (RMSE) and absolute relative error (ARE %) using CT-based attenuation and scatter-corrected (CTAC) PET images as reference. PET image quantification variability was also assessed through voxel-wise standardized uptake value (SUV) bias calculation in different regions of the body (head, neck, chest, liver-lung, abdomen and pelvis).


RESULTS
Our proposed attenuation and scatter correction (Deep-JASC) algorithm provided good image quality, comparable with those produced by CTAC. Across the 150 patients of the independent external validation set, the voxel-wise REs (%) were - 1.72 ± 4.22%, 3.75 ± 6.91% and - 3.08 ± 5.64 for DL-2DS, DL-3DS and DL-3DP, respectively. Overall, the DL-2DS approach led to superior performance compared with the other two 3D approaches. The brain and neck regions had the highest and lowest RMSE values between Deep-JASC and CTAC images, respectively. However, the largest ARE was observed in the chest (15.16 ± 3.96%) and liver/lung (11.18 ± 3.23%) regions for DL-2DS. DL-3DS and DL-3DP performed slightly better in the chest region, leading to AREs of 11.16 ± 3.42% and 11.69 ± 2.71%, respectively (p value < 0.05). The joint histogram analysis resulted in correlation coefficients of 0.985, 0.980 and 0.981 for DL-2DS, DL-3DS and DL-3DP approaches, respectively.


CONCLUSION
This work demonstrated the feasibility of direct attenuation and scatter correction of whole-body 18F-FDG PET images using emission-only data via a deep residual network. The proposed approach achieved accurate attenuation and scatter correction without the need for anatomical images, such as CT and MRI. The technique is applicable in a clinical setting on standalone PET or PET/MRI systems. Nevertheless, Deep-JASC showing promising quantitative accuracy, vulnerability to noise was observed, leading to pseudo hot/cold spots and/or poor organ boundary definition in the resulting PET images.
Language
  • English
Open access status
green
Identifiers
Persistent URL
https://sonar.ch/global/documents/29196
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