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Post-reconstruction enhancement of [18F]FDG PET images with a convolutional neural network

Ly, John LU ; Minarik, David LU ; Jögi, Jonas LU orcid ; Wollmer, Per LU and Trägårdh, Elin LU (2021) In EJNMMI Research 11(1).
Abstract

Background: The aim of the study was to develop and test an artificial intelligence (AI)-based method to improve the quality of [18F]fluorodeoxyglucose (FDG) positron emission tomography (PET) images. Methods: A convolutional neural network (CNN) was trained by using pairs of excellent (acquisition time of 6 min/bed position) and standard (acquisition time of 1.5 min/bed position) or sub-standard (acquisition time of 1 min/bed position) images from 72 patients. A test group of 25 patients was used to validate the CNN qualitatively and quantitatively with 5 different image sets per patient: 4 min/bed position, 1.5 min/bed position with and without CNN, and 1 min/bed position with and without CNN. Results: Difference in hotspot... (More)

Background: The aim of the study was to develop and test an artificial intelligence (AI)-based method to improve the quality of [18F]fluorodeoxyglucose (FDG) positron emission tomography (PET) images. Methods: A convolutional neural network (CNN) was trained by using pairs of excellent (acquisition time of 6 min/bed position) and standard (acquisition time of 1.5 min/bed position) or sub-standard (acquisition time of 1 min/bed position) images from 72 patients. A test group of 25 patients was used to validate the CNN qualitatively and quantitatively with 5 different image sets per patient: 4 min/bed position, 1.5 min/bed position with and without CNN, and 1 min/bed position with and without CNN. Results: Difference in hotspot maximum or peak standardized uptake value between the standard 1.5 min and 1.5 min CNN images fell short of significance. Coefficient of variation, the noise level, was lower in the CNN-enhanced images compared with standard 1 min and 1.5 min images. Physicians ranked the 1.5 min CNN and the 4 min images highest regarding image quality (noise and contrast) and the standard 1 min images lowest. Conclusions: AI can enhance [18F]FDG-PET images to reduce noise and increase contrast compared with standard images whilst keeping SUVmax/peak stability. There were significant differences in scoring between the 1.5 min and 1.5 min CNN image sets in all comparisons, the latter had higher scores in noise and contrast. Furthermore, difference in SUVmax and SUVpeak fell short of significance for that pair. The improved image quality can potentially be used either to provide better images to the nuclear medicine physicians or to reduce acquisition time/administered activity.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Artificial intelligence, Cancer, Image quality, PET
in
EJNMMI Research
volume
11
issue
1
article number
48
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85105674544
  • pmid:33974171
ISSN
2191-219X
DOI
10.1186/s13550-021-00788-5
language
English
LU publication?
yes
id
24a1cd44-a7e0-431f-910b-bcb31c6fbfbc
date added to LUP
2021-06-01 14:41:11
date last changed
2024-06-15 11:55:55
@article{24a1cd44-a7e0-431f-910b-bcb31c6fbfbc,
  abstract     = {{<p>Background: The aim of the study was to develop and test an artificial intelligence (AI)-based method to improve the quality of [<sup>18</sup>F]fluorodeoxyglucose (FDG) positron emission tomography (PET) images. Methods: A convolutional neural network (CNN) was trained by using pairs of excellent (acquisition time of 6 min/bed position) and standard (acquisition time of 1.5 min/bed position) or sub-standard (acquisition time of 1 min/bed position) images from 72 patients. A test group of 25 patients was used to validate the CNN qualitatively and quantitatively with 5 different image sets per patient: 4 min/bed position, 1.5 min/bed position with and without CNN, and 1 min/bed position with and without CNN. Results: Difference in hotspot maximum or peak standardized uptake value between the standard 1.5 min and 1.5 min CNN images fell short of significance. Coefficient of variation, the noise level, was lower in the CNN-enhanced images compared with standard 1 min and 1.5 min images. Physicians ranked the 1.5 min CNN and the 4 min images highest regarding image quality (noise and contrast) and the standard 1 min images lowest. Conclusions: AI can enhance [<sup>18</sup>F]FDG-PET images to reduce noise and increase contrast compared with standard images whilst keeping SUV<sub>max/peak</sub> stability. There were significant differences in scoring between the 1.5 min and 1.5 min CNN image sets in all comparisons, the latter had higher scores in noise and contrast. Furthermore, difference in SUV<sub>max</sub> and SUV<sub>peak</sub> fell short of significance for that pair. The improved image quality can potentially be used either to provide better images to the nuclear medicine physicians or to reduce acquisition time/administered activity.</p>}},
  author       = {{Ly, John and Minarik, David and Jögi, Jonas and Wollmer, Per and Trägårdh, Elin}},
  issn         = {{2191-219X}},
  keywords     = {{Artificial intelligence; Cancer; Image quality; PET}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{EJNMMI Research}},
  title        = {{Post-reconstruction enhancement of [<sup>18</sup>F]FDG PET images with a convolutional neural network}},
  url          = {{http://dx.doi.org/10.1186/s13550-021-00788-5}},
  doi          = {{10.1186/s13550-021-00788-5}},
  volume       = {{11}},
  year         = {{2021}},
}