Deep learning-based segmentation of ultra-low-dose CT images using an optimized nnU-Net model
La radiologia medica,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 18, 2025
Abstract
Purpose
Low-dose
CT
protocols
are
widely
used
for
emergency
imaging,
follow-ups,
and
attenuation
correction
in
hybrid
PET/CT
SPECT/CT
imaging.
However,
low-dose
images
often
suffer
from
reduced
quality
depending
on
acquisition
patient
parameters.
Deep
learning
(DL)-based
organ
segmentation
models
typically
trained
high-quality
images,
with
limited
dedicated
noisy
images.
This
study
aimed
to
develop
a
DL
pipeline
ultra-low-dose
Materials
methods
274
raw
datasets
were
reconstructed
using
Siemens
ReconCT
software
ADMIRE
iterative
algorithm,
generating
full-dose
(FD-CT)
simulated
(LD-CT)
at
1%,
2%,
5%,
10%
of
the
original
tube
current.
Existing
FD-nnU-Net
segmented
22
organs
FD-CT
serving
as
reference
masks
training
new
LD-nnU-Net
LD-CT
Three
bony
tissue
(6
organs),
soft-tissue
(15
body
contour
segmentation.
The
compared
standard
reference.
External
actual
also
compared.
Results
performance
declined
radiation
dose,
especially
below
(5
mAs).
achieved
average
Dice
scores
0.937
±
0.049
(bony
tissues),
0.905
0.117
(soft-tissues),
0.984
0.023
(body
contour).
LD
outperformed
FD
external
datasets.
Conclusion
Conventional
performed
poorly
Dedicated
demonstrated
superior
across
cross-validation
evaluations,
enabling
accurate
available
our
GitHub
page.
Язык: Английский
Potential of Radiomics, Dosiomics, and Dose Volume Histograms for Tumor Response Prediction in Hepatocellular Carcinoma following 90Y-SIRT
Molecular Imaging and Biology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 10, 2025
Abstract
Purpose
We
evaluate
the
role
of
radiomics,
dosiomics,
and
dose-volume
constraints
(DVCs)
in
predicting
response
hepatocellular
carcinoma
to
selective
internal
radiation
therapy
with
90
Y
glass
microspheres.
Methods
99m
Tc-macroagregated
albumin
(
Tc-MAA)
SPECT/CT
images
17
patients
were
included.
Tumor
responses
at
three
months
evaluated
using
modified
evaluation
criteria
solid
tumors
categorized
as
responders
or
non-responders.
Dosimetry
was
conducted
local
deposition
method
(Dose)
biologically
effective
dosimetry.
A
total
264
DVCs,
321
radiomic
features,
dosiomic
features
extracted
from
tumor,
normal
perfused
liver
(NPL),
whole
(WNL).
Five
different
feature
selection
methods
combination
eight
machine
learning
algorithms
employed.
Model
performance
area
under
AUC,
accuracy,
sensitivity,
specificity.
Results
No
statistically
significant
differences
observed
between
neither
dose
metrics
nor
radiomicas
dosiomics
non-responder
groups.
Y-dosiomics
models
any
given
set
inputs
outperformed
other
models.
This
also
true
for
Y-radiomics
SPECT
SPECT-clinical
achieving
an
specificity
1.
Among
MAA-dosiomic
models,
two
showed
AUC
≥
0.91.
While
MAA-dose
volume
histogram
(DVH)-based
less
promising,
Y-DVH-based
strong
(AUC
0.91)
when
considered
independently
clinical
features.
Conclusion
study
demonstrated
potential
Tc-MAA
SPECT-derived
dosimetry
establishing
predictive
tumor
response.
Язык: Английский
Deep Learning-Based CT-Less Cardiac Segmentation of PET Images: A Robust Methodology for Multi-Tracer Nuclear Cardiovascular Imaging
Deleted Journal,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 6, 2025
Abstract
Quantitative
cardiovascular
PET/CT
imaging
is
useful
in
the
diagnosis
of
multiple
cardiac
perfusion
and
motion
pathologies.
The
common
approach
for
segmentation
consists
using
co-registered
CT
images,
exploiting
publicly
available
deep
learning
(DL)-based
models.
However,
mismatch
between
structural
images
PET
uptake
limits
usefulness
these
approaches.
Besides,
performance
DL
models
not
consistent
over
low-dose
or
ultra-low-dose
commonly
used
clinical
imaging.
In
this
work,
we
developed
a
DL-based
methodology
to
tackle
issue
by
segmenting
directly
images.
This
study
included
406
from
146
patients
(43
18
F-FDG,
329
13
N-NH
3
,
37
82
Rb
images).
Using
previously
trained
nnU-Net
our
group,
segmented
whole
heart
three
main
components,
namely
left
myocardium
(LM),
ventricle
cavity
(LV),
right
(RV)
on
was
resampled
resolution
edited
through
combination
automated
image
processing
manual
correction.
corrected
masks
SUV
were
fed
V2
pipeline
be
fivefold
data
split
strategy
defining
two
tasks:
task
#1
#2
components.
Fifteen
as
external
validation
set.
delineated
compared
with
standard
reference
Dice
coefficient,
Jaccard
distance,
mean
surface
segment
volume
relative
error
(%).
Task
average
coefficient
internal
0.932
±
0.033.
15
cases
comparable
reaching
an
0.941
0.018.
0.88
0.063,
0.828
0.091,
0.876
0.062
LM,
LV,
RV,
respectively.
There
no
statistically
significant
difference
among
coefficients,
neither
acquired
radiotracers
nor
different
folds
(
P
-values
>
0.05).
overall
prediction
components
less
than
2%.
We
acceptable
accuracy
robust
test
set
nuclear
proposed
can
overcome
unreliable
segmentations
performed
Язык: Английский
Impact of tracer uptake rate on quantification accuracy of myocardial blood flow in PET: A simulation study
Medical Physics,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 8, 2025
Cardiac
perfusion
PET
is
commonly
used
to
assess
ischemia
and
cardiovascular
risk,
which
enables
quantitative
measurements
of
myocardial
blood
flow
(MBF)
through
kinetic
modeling.
However,
the
estimation
parameters
challenging
due
noisy
nature
short
dynamic
frames
limited
sample
data
points.
This
work
aimed
investigate
errors
in
MBF
a
simulation
study
evaluate
different
parameter
approaches,
including
deep
learning
(DL)
method.
Simulated
studies
were
generated
using
digital
phantoms
based
on
cardiac
segmentations
from
55
clinical
CT
images.
We
employed
irreversible
2-tissue
compartmental
model
simulated
13N-ammonia
scans
under
both
rest
stress
conditions
(220
cases
each).
The
simulations
covered
K1
range
0.6
1.2
3.6
(unit:
mL/min/g)
myocardium.
A
transformer-based
DL
was
trained
dataset
predict
parametric
images
(PIMs)
image
validated
5-fold
cross-validation.
compared
method
with
voxel-wise
nonlinear
least
squares
(NLS)
fitting
applied
images,
either
Gaussian
filter
(GF)
smoothing
(GF-NLS)
or
nonlocal
means
(DNLM)
algorithm
for
denoising
(DNLM-NLS).
Two
patients
coronary
angiography
(CTA)
fractional
reserve
(FFR)
enrolled
test
feasibility
applying
models
data.
showed
clearer
structures
reduced
noise
traditional
NLS-based
methods.
In
terms
mean
absolute
relative
error
(MARE),
as
values
increased
mL/min/g,
overall
bias
myocardium
estimates
decreased
approximately
58%
45%
methods
while
reduction
MARE
42%
18%.
For
data,
30%
70%
GF-NLS
contrast,
DNLM-NLS
(average:
42%)
20%)
demonstrated
significantly
smaller
changes
varied.
Regarding
regional
(±standard
deviation),
had
6.30%
(±8.35%)
K1,
1.10%
(±8.21%)
6.28%
(±14.05%)
10.72%
(±9.34%)
1.69%
(±8.82%)
-10.55%
(±9.81%)
that
an
increase
tracer
uptake
rate
(K1)
corresponded
improved
accuracy
precision
quantification,
whereas
lower
resulted
higher
poorer
estimates.
Utilizing
techniques
approaches
can
mitigate
noise-induced
imaging.
Язык: Английский