MRI-to-CT synthesis using drifting models

Accurate MRI-to-CT synthesis could enable MR-only pelvic workflows by providing CT-like images with bone details while avoiding additional ionizing radiation. In this work, we investigate recently proposed drifting models for synthesizing pelvis CT images from MRI and benchmark them against convolutional neural networks (UNet, VAE), a generative adversarial network (WGAN-GP), a physics-inspired probabilistic model (PPFM), and diffusion-based methods (FastDDPM, DDIM, DDPM). Experiments are performed on two complementary datasets: Gold Atlas Male Pelvis and the SynthRAD2023 pelvis subset. Image fidelity and structural consistency are evaluated with SSIM, PSNR, and RMSE, complemented by qualitative assessment of anatomically critical regions such as cortical bone and pelvic soft-tissue interfaces. Across both datasets, the proposed drifting model achieves high SSIM and PSNR and low RMSE, surpassing strong diffusion baselines and conventional CNN-, VAE-, GAN-, and PPFM-based methods. Visual inspection shows sharper cortical bone edges, improved depiction of sacral and femoral head geometry, and reduced artifacts or over-smoothing, particularly at bone-air-soft tissue boundaries. Moreover, the drifting model attains these gains with one-step inference and inference times on the order of milliseconds, yielding a more favorable accuracy-efficiency trade-off than iterative diffusion sampling while remaining competitive in image quality. These findings suggest that drifting models are a promising direction for fast, high-quality pelvic synthetic CT generation from MRI and warrant further investigation for downstream applications such as MRI-only radiotherapy planning and PET/MR attenuation correction.

MCR-VQGAN: A Scalable and Cost-Effective Tau PET Synthesis Approach for Alzheimer's Disease Imaging

Tau positron emission tomography (PET) is a critical diagnostic modality for Alzheimer's disease (AD) because it visualizes and quantifies neurofibrillary tangles, a hallmark of AD pathology. However, its widespread clinical adoption is hindered by significant challenges, such as radiation exposure, limited availability, high clinical workload, and substantial financial costs. To overcome these limitations, we propose Multi-scale CBAM Residual Vector Quantized Generative Adversarial Network (MCR-VQGAN) to synthesize high-fidelity tau PET images from structural T1-weighted MRI scans. MCR-VQGAN improves standard VQGAN by integrating three key architectural enhancements: multi-scale convolutions, ResNet blocks, and Convolutional Block Attention Modules (CBAM). Using 222 paired structural T1-weighted MRI and tau PET scans from Alzheimer's Disease Neuroimaging Initiative (ADNI), we trained and compared MCR-VQGAN with cGAN, WGAN-GP, CycleGAN, and VQGAN. Our proposed model achieved superior image synthesis performance across all metrics: MSE of 0.0056 +/- 0.0061, PSNR of 24.39 +/- 4.49 dB, and SSIM of 0.9000 +/- 0.0453. To assess the clinical utility of the synthetic images, we trained and evaluated a CNN-based AD classifier. The classifier achieved comparable accuracy when tested on real (63.64%) and synthetic (65.91%) images. This result indicates that our synthesis process successfully preserves diagnostically relevant features without significant information loss. Our results demonstrate that MCR-VQGAN can offer a reliable and scalable surrogate for conventional tau PET imaging, potentially improving the accessibility and scalability of tau imaging biomarkers for AD research and clinical workflows.