Two-Phase Multi-Dose-Level PET Image Reconstruction with Dose Level Awareness

To obtain high-quality positron emission tomography (PET) while minimizing radiation exposure, a range of methods have been designed to reconstruct standard-dose PET (SPET) from corresponding low-dose PET (LPET) images. However, most current methods merely learn the mapping between single-dose-level LPET and SPET images, but omit the dose disparity of LPET images in clinical scenarios. In this paper, to reconstruct high-quality SPET images from multi-dose-level LPET images, we design a novel two-phase multi-dose-level PET reconstruction algorithm with dose level awareness, containing a pre-training phase and a SPET prediction phase. Specifically, the pre-training phase is devised to explore both fine-grained discriminative features and effective semantic representation. The SPET prediction phase adopts a coarse prediction network utilizing pre-learned dose level prior to generate preliminary result, and a refinement network to precisely preserve the details. Experiments on MICCAI 2022 Ultra-low Dose PET Imaging Challenge Dataset have demonstrated the superiority of our method.

Dcl-Net: Dual Contrastive Learning Network for Semi-Supervised Multi-Organ Segmentation

Semi-supervised learning is a sound measure to relieve the strict demand of abundant annotated datasets, especially for challenging multi-organ segmentation . However, most existing SSL methods predict pixels in a single image independently, ignoring the relations among images and categories. In this paper, we propose a two-stage Dual Contrastive Learning Network for semi-supervised MoS, which utilizes global and local contrastive learning to strengthen the relations among images and classes. Concretely, in Stage 1, we develop a similarity-guided global contrastive learning to explore the implicit continuity and similarity among images and learn global context. Then, in Stage 2, we present an organ-aware local contrastive learning to further attract the class representations. To ease the computation burden, we introduce a mask center computation algorithm to compress the category representations for local contrastive learning. Experiments conducted on the public 2017 ACDC dataset and an in-house RC-OARs dataset has demonstrated the superior performance of our method.

Dose Prediction Driven Radiotherapy Paramters Regression via Intra- and Inter-Relation Modeling

Deep learning has facilitated the automation of radiotherapy by predicting accurate dose distribution maps. However, existing methods fail to derive the desirable radiotherapy parameters that can be directly input into the treatment planning system (TPS), impeding the full automation of radiotherapy. To enable more thorough automatic radiotherapy, in this paper, we propose a novel two-stage framework to directly regress the radiotherapy parameters, including a dose map prediction stage and a radiotherapy parameters regression stage. In stage one, we combine transformer and convolutional neural network (CNN) to predict realistic dose maps with rich global and local information, providing accurate dosimetric knowledge for the subsequent parameters regression. In stage two, two elaborate modules, i.e., an intra-relation modeling (Intra-RM) module and an inter-relation modeling (Inter-RM) module, are designed to exploit the organ-specific and organ-shared features for precise parameters regression. Experimental results on a rectal cancer dataset demonstrate the effectiveness of our method.

Triplet-constraint Transformer with Multi-scale Refinement for Dose Prediction in Radiotherapy

Radiotherapy is a primary treatment for cancers with the aim of applying sufficient radiation dose to the planning target volume (PTV) while minimizing dose hazards to the organs at risk (OARs). Convolutional neural networks (CNNs) have automated the radiotherapy plan-making by predicting the dose maps. However, current CNN-based methods ignore the remarkable dose difference in the dose map, i.e., high dose value in the interior PTV while low value in the exterior PTV, leading to a suboptimal prediction. In this paper, we propose a triplet-constraint transformer (TCtrans) with multi-scale refinement to predict the high-quality dose distribution. Concretely, a novel PTV-guided triplet constraint is designed to refine dose feature representations in the interior and exterior PTV by utilizing the explicit geometry of PTV. Furthermore, we introduce a multi-scale refinement (MSR) module to effectively fulfill the triplet constraint in different decoding layers with multiple scales. Besides, a transformer encoder is devised to learn the important global dosimetric knowledge. Experiments on a clinical cervical cancer dataset demonstrate the superiority of our method.

Image2Points:A 3D Point-based Context Clusters GAN for High-Quality PET Image Reconstruction

To obtain high-quality Positron emission tomography (PET) images while minimizing radiation exposure, numerous methods have been proposed to reconstruct standard-dose PET (SPET) images from the corresponding low-dose PET (LPET) images. However, these methods heavily rely on voxel-based representations, which fall short of adequately accounting for the precise structure and fine-grained context, leading to compromised reconstruction. In this paper, we propose a 3D point-based context clusters GAN, namely PCC-GAN, to reconstruct high-quality SPET images from LPET. Specifically, inspired by the geometric representation power of points, we resort to a point-based representation to enhance the explicit expression of the image structure, thus facilitating the reconstruction with finer details. Moreover, a context clustering strategy is applied to explore the contextual relationships among points, which mitigates the ambiguities of small structures in the reconstructed images. Experiments on both clinical and phantom datasets demonstrate that our PCC-GAN outperforms the state-of-the-art reconstruction methods qualitatively and quantitatively. Code is available at https://github.com/gluucose/PCCGAN.

Diffusion-based Radiotherapy Dose Prediction Guided by Inter-slice Aware Structure Encoding

Deep learning (DL) has successfully automated dose distribution prediction in radiotherapy planning, enhancing both efficiency and quality. However, existing methods suffer from the over-smoothing problem for their commonly used L1 or L2 loss with posterior average calculations. To alleviate this limitation, we propose a diffusion model-based method (DiffDose) for predicting the radiotherapy dose distribution of cancer patients. Specifically, the DiffDose model contains a forward process and a reverse process. In the forward process, DiffDose transforms dose distribution maps into pure Gaussian noise by gradually adding small noise and a noise predictor is simultaneously trained to estimate the noise added at each timestep. In the reverse process, it removes the noise from the pure Gaussian noise in multiple steps with the well-trained noise predictor and finally outputs the predicted dose distribution maps...

Contrastive Diffusion Model with Auxiliary Guidance for Coarse-to-Fine PET Reconstruction

To obtain high-quality positron emission tomography (PET) scans while reducing radiation exposure to the human body, various approaches have been proposed to reconstruct standard-dose PET (SPET) images from low-dose PET (LPET) images. One widely adopted technique is the generative adversarial networks (GANs), yet recently, diffusion probabilistic models (DPMs) have emerged as a compelling alternative due to their improved sample quality and higher log-likelihood scores compared to GANs. Despite this, DPMs suffer from two major drawbacks in real clinical settings, i.e., the computationally expensive sampling process and the insufficient preservation of correspondence between the conditioning LPET image and the reconstructed PET (RPET) image. To address the above limitations, this paper presents a coarse-to-fine PET reconstruction framework that consists of a coarse prediction module (CPM) and an iterative refinement module (IRM). The CPM generates a coarse PET image via a deterministic process, and the IRM samples the residual iteratively. By delegating most of the computational overhead to the CPM, the overall sampling speed of our method can be significantly improved. Furthermore, two additional strategies, i.e., an auxiliary guidance strategy and a contrastive diffusion strategy, are proposed and integrated into the reconstruction process, which can enhance the correspondence between the LPET image and the RPET image, further improving clinical reliability. Extensive experiments on two human brain PET datasets demonstrate that our method outperforms the state-of-the-art PET reconstruction methods. The source code is available at \url{https://github.com/Show-han/PET-Reconstruction}.

TriDo-Former: A Triple-Domain Transformer for Direct PET Reconstruction from Low-Dose Sinograms

To obtain high-quality positron emission tomography (PET) images while minimizing radiation exposure, various methods have been proposed for reconstructing standard-dose PET (SPET) images from low-dose PET (LPET) sinograms directly. However, current methods often neglect boundaries during sinogram-to-image reconstruction, resulting in high-frequency distortion in the frequency domain and diminished or fuzzy edges in the reconstructed images. Furthermore, the convolutional architectures, which are commonly used, lack the ability to model long-range non-local interactions, potentially leading to inaccurate representations of global structures. To alleviate these problems, we propose a transformer-based model that unites triple domains of sinogram, image, and frequency for direct PET reconstruction, namely TriDo-Former. Specifically, the TriDo-Former consists of two cascaded networks, i.e., a sinogram enhancement transformer (SE-Former) for denoising the input LPET sinograms and a spatial-spectral reconstruction transformer (SSR-Former) for reconstructing SPET images from the denoised sinograms. Different from the vanilla transformer that splits an image into 2D patches, based specifically on the PET imaging mechanism, our SE-Former divides the sinogram into 1D projection view angles to maintain its inner-structure while denoising, preventing the noise in the sinogram from prorogating into the image domain. Moreover, to mitigate high-frequency distortion and improve reconstruction details, we integrate global frequency parsers (GFPs) into SSR-Former. The GFP serves as a learnable frequency filter that globally adjusts the frequency components in the frequency domain, enforcing the network to restore high-frequency details resembling real SPET images. Validations on a clinical dataset demonstrate that our TriDo-Former outperforms the state-of-the-art methods qualitatively and quantitatively.

DiffDP: Radiotherapy Dose Prediction via a Diffusion Model

Currently, deep learning (DL) has achieved the automatic prediction of dose distribution in radiotherapy planning, enhancing its efficiency and quality. However, existing methods suffer from the over-smoothing problem for their commonly used L_1 or L_2 loss with posterior average calculations. To alleviate this limitation, we innovatively introduce a diffusion-based dose prediction (DiffDP) model for predicting the radiotherapy dose distribution of cancer patients. Specifically, the DiffDP model contains a forward process and a reverse process. In the forward process, DiffDP gradually transforms dose distribution maps into Gaussian noise by adding small noise and trains a noise predictor to predict the noise added in each timestep. In the reverse process, it removes the noise from the original Gaussian noise in multiple steps with the well-trained noise predictor and finally outputs the predicted dose distribution map. To ensure the accuracy of the prediction, we further design a structure encoder to extract anatomical information from patient anatomy images and enable the noise predictor to be aware of the dose constraints within several essential organs, i.e., the planning target volume and organs at risk. Extensive experiments on an in-house dataset with 130 rectum cancer patients demonstrate the s

LDP-Net: An Unsupervised Pansharpening Network Based on Learnable Degradation Processes

Pansharpening in remote sensing image aims at acquiring a high-resolution multispectral (HRMS) image directly by fusing a low-resolution multispectral (LRMS) image with a panchromatic (PAN) image. The main concern is how to effectively combine the rich spectral information of LRMS image with the abundant spatial information of PAN image. Recently, many methods based on deep learning have been proposed for the pansharpening task. However, these methods usually has two main drawbacks: 1) requiring HRMS for supervised learning; and 2) simply ignoring the latent relation between the MS and PAN image and fusing them directly. To solve these problems, we propose a novel unsupervised network based on learnable degradation processes, dubbed as LDP-Net. A reblurring block and a graying block are designed to learn the corresponding degradation processes, respectively. In addition, a novel hybrid loss function is proposed to constrain both spatial and spectral consistency between the pansharpened image and the PAN and LRMS images at different resolutions. Experiments on Worldview2 and Worldview3 images demonstrate that our proposed LDP-Net can fuse PAN and LRMS images effectively without the help of HRMS samples, achieving promising performance in terms of both qualitative visual effects and quantitative metrics.