arXiv:2409.01596cs.CVcs.AI2024-09被引 1

用早期乳腺MRI数据生成晚期图像,缩短检查时间且保持诊断精度。

Synthesizing Late-Stage Contrast Enhancement in Breast MRI: A Comprehensive Pipeline Leveraging Temporal Contrast Enhancement Dynamics

  • 基于对比剂动态变化规律设计新损失函数,指导生成模型学习时间-强度曲线。
  • 在1.5T与3T数据上合成的晚期图像,增强模式匹配度优于现有方法。
  • 适合临床医生和影像算法研究者,助力乳腺癌筛查效率提升。

动态对比增强磁共振成像(DCE-MRI)通过对比剂动力学特征对乳腺癌诊断至关重要。传统协议需多次扫描,包括早期与晚期增强图像,导致检查时间长、患者不适、运动伪影、成本高且可及性差。本研究提出一套从早期相位数据合成晚期相位图像的全流程方法,准确复现增强区域的时间-强度(TI)曲线行为,同时保持全图视觉保真度。该方法引入新型损失函数——时间强度损失(TI-loss),利用对比剂的时序行为指导生成模型训练;并提出新的归一化策略(TI-norm),在不同时间点上保持多序列对比增强模式的一致性,克服传统归一化方法的局限。提出两项评估指标:对比剂模式评分($CP_{s}$),用于验证标注区域内增强模式的准确性;平均增强差异($ED$),衡量真实与生成增强间的差异。基于公开的1.5T与3T DCE-MRI数据集,实验表明所提方法能精准合成晚期图像,在感兴趣区域的TI曲线行为还原方面优于现有模型,同时维持整体图像质量。该进展有望优化DCE-MRI流程,减少扫描时间而不牺牲诊断准确性,推动生成模型向临床实用迈进。

原文摘要 · Abstract (English)

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is essential for breast cancer diagnosis due to its ability to characterize tissue through contrast agent kinetics. However, traditional DCE-MRI protocols require multiple imaging phases, including early and late post-contrast acquisitions, leading to prolonged scan times, patient discomfort, motion artifacts, high costs, and limited accessibility. To overcome these limitations, this study presents a pipeline for synthesizing late-phase DCE-MRI images from early-phase data, replicating the time-intensity (TI) curve behavior in enhanced regions while maintaining visual fidelity across the entire image. The proposed approach introduces a novel loss function, Time Intensity Loss (TI-loss), leveraging the temporal behavior of contrast agents to guide the training of a generative model. Additionally, a new normalization strategy, TI-norm, preserves the contrast enhancement pattern across multiple image sequences at various timestamps, addressing limitations of conventional normalization methods. Two metrics are proposed to evaluate image quality: the Contrast Agent Pattern Score ($\mathcal{CP}_{s}$), which validates enhancement patterns in annotated regions, and the Average Difference in Enhancement ($\mathcal{ED}$), measuring differences between real and generated enhancements. Using a public DCE-MRI dataset with 1.5T and 3T scanners, the proposed method demonstrates accurate synthesis of late-phase images that outperform existing models in replicating the TI curve's behavior in regions of interest while preserving overall image quality. This advancement shows a potential to optimize DCE-MRI protocols by reducing scanning time without compromising diagnostic accuracy, and bringing generative models closer to practical implementation in clinical scenarios to enhance efficiency in breast cancer imaging.

乳腺MRI图像合成生成模型医学影像

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