arXiv:2409.15155eess.IVcs.AI2024-09中稿 · 27th International…被引 4

用深度学习将带伪影的CT转为无伪影高清图,提升放疗精准度

MAR-DTN: Metal Artifact Reduction using Domain Transformation Network for Radiotherapy Planning

  • 用UNet结构的网络从kVCT生成无伪影的MVCT图像
  • 整体区域PSNR达30.02分贝,伪影区仍达27.47分贝
  • 适合头颈癌放疗规划,可保留软组织对比度

头颈部癌症放疗规划通常依赖计算机断层扫描(CT),但患者佩戴金属牙科填充物时,采用千电子伏特(kVCT)扫描会产生严重条纹伪影。部分放疗设备可获取兆电子伏特(MVCT)用于每日定位验证,其因射线能量更高,几乎无伪影,更适合作为治疗规划依据。本研究结合kVCT与MVCT的优势,提出一种基于深度学习的方法,从采集的kVCT图像生成无伪影的MVCT图像。该方法能有效保留软组织对比度,实现精确治疗校准。采用受UNet启发的模型,对比对抗学习与变换器网络,首次实现卓越性能:全患者体积平均峰值信噪比(PSNR)达30.02 dB,仅伪影区域也达27.47 dB(不包含背景,聚焦兴趣区域)。

原文摘要 · Abstract (English)

For the planning of radiotherapy treatments for head and neck cancers, Computed Tomography (CT) scans of the patients are typically employed. However, in patients with head and neck cancer, the quality of standard CT scans generated using kilo-Voltage (kVCT) tube potentials is severely degraded by streak artifacts occurring in the presence of metallic implants such as dental fillings. Some radiotherapy devices offer the possibility of acquiring Mega-Voltage CT (MVCT) for daily patient setup verification, due to the higher energy of X-rays used, MVCT scans are almost entirely free from artifacts making them more suitable for radiotherapy treatment planning. In this study, we leverage the advantages of kVCT scans with those of MVCT scans (artifact-free). We propose a deep learning-based approach capable of generating artifact-free MVCT images from acquired kVCT images. The outcome offers the benefits of artifact-free MVCT images with enhanced soft tissue contrast, harnessing valuable information obtained through kVCT technology for precise therapy calibration. Our proposed method employs UNet-inspired model, and is compared with adversarial learning and transformer networks. This first and unique approach achieves remarkable success, with PSNR of 30.02 dB across the entire patient volume and 27.47 dB in artifact-affected regions exclusively. It is worth noting that the PSNR calculation excludes the background, concentrating solely on the region of interest.

医学影像去伪影放疗规划深度学习

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