arXiv:2503.15555eess.IVcs.AI2025-03被引 7

分区域生成全身PET图像,减少辐射暴露,提升医疗数字孪生精准度。

Whole-Body Image-to-Image Translation for a Virtual Scanner in a Healthcare Digital Twin

  • 将全身CT分为头、躯干、四肢四区域,用区域专属GAN分别生成PET图像
  • 在区域、整体和病灶层面均显著优于传统方法,Pix2Pix效果最佳
  • 适合医学影像生成、数字孪生与低剂量成像研究者使用

通过深度学习从计算机断层扫描(CT)生成正电子发射断层扫描(PET)图像,为降低PET成像的辐射暴露和成本提供了可行路径,有助于改善患者护理并提升功能成像的可及性。全身图像翻译因解剖异质性面临挑战,常导致模型泛化能力受限。本文提出一种框架:将全身CT图像划分为头部、躯干、手臂和腿部四个区域,采用区域专用的生成对抗网络(GAN)进行定制化CT-to-PET转换。各区域生成的合成PET图像经拼接重建为完整全身扫描。对比基准非分割GAN,并测试了Pix2Pix与CycleGAN在配对与非配对场景下的表现。在区域、整体及病灶层级的定量评估中,区域专属GAN均表现出显著提升。Pix2Pix在各项指标上表现最优,确保了高精度、高质量的图像合成。该方法有效应对解剖异质性,在全身CT-to-PET翻译任务中达到当前最优水平。该技术为医疗数字孪生提供支持,实现基于CT数据的精准虚拟PET扫描,构建用于监测、预测与优化健康结果的虚拟影像表征。

原文摘要 · Abstract (English)

Generating positron emission tomography (PET) images from computed tomography (CT) scans via deep learning offers a promising pathway to reduce radiation exposure and costs associated with PET imaging, improving patient care and accessibility to functional imaging. Whole-body image translation presents challenges due to anatomical heterogeneity, often limiting generalized models. We propose a framework that segments whole-body CT images into four regions-head, trunk, arms, and legs-and uses district-specific Generative Adversarial Networks (GANs) for tailored CT-to-PET translation. Synthetic PET images from each region are stitched together to reconstruct the whole-body scan. Comparisons with a baseline non-segmented GAN and experiments with Pix2Pix and CycleGAN architectures tested paired and unpaired scenarios. Quantitative evaluations at district, whole-body, and lesion levels demonstrated significant improvements with our district-specific GANs. Pix2Pix yielded superior metrics, ensuring precise, high-quality image synthesis. By addressing anatomical heterogeneity, this approach achieves state-of-the-art results in whole-body CT-to-PET translation. This methodology supports healthcare Digital Twins by enabling accurate virtual PET scans from CT data, creating virtual imaging representations to monitor, predict, and optimize health outcomes.

图像生成医疗影像数字孪生GAN

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