arXiv:2510.00418eess.IVcs.LG2025-10

用患者历史影像生成低剂量扫描的增强图像,减少造影剂用量。

Improving Virtual Contrast Enhancement using Longitudinal Data

  • 结合患者过往全剂量影像,从低剂量扫描重建高质量增强图像。
  • 在多指标下优于单次扫描模型,低剂量下仍保持图像清晰度。
  • 适合需频繁复查的神经肿瘤患者,降低钆残留风险。

钆基造影剂(GBCAs)广泛用于磁共振成像(MRI),以提升病灶检出与分型,尤其在神经肿瘤领域。然而,对钆在脑和身体组织中残留与累积的担忧,促使人们寻求降低注射剂量的策略。本研究提出一种深度学习框架,利用同一患者的纵向影像信息,从低剂量后增强T1加权MRI重建全剂量增强图像。该模型通过引入先前的全剂量MRI检查,显著提升了重建图像质量,在多个评估指标上优于仅依赖单次扫描的非纵向模型。在不同模拟造影剂量下的实验进一步验证了方法的鲁棒性。结果表明,将既往影像历史融入深度学习虚拟对比增强流程,可在不损害诊断价值的前提下减少造影剂使用,为临床MRI长期监测提供更安全、可持续的解决方案。

原文摘要 · Abstract (English)

Gadolinium-based contrast agents (GBCAs) are widely used in magnetic resonance imaging (MRI) to enhance lesion detection and characterisation, particularly in the field of neuro-oncology. Nevertheless, concerns regarding gadolinium retention and accumulation in brain and body tissues, most notably for diseases that require close monitoring and frequent GBCA injection, have led to the need for strategies to reduce dosage. In this study, a deep learning framework is proposed for the virtual contrast enhancement of full-dose post-contrast T1-weighted MRI images from corresponding low-dose acquisitions. The contribution of the presented model is its utilisation of longitudinal information, which is achieved by incorporating a prior full-dose MRI examination from the same patient. A comparative evaluation against a non-longitudinal single session model demonstrated that the longitudinal approach significantly improves image quality across multiple reconstruction metrics. Furthermore, experiments with varying simulated contrast doses confirmed the robustness of the proposed method. These results emphasize the potential of integrating prior imaging history into deep learning-based virtual contrast enhancement pipelines to reduce GBCA usage without compromising diagnostic utility, thus paving the way for safer, more sustainable longitudinal monitoring in clinical MRI practice.

MRI虚拟增强低剂量纵向数据

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