Generalization of deep learning models for ultra-low-count amyloid PET/MRI using transfer learning.

Purpose: We aimed to evaluate the performance of deep learning-based generalization of ultra-low-count amyloid PET/MRI enhancement when applied to studies acquired with different scanning hardware and protocols. Methods: Eighty simultaneous [18F]florbetaben PET/MRI studies were acquired, split equal...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 47; no. 13; pp. 2998 - 3008
Autores principales: Chen, Kevin T., Schürer, Matti, Ouyang, Jiahong, Koran, Mary Ellen I., Davidzon, Guido, Mormino, Elizabeth, Tiepolt, Solveig, Hoffmann, Karl-Titus, Sabri, Osama, Zaharchuk, Greg, Barthel, Henryk
Formato: Journal Article
Publicado: Springer Nature 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        144035128
        10.1007/s00259-020-04897-6
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        atl: Generalization of deep learning models for ultra-low-count amyloid PET/MRI using transfer learning.
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          Chen, Kevin T.
          Schürer, Matti
          Ouyang, Jiahong
          Koran, Mary Ellen I.
          Davidzon, Guido
          Mormino, Elizabeth
          Tiepolt, Solveig
          Hoffmann, Karl-Titus
          Sabri, Osama
          Zaharchuk, Greg
          Barthel, Henryk
        affil: Department of Radiology, Stanford University, Stanford, CA, United States
      sug:
      ab: Purpose: We aimed to evaluate the performance of deep learning-based generalization of ultra-low-count amyloid PET/MRI enhancement when applied to studies acquired with different scanning hardware and protocols. Methods: Eighty simultaneous [18F]florbetaben PET/MRI studies were acquired, split equally between two sites (site 1: Signa PET/MRI, GE Healthcare, 39 participants, 67 ± 8 years, 23 females; site 2: mMR, Siemens Healthineers, 64 ± 11 years, 23 females) with different MRI protocols. Twenty minutes of list-mode PET data (90–110 min post-injection) were reconstructed as ground-truth. Ultra-low-count data obtained from undersampling by a factor of 100 (site 1) or the first minute of PET acquisition (site 2) were reconstructed for ultra-low-dose/ultra-short-time (1% dose and 5% time, respectively) PET images. A deep convolution neural network was pre-trained with site 1 data and either (A) directly applied or (B) trained further on site 2 data using transfer learning. Networks were also trained from scratch based on (C) site 2 data or (D) all data. Certified physicians determined amyloid uptake (+/−) status for accuracy and scored the image quality. The peak signal-to-noise ratio, structural similarity, and root-mean-squared error were calculated between images and their ground-truth counterparts. Mean regional standardized uptake value ratios (SUVR, reference region: cerebellar cortex) from 37 successful site 2 FreeSurfer segmentations were analyzed. Results: All network-synthesized images had reduced noise than their ultra-low-count reconstructions. Quantitatively, image metrics improved the most using method B, where SUVRs had the least variability from the ground-truth and the highest effect size to differentiate between positive and negative images. Method A images had lower accuracy and image quality than other methods; images synthesized from methods B–D scored similarly or better than the ground-truth images. Conclusions: Deep learning can successfully produce diagnostic amyloid PET images from short frame reconstructions. Data bias should be considered when applying pre-trained deep ultra-low-count amyloid PET/MRI networks for generalization.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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