Automated quantification of brain PET in PET/CT using deep learning-based CT-to-MR translation: a feasibility study.

Purpose: Quantitative analysis of PET images in brain PET/CT relies on MRI-derived regions of interest (ROIs). However, the pairs of PET/CT and MR images are not always available, and their alignment is challenging if their acquisition times differ considerably. To address these problems, this study...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 52; no. 8; pp. 2959 - 2968
Autores principales: Kim, Daesung, Choo, Kyobin, Lee, Sangwon, Kang, Seongjin, Yun, Mijin, Yang, Jaewon
Formato: Journal Article
Publicado: Springer Nature Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00259-025-07132-2
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        atl: Automated quantification of brain PET in PET/CT using deep learning-based CT-to-MR translation: a feasibility study.
      aug:
        au:
          Kim, Daesung
          Choo, Kyobin
          Lee, Sangwon
          Kang, Seongjin
          Yun, Mijin
          Yang, Jaewon
        affil: https://ror.org/01wjejq96 Department of Artificial Intelligence, Yonsei University, Seoul, Republic of Korea
      sug:
      ab: Purpose: Quantitative analysis of PET images in brain PET/CT relies on MRI-derived regions of interest (ROIs). However, the pairs of PET/CT and MR images are not always available, and their alignment is challenging if their acquisition times differ considerably. To address these problems, this study proposes a deep learning framework for translating CT of PET/CT to synthetic MR images (MRSYN) and performing automated quantitative regional analysis using MRSYN-derived segmentation. Methods: In this retrospective study, 139 subjects who underwent brain [18F]FBB PET/CT and T1-weighted MRI were included. A U-Net-like model was trained to translate CT images to MRSYN; subsequently, a separate model was trained to segment MRSYN into 95 regions. Regional and composite standardised uptake value ratio (SUVr) was calculated in [18F]FBB PET images using the acquired ROIs. For evaluation of MRSYN, quantitative measurements including structural similarity index measure (SSIM) were employed, while for MRSYN-based segmentation evaluation, Dice similarity coefficient (DSC) was calculated. Wilcoxon signed-rank test was performed for SUVrs computed using MRSYN and ground-truth MR (MRGT). Results: Compared to MRGT, the mean SSIM of MRSYN was 0.974 ± 0.005. The MRSYN-based segmentation achieved a mean DSC of 0.733 across 95 regions. No statistical significance (P > 0.05) was found for SUVr between the ROIs from MRSYN and those from MRGT, excluding the precuneus. Conclusion: We demonstrated a deep learning framework for automated regional brain analysis in PET/CT with MRSYN. Our proposed framework can benefit patients who have difficulties in performing an MRI scan.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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