Sequential deep learning image enhancement models improve diagnostic confidence, lesion detectability, and image reconstruction time in PET.

Background: Investigate the potential benefits of sequential deployment of two deep learning (DL) algorithms namely DL-Enhancement (DLE) and DL-based time-of-flight (ToF) (DLT). DLE aims to enhance the rapidly reconstructed ordered-subset-expectation-maximisation algorithm (OSEM) images towards block-sequential-regularised-expectation-maximisation (BSREM) images, whereas DLT aims to improve the quality of BSREM images reconstructed without ToF. As the algorithms differ in their purpose, sequential application may allow benefits from each to be combined.

Deep learning-based time-of-flight (ToF) image enhancement of non-ToF PET scans.

Purpose: To improve the quantitative accuracy and diagnostic confidence of PET images reconstructed without time-of-flight (ToF) using deep learning models trained for ToF image enhancement (DL-ToF).

Methods: A total of 273 [F]-FDG PET scans were used, including data from 6 centres equipped with GE Discovery MI ToF scanners. PET data were reconstructed using the block-sequential-regularised-expectation-maximisation (BSREM) algorithm with and without ToF.

Image enhancement of whole-body oncology [F]-FDG PET scans using deep neural networks to reduce noise.

Purpose: To enhance the image quality of oncology [F]-FDG PET scans acquired in shorter times and reconstructed by faster algorithms using deep neural networks.

Methods: List-mode data from 277 [F]-FDG PET/CT scans, from six centres using GE Discovery PET/CT scanners, were split into ¾-, ½- and ¼-duration scans. Full-duration datasets were reconstructed using the convergent block sequential regularised expectation maximisation (BSREM) algorithm.

Model-Based Deep Learning PET Image Reconstruction Using Forward-Backward Splitting Expectation-Maximization.

We propose a forward-backward splitting algorithm to integrate deep learning into maximum- (MAP) positron emission tomography (PET) image reconstruction. The MAP reconstruction is split into regularization, expectation-maximization (EM), and a weighted fusion. For regularization, the use of either a Bowsher prior (using Markov-random fields) or a residual learning unit (using convolutional-neural networks) were considered.

Motion-corrected and high-resolution anatomically assisted (MOCHA) reconstruction of arterial spin labeling MRI.

Purpose: A model-based reconstruction framework is proposed for motion-corrected and high-resolution anatomically assisted (MOCHA) reconstruction of arterial spin labeling (ASL) data. In this framework, all low-resolution ASL control-label pairs are used to reconstruct a single high-resolution cerebral blood flow (CBF) map, corrected for rigid-motion, point-spread-function blurring and partial volume effect.

Methods: Six volunteers were recruited for CBF imaging using pseudo-continuous ASL labeling, two-shot 3D gradient and spin-echo sequences and high-resolution T -weighted MRI.

Intercomparison of MR-informed PET image reconstruction methods.

Purpose: Numerous image reconstruction methodologies for positron emission tomography (PET) have been developed that incorporate magnetic resonance (MR) imaging structural information, producing reconstructed images with improved suppression of noise and reduced partial volume effects. However, the influence of MR structural information also increases the possibility of suppression or bias of structures present only in the PET data (PET-unique regions). To address this, further developments for MR-informed methods have been proposed, for example, through inclusion of the current reconstructed PET image, alongside the MR image, in the iterative reconstruction process.

Enhancement of Partial Volume Correction in MR-Guided PET Image Reconstruction by Using MRI Voxel Sizes.

Positron emission tomography (PET) suffers from poor spatial resolution which results in quantitative bias when evaluating the radiotracer uptake in small anatomical regions, such as the striatum in the brain which is of importance in this paper of neurodegenerative diseases. These partial volume effects need to be compensated for by employing partial volume correction (PVC) methods in order to achieve quantitatively accurate images. Two important PVC methods applied during the reconstruction are resolution modeling, which suffers from Gibbs artifacts, and penalized likelihood using anatomical priors.

Multi-modal synergistic PET and MR reconstruction using mutually weighted quadratic priors.

Purpose: To propose a framework for synergistic reconstruction of PET-MR and multi-contrast MR data to improve the image quality obtained from noisy PET data and from undersampled MR data.

Theory And Methods: Weighted quadratic priors were devised to preserve common boundaries between PET-MR images while reducing noise, PET Gibbs ringing, and MR undersampling artifacts. These priors are iteratively reweighted using normalized multi-modal Gaussian similarity kernels.

MR-Guided Kernel EM Reconstruction for Reduced Dose PET Imaging.

PET image reconstruction is highly susceptible to the impact of Poisson noise, and if shorter acquisition times or reduced injected doses are used, the noisy PET data become even more limiting. The recent development of kernel expectation maximisation (KEM) is a simple way to reduce noise in PET images, and we show in this work that impressive dose reduction can be achieved when the kernel method is used with MR-derived kernels. The kernel method is shown to surpass maximum likelihood expectation maximisation (MLEM) for the reconstruction of low-count datasets (corresponding to those obtained at reduced injected doses) producing visibly clearer reconstructions for unsmoothed and smoothed images, at all count levels.

MR-guided joint reconstruction of activity and attenuation in brain PET-MR.

With the advent of time-of-flight (TOF) PET scanners, joint maximum-likelihood reconstruction of activity and attenuation (MLAA) maps has recently regained attention for the estimation of PET attenuation maps from emission data. However, the estimated attenuation and activity maps are scaled by unknown scaling factors. We recently demonstrated that in hybrid PET-MR, the scaling issue of this algorithm can be effectively addressed by imposing MR spatial constraints on the estimation of attenuation maps using a penalized MLAA (P-MLAA) algorithm.

PET image reconstruction using multi-parametric anato-functional priors.

In this study, we investigate the application of multi-parametric anato-functional (MR-PET) priors for the maximum a posteriori (MAP) reconstruction of brain PET data in order to address the limitations of the conventional anatomical priors in the presence of PET-MR mismatches. In addition to partial volume correction benefits, the suitability of these priors for reconstruction of low-count PET data is also introduced and demonstrated, comparing to standard maximum-likelihood (ML) reconstruction of high-count data. The conventional local Tikhonov and total variation (TV) priors and current state-of-the-art anatomical priors including the Kaipio, non-local Tikhonov prior with Bowsher and Gaussian similarity kernels are investigated and presented in a unified framework.

Synergistic PET and SENSE MR Image Reconstruction Using Joint Sparsity Regularization.

In this paper, we propose a generalized joint sparsity regularization prior and reconstruction framework for the synergistic reconstruction of positron emission tomography (PET) and under sampled sensitivity encoded magnetic resonance imaging data with the aim of improving image quality beyond that obtained through conventional independent reconstructions. The proposed prior improves upon the joint total variation (TV) using a non-convex potential function that assigns a relatively lower penalty for the PET and MR gradients, whose magnitudes are jointly large, thus permitting the preservation and formation of common boundaries irrespective of their relative orientation. The alternating direction method of multipliers (ADMM) optimization framework was exploited for the joint PET-MR image reconstruction.

Impact of time-of-flight on indirect 3D and direct 4D parametric image reconstruction in the presence of inconsistent dynamic PET data.

Kinetic parameter estimation in dynamic PET suffers from reduced accuracy and precision when parametric maps are estimated using kinetic modelling following image reconstruction of the dynamic data. Direct approaches to parameter estimation attempt to directly estimate the kinetic parameters from the measured dynamic data within a unified framework. Such image reconstruction methods have been shown to generate parametric maps of improved precision and accuracy in dynamic PET.

Assessment of metal artifact reduction methods in pelvic CT.

Purpose: Metal artifact reduction (MAR) produces images with improved quality potentially leading to confident and reliable clinical diagnosis and therapy planning. In this work, the authors evaluate the performance of five MAR techniques for the assessment of computed tomography images of patients with hip prostheses.

Methods: Five MAR algorithms were evaluated using simulation and clinical studies.

Vision 20/20: Magnetic resonance imaging-guided attenuation correction in PET/MRI: Challenges, solutions, and opportunities.

Attenuation correction is an essential component of the long chain of data correction techniques required to achieve the full potential of quantitative positron emission tomography (PET) imaging. The development of combined PET/magnetic resonance imaging (MRI) systems mandated the widespread interest in developing novel strategies for deriving accurate attenuation maps with the aim to improve the quantitative accuracy of these emerging hybrid imaging systems. The attenuation map in PET/MRI should ideally be derived from anatomical MR images; however, MRI intensities reflect proton density and relaxation time properties of biological tissues rather than their electron density and photon attenuation properties.

Quantitative analysis of MRI-guided attenuation correction techniques in time-of-flight brain PET/MRI.

Purpose: In quantitative PET/MR imaging, attenuation correction (AC) of PET data is markedly challenged by the need of deriving accurate attenuation maps from MR images. A number of strategies have been developed for MRI-guided attenuation correction with different degrees of success. In this work, we compare the quantitative performance of three generic AC methods, including standard 3-class MR segmentation-based, advanced atlas-registration-based and emission-based approaches in the context of brain time-of-flight (TOF) PET/MRI.

Accelerated time-of-flight (TOF) PET image reconstruction using TOF bin subsetization and TOF weighting matrix pre-computation.

Time-of-flight (TOF) positron emission tomography (PET) technology has recently regained popularity in clinical PET studies for improving image quality and lesion detectability. Using TOF information, the spatial location of annihilation events is confined to a number of image voxels along each line of response, thereby the cross-dependencies of image voxels are reduced, which in turns results in improved signal-to-noise ratio and convergence rate. In this work, we propose a novel approach to further improve the convergence of the expectation maximization (EM)-based TOF PET image reconstruction algorithm through subsetization of emission data over TOF bins as well as azimuthal bins.

Emission-based estimation of lung attenuation coefficients for attenuation correction in time-of-flight PET/MR.

In standard segmentation-based MRI-guided attenuation correction (MRAC) of PET data on hybrid PET/MRI systems, the inter/intra-patient variability of linear attenuation coefficients (LACs) is ignored owing to the assignment of a constant LAC to each tissue class. This can lead to PET quantification errors, especially in the lung regions. In this work, we aim to derive continuous and patient-specific lung LACs from time-of-flight (TOF) PET emission data using the maximum likelihood reconstruction of activity and attenuation (MLAA) algorithm.

Clinical Assessment of Emission- and Segmentation-Based MR-Guided Attenuation Correction in Whole-Body Time-of-Flight PET/MR Imaging.

Unlabelled: The joint maximum-likelihood reconstruction of activity and attenuation (MLAA) for emission-based attenuation correction has regained attention since the advent of time-of-flight PET/MR imaging. Recently, we improved the performance of the MLAA algorithm using an MR imaging-constrained gaussian mixture model (GMM). In this study, we compare the performance of our proposed algorithm with standard 4-class MR-based attenuation correction (MRAC) implemented on commercial systems.

Joint Estimation of Activity and Attenuation in Whole-Body TOF PET/MRI Using Constrained Gaussian Mixture Models.

It has recently been shown that the attenuation map can be estimated from time-of-flight (TOF) PET emission data using joint maximum likelihood reconstruction of attenuation and activity (MLAA). In this work, we propose a novel MRI-guided MLAA algorithm for emission-based attenuation correction in whole-body PET/MR imaging. The algorithm imposes MR spatial and CT statistical constraints on the MLAA estimation of attenuation maps using a constrained Gaussian mixture model (GMM) and a Markov random field smoothness prior.

Impact of time-of-flight PET on quantification errors in MR imaging-based attenuation correction.

Unlabelled: Time-of-flight (TOF) PET/MR imaging is an emerging imaging technology with great capabilities offered by TOF to improve image quality and lesion detectability. We assessed, for the first time, the impact of TOF image reconstruction on PET quantification errors induced by MR imaging-based attenuation correction (MRAC) using simulation and clinical PET/CT studies.

Methods: Standard 4-class attenuation maps were derived by segmentation of CT images of 27 patients undergoing PET/CT examinations into background air, lung, soft-tissue, and fat tissue classes, followed by the assignment of predefined attenuation coefficients to each class.

Smoothly clipped absolute deviation (SCAD) regularization for compressed sensing MRI using an augmented Lagrangian scheme.

Purpose: Compressed sensing (CS) provides a promising framework for MR image reconstruction from highly undersampled data, thus reducing data acquisition time. In this context, sparsity-promoting regularization techniques exploit the prior knowledge that MR images are sparse or compressible in a given transform domain. In this work, a new regularization technique was introduced by iterative linearization of the non-convex smoothly clipped absolute deviation (SCAD) norm with the aim of reducing the sampling rate even lower than it is required by the conventional l1 norm while approaching an l0 norm.

X-ray CT metal artifact reduction using wavelet domain L0 sparse regularization.

X-ray computed tomography (CT) imaging of patients with metallic implants usually suffers from streaking metal artifacts. In this paper, we propose a new projection completion metal artifact reduction (MAR) algorithm by formulating the completion of missing projections as a regularized inverse problem in the wavelet domain. The Douglas-Rachford splitting (DRS) algorithm was used to iteratively solve the problem.