Clinical and phantom validation of a deep learning based denoising algorithm for F-18-FDG PET images from lower detection counting in comparison with the standard acquisition.

Deep-learning Denoising PET/CT

Journal

EJNMMI physics
ISSN: 2197-7364
Titre abrégé: EJNMMI Phys
Pays: Germany
ID NLM: 101658952

Informations de publication

Date de publication:
11 May 2022
Historique:
received: 10 08 2021
accepted: 20 04 2022
entrez: 11 5 2022
pubmed: 12 5 2022
medline: 12 5 2022
Statut: epublish

Résumé

PET/CT image quality is directly influenced by the F-18-FDG injected activity. The higher the injected activity, the less noise in the reconstructed images but the more radioactive staff exposition. A new FDA cleared software has been introduced to obtain clinical PET images, acquired at 25% of the count statistics considering US practices. Our aim is to determine the limits of a deep learning based denoising algorithm (SubtlePET) applied to statistically reduced PET raw data from 3 different last generation PET scanners in comparison to the regular acquisition in phantom and patients, considering the European guidelines for radiotracer injection activities. Images of low and high contrasted (SBR = 2 and 5) spheres of the IEC phantom and high contrast (SBR = 5) of micro-spheres of Jaszczak phantom were acquired on 3 different PET devices. 110 patients with different pathologies were included. The data was acquired in list-mode and retrospectively reconstructed with the regular acquisition count statistic (PET100), 50% reduction in counts (PET50) and 66% reduction in counts (PET33). These count reduced images were post-processed with SubtlePET to obtain PET50 + SP and PET33 + SP images. Patient image quality was scored by 2 senior nuclear physicians. Peak-signal-to-Noise and Structural similarity metrics were computed to compare the low count images to regular acquisition (PET100). SubtlePET reliably denoised the images and maintained the SUV Based on our results, SubtlePET is adapted in clinical practice for half-time or half-dose acquisitions based on European recommended injected dose of 3 MBq/kg without diagnostic confidence loss.

Sections du résumé

BACKGROUND BACKGROUND
PET/CT image quality is directly influenced by the F-18-FDG injected activity. The higher the injected activity, the less noise in the reconstructed images but the more radioactive staff exposition. A new FDA cleared software has been introduced to obtain clinical PET images, acquired at 25% of the count statistics considering US practices. Our aim is to determine the limits of a deep learning based denoising algorithm (SubtlePET) applied to statistically reduced PET raw data from 3 different last generation PET scanners in comparison to the regular acquisition in phantom and patients, considering the European guidelines for radiotracer injection activities. Images of low and high contrasted (SBR = 2 and 5) spheres of the IEC phantom and high contrast (SBR = 5) of micro-spheres of Jaszczak phantom were acquired on 3 different PET devices. 110 patients with different pathologies were included. The data was acquired in list-mode and retrospectively reconstructed with the regular acquisition count statistic (PET100), 50% reduction in counts (PET50) and 66% reduction in counts (PET33). These count reduced images were post-processed with SubtlePET to obtain PET50 + SP and PET33 + SP images. Patient image quality was scored by 2 senior nuclear physicians. Peak-signal-to-Noise and Structural similarity metrics were computed to compare the low count images to regular acquisition (PET100).
RESULTS RESULTS
SubtlePET reliably denoised the images and maintained the SUV
CONCLUSION CONCLUSIONS
Based on our results, SubtlePET is adapted in clinical practice for half-time or half-dose acquisitions based on European recommended injected dose of 3 MBq/kg without diagnostic confidence loss.

Identifiants

pubmed: 35543894
doi: 10.1186/s40658-022-00465-z
pii: 10.1186/s40658-022-00465-z
pmc: PMC9095795
doi:

Types de publication

Journal Article

Langues

eng

Pagination

36

Informations de copyright

© 2022. The Author(s).

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Auteurs

Gerald Bonardel (G)

Nuclear Medicine, Centre Cardiologique du Nord, Saint-Denis, France.
Nuclear Medicine, Hopital Delafontaine, Saint-Denis, France.

Axel Dupont (A)

Esprimed SAS, Villejuif, France.

Pierre Decazes (P)

Nuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France.
QuantIF-LITIS EA4108, Rouen University Hospital, Rouen, France.

Mathieu Queneau (M)

Nuclear Medicine, Centre Cardiologique du Nord, Saint-Denis, France.
Nuclear Medicine, Hopital Delafontaine, Saint-Denis, France.

Romain Modzelewski (R)

Nuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France.
QuantIF-LITIS EA4108, Rouen University Hospital, Rouen, France.

Jeremy Coulot (J)

Esprimed SAS, Villejuif, France.

Nicolas Le Calvez (N)

Nuclear Medicine, Centre Cardiologique du Nord, Saint-Denis, France.
Nuclear Medicine, Hopital Delafontaine, Saint-Denis, France.

Sébastien Hapdey (S)

Nuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France. sebastien.hapdey@chb.unicancer.fr.
QuantIF-LITIS EA4108, Rouen University Hospital, Rouen, France. sebastien.hapdey@chb.unicancer.fr.

Classifications MeSH