Abstract Artificial intelligence (AI) will change the face of nuclear medicine and molecular imaging as it will in everyday life. In this review, we focus on the potential applications of AI in the field, both from a physical (radiomics, underlying statistics, image reconstruction and data analysis) and a clinical (neurology, cardiology, oncology) perspective. Challenges for transferability from research to clinical practice are being discussed as is the concept of explainable AI. Finally, we focus on the fields where challenges should be set out to introduce AI in the field of nuclear medicine and molecular imaging in a reliable manner. 

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Application of artificial intelligence in nuclear medicine and molecular imaging: a review of current status and future perspectives for clinical translation

Abstract Image processing plays a crucial role in maximising diagnostic quality of positron emission tomography (PET) images. Recently, deep learning methods developed across many fields have shown tremendous potential when applied to medical image enhancement, resulting in a rich and rapidly advancing literature surrounding this subject. This review encapsulates methods for integrating deep learning into PET image reconstruction and post-processing for low-dose imaging and resolution enhancement. A brief introduction to conventional image processing techniques in PET is firstly presented. We then review methods which integrate deep learning into the image reconstruction framework as either deep learning-based regularisation or as a fully data-driven mapping from measured signal to images. Deep learning-based post-processing methods for low-dose imaging, temporal resolution enhancement and spatial resolution enhancement are also reviewed. Finally, the challenges associated with applying deep learning to enhance PET images in the clinical setting are discussed and future research directions to address these challenges are presented. 

/pdf/deep-learning-based-image-reconstruction-and-post-processing-3n4orq4j.pdf

Deep learning-based image reconstruction and post-processing methods in positron emission tomography for low-dose imaging and resolution enhancement

PET can provide functional images revealing physiologic processes in vivo. Although PET has many applications, there are still some limitations that compromise its precision: the absorption of photons in the body causes signal attenuation; the dead-time limit of system components leads to the loss of the count rate; the scattered and random events received by the detector introduce additional noise; the characteristics of the detector limit the spatial resolution; and the low signal-to-noise ratio caused by the scan-time limit (eg, dynamic scans) and dose concern. The early PET reconstruction methods are analytical approaches based on an idealized mathematical model.

The Evolution of Image Reconstruction in PET: From Filtered Back-Projection to Artificial Intelligence.

Direct reconstruction methods have been developed to estimate parametric images directly from the measured PET sinograms by combining the PET imaging model and tracer kinetics in an integrated framework. Due to limited counts received, signal-to-noise-ratio (SNR) and resolution of parametric images produced by direct reconstruction frameworks are still limited. Recently supervised deep learning methods have been successfully applied to medical imaging denoising/reconstruction when large number of high-quality training labels are available. For static PET imaging, high-quality training labels can be acquired by extending the scanning time. However, this is not feasible for dynamic PET imaging, where the scanning time is already long enough. In this work, we proposed an unsupervised deep learning framework for direct parametric reconstruction from dynamic PET, which was tested on the Patlak model and the relative equilibrium Logan model. The training objective function was based on the PET statistical model. The patient&#x2019;s anatomical prior image, which is readily available from PET/CT or PET/MR scans, was supplied as the network input to provide a manifold constraint, and also utilized to construct a kernel layer to perform non-local feature denoising. The linear kinetic model was embedded in the network structure as a <inline-formula> <tex-math notation="LaTeX">${1} \times {1} \times {1}$ </tex-math></inline-formula> convolution layer. Evaluations based on dynamic datasets of <sup>18</sup>F-FDG and <sup>11</sup>C-PiB tracers show that the proposed framework can outperform the traditional and the kernel method-based direct reconstruction methods. 

Direct Reconstruction of Linear Parametric Images From Dynamic PET Using Nonlocal Deep Image Prior

Abstract Conventional reconstruction techniques, such as filtered back projection (FBP) and iterative reconstruction (IR), which have been utilised widely in the image reconstruction process of computed tomography (CT) are not suitable in the case of low-dose CT applications, because of the unsatisfying quality of the reconstructed image and inefficient reconstruction time. Therefore, as the demand for CT radiation dose reduction continues to increase, the use of artificial intelligence (AI) in image reconstruction has become a trend that attracts more and more attention. This systematic review examined various deep learning methods to determine their characteristics, availability, intended use and expected outputs concerning low-dose CT image reconstruction. Utilising the methodology of Kitchenham and Charter, we performed a systematic search of the literature from 2016 to 2021 in Springer, Science Direct, arXiv, PubMed, ACM, IEEE, and Scopus. This review showed that algorithms using deep learning technology are superior to traditional IR methods in noise suppression, artifact reduction and structure preservation, in terms of improving the image quality of low-dose reconstructed images. In conclusion, we provided an overview of the use of deep learning approaches in low-dose CT image reconstruction together with their benefits, limitations, and opportunities for improvement. 

https://link.springer.com/content/pdf/10.1007/s40747-022-00724-7.pdf

The use of deep learning methods in low-dose computed tomography image reconstruction: a systematic review

This article explores convolutional generative networks as an alternative to iterative reconstruction algorithms in medical image reconstruction. The task of medical image reconstruction involves mapping of projection domain data collected from the detector to the image domain. This mapping is done typically through iterative reconstruction algorithms which are time consuming and computationally expensive. Trained deep learning networks provide faster outputs as proven in various tasks across computer vision. In this work, we propose a direct reconstruction framework exclusively with deep learning architectures. The proposed framework consists of three segments, namely, denoising, reconstruction, and super resolution (SR). The denoising and the SR segments act as processing steps. The reconstruction segment consists of a novel double U-Net generator (DUG) which learns the sinogram-to-image transformation. This entire network was trained on positron emission tomography (PET) and computed tomography (CT) images. The reconstruction framework approximates 2-D mapping from the projection domain to the image domain. The architecture proposed in this proof-of-concept work is a novel approach to direct image reconstruction; further improvement is required to implement it in a clinical setting.

DUG-RECON: A Framework for Direct Image Reconstruction Using Convolutional Generative Networks

This paper explores convolutional generative networks as an alternative to iterative reconstruction algorithms in medical image reconstruction. The task of medical image reconstruction involves mapping of projection main data collected from the detector to the image domain. This mapping is done typically through iterative reconstruction algorithms which are time consuming and computationally expensive. Trained deep learning networks provide faster outputs as proven in various tasks across computer vision. In this work we propose a direct reconstruction framework exclusively with deep learning architectures. The proposed framework consists of three segments, namely denoising, reconstruction and super resolution. The denoising and the super resolution segments act as processing steps. The reconstruction segment consists of a novel double U-Net generator (DUG) which learns the sinogram-to-image transformation. This entire network was trained on positron emission tomography (PET) and computed tomography (CT) images. The reconstruction framework approximates two-dimensional (2-D) mapping from projection domain to image domain. The architecture proposed in this proof-of-concept work is a novel approach to direct image reconstruction; further improvement is required to implement it in a clinical setting.

DUG-RECON: A Framework for Direct Image Reconstruction using Convolutional Generative Networks

Objective. Sparse-view computed tomography (CT) reconstruction has been at the forefront of research in medical imaging. Reducing the total x-ray radiation dose to the patient while preserving the reconstruction accuracy is a big challenge. The sparse-view approach is based on reducing the number of rotation angles, which leads to poor quality reconstructed images as it introduces several artifacts. These artifacts are more clearly visible in traditional reconstruction methods like the filtered-backprojection (FBP) algorithm. Approach. Over the years, several model-based iterative and more recently deep learning-based methods have been proposed to improve sparse-view CT reconstruction. Many deep learning-based methods improve FBP-reconstructed images as a post-processing step. In this work, we propose a direct deep learning-based reconstruction that exploits the information from low-dimensional scout images, to learn the projection-to-image mapping. This is done by concatenating FBP scout images at multiple resolutions in the decoder part of a convolutional encoder–decoder (CED). Main results. This approach is investigated on two different networks, based on Dense Blocks and U-Net to show that a direct mapping can be learned from a sinogram to an image. The results are compared to two post-processing deep learning methods (FBP-ConvNet and DD-Net) and an iterative method that uses a total variation (TV) regularization. Significance. This work presents a novel method that uses information from both sinogram and low-resolution scout images for sparse-view CT image reconstruction. We also generalize this idea by demonstrating results with two different neural networks. This work is in the direction of exploring deep learning across the various stages of the image reconstruction pipeline involving data correction, domain transfer and image improvement.

LRR-CED: low-resolution reconstruction-aware convolutional encoder–decoder network for direct sparse-view CT image reconstruction

Spectral computed tomography (CT) has recently emerged as an advanced version of medical CT and significantly improves conventional (single-energy) CT. Spectral CT has two main forms: dual-energy computed tomography (DECT) and photon-counting computed tomography (PCCT), which offer image improvement, material decomposition, and feature quantification relative to conventional CT. However, the inherent challenges of spectral CT, evidenced by data and image artifacts, remain a bottleneck for clinical applications. To address these problems, machine learning techniques have been widely applied to spectral CT. In this review, we present the state-of-the-art data-driven techniques for spectral CT.

V. S. S. Kandarpa

Papers

DUG-RECON: A Framework for Direct Image Reconstruction Using Convolutional Generative Networks

DUG-RECON: A Framework for Direct Image Reconstruction using Convolutional Generative Networks

LRR-CED: low-resolution reconstruction-aware convolutional encoder–decoder network for direct sparse-view CT image reconstruction

Systematic Review on Learning-based Spectral CT