Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept

Abstract Background To generate high-quality bone scan SPECT images from only 1/7 scan time SPECT images using deep learning-based enhancement method. Materials and methods Normal-dose (925–1110 MBq) clinical technetium 99 m-methyl diphosphonate (99mTc-MDP) SPECT/CT images and corresponding SPECT/CT...

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Main Authors: Boyang Pan, Na Qi, Qingyuan Meng, Jiachen Wang, Siyue Peng, Chengxiao Qi, Nan-Jie Gong, Jun Zhao
Format: Article
Language:English
Published: SpringerOpen 2022-06-01
Series:EJNMMI Physics
Subjects:
Online Access:https://doi.org/10.1186/s40658-022-00472-0
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author Boyang Pan
Na Qi
Qingyuan Meng
Jiachen Wang
Siyue Peng
Chengxiao Qi
Nan-Jie Gong
Jun Zhao
author_facet Boyang Pan
Na Qi
Qingyuan Meng
Jiachen Wang
Siyue Peng
Chengxiao Qi
Nan-Jie Gong
Jun Zhao
author_sort Boyang Pan
collection DOAJ
description Abstract Background To generate high-quality bone scan SPECT images from only 1/7 scan time SPECT images using deep learning-based enhancement method. Materials and methods Normal-dose (925–1110 MBq) clinical technetium 99 m-methyl diphosphonate (99mTc-MDP) SPECT/CT images and corresponding SPECT/CT images with 1/7 scan time from 20 adult patients with bone disease and a phantom were collected to develop a lesion-attention weighted U2-Net (Qin et al. in Pattern Recognit 106:107404, 2020), which produces high-quality SPECT images from fast SPECT/CT images. The quality of synthesized SPECT images from different deep learning models was compared using PSNR and SSIM. Clinic evaluation on 5-point Likert scale (5 = excellent) was performed by two experienced nuclear physicians. Average score and Wilcoxon test were constructed to assess the image quality of 1/7 SPECT, DL-enhanced SPECT and the standard SPECT. SUVmax, SUVmean, SSIM and PSNR from each detectable sphere filled with imaging agent were measured and compared for different images. Results U2-Net-based model reached the best PSNR (40.8) and SSIM (0.788) performance compared with other advanced deep learning methods. The clinic evaluation showed the quality of the synthesized SPECT images is much higher than that of fast SPECT images (P < 0.05). Compared to the standard SPECT images, enhanced images exhibited the same general image quality (P > 0.999), similar detail of 99mTc-MDP (P = 0.125) and the same diagnostic confidence (P = 0.1875). 4, 5 and 6 spheres could be distinguished on 1/7 SPECT, DL-enhanced SPECT and the standard SPECT, respectively. The DL-enhanced phantom image outperformed 1/7 SPECT in SUVmax, SUVmean, SSIM and PSNR in quantitative assessment. Conclusions Our proposed method can yield significant image quality improvement in the noise level, details of anatomical structure and SUV accuracy, which enabled applications of ultra fast SPECT bone imaging in real clinic settings.
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spelling doaj.art-934d1084dd4447a4ad6337acf8fc3de12022-12-22T00:24:34ZengSpringerOpenEJNMMI Physics2197-73642022-06-019111510.1186/s40658-022-00472-0Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of conceptBoyang Pan0Na Qi1Qingyuan Meng2Jiachen Wang3Siyue Peng4Chengxiao Qi5Nan-Jie Gong6Jun Zhao7RadioDynamic HealthcareDepartment of Nuclear Medicine, Shanghai East Hospital, Tongji University School of MedicineDepartment of Nuclear Medicine, Shanghai East Hospital, Tongji University School of MedicineRadioDynamic HealthcareRadioDynamic HealthcareRadioDynamic HealthcareVector Lab for Intelligent Medical Imaging and Neural Engineering, International Innovation Center of Tsinghua UniversityDepartment of Nuclear Medicine, Shanghai East Hospital, Tongji University School of MedicineAbstract Background To generate high-quality bone scan SPECT images from only 1/7 scan time SPECT images using deep learning-based enhancement method. Materials and methods Normal-dose (925–1110 MBq) clinical technetium 99 m-methyl diphosphonate (99mTc-MDP) SPECT/CT images and corresponding SPECT/CT images with 1/7 scan time from 20 adult patients with bone disease and a phantom were collected to develop a lesion-attention weighted U2-Net (Qin et al. in Pattern Recognit 106:107404, 2020), which produces high-quality SPECT images from fast SPECT/CT images. The quality of synthesized SPECT images from different deep learning models was compared using PSNR and SSIM. Clinic evaluation on 5-point Likert scale (5 = excellent) was performed by two experienced nuclear physicians. Average score and Wilcoxon test were constructed to assess the image quality of 1/7 SPECT, DL-enhanced SPECT and the standard SPECT. SUVmax, SUVmean, SSIM and PSNR from each detectable sphere filled with imaging agent were measured and compared for different images. Results U2-Net-based model reached the best PSNR (40.8) and SSIM (0.788) performance compared with other advanced deep learning methods. The clinic evaluation showed the quality of the synthesized SPECT images is much higher than that of fast SPECT images (P < 0.05). Compared to the standard SPECT images, enhanced images exhibited the same general image quality (P > 0.999), similar detail of 99mTc-MDP (P = 0.125) and the same diagnostic confidence (P = 0.1875). 4, 5 and 6 spheres could be distinguished on 1/7 SPECT, DL-enhanced SPECT and the standard SPECT, respectively. The DL-enhanced phantom image outperformed 1/7 SPECT in SUVmax, SUVmean, SSIM and PSNR in quantitative assessment. Conclusions Our proposed method can yield significant image quality improvement in the noise level, details of anatomical structure and SUV accuracy, which enabled applications of ultra fast SPECT bone imaging in real clinic settings.https://doi.org/10.1186/s40658-022-00472-0SPECTBoneImage quality enhancementDeep learning
spellingShingle Boyang Pan
Na Qi
Qingyuan Meng
Jiachen Wang
Siyue Peng
Chengxiao Qi
Nan-Jie Gong
Jun Zhao
Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept
EJNMMI Physics
SPECT
Bone
Image quality enhancement
Deep learning
title Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept
title_full Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept
title_fullStr Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept
title_full_unstemmed Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept
title_short Ultra high speed SPECT bone imaging enabled by a deep learning enhancement method: a proof of concept
title_sort ultra high speed spect bone imaging enabled by a deep learning enhancement method a proof of concept
topic SPECT
Bone
Image quality enhancement
Deep learning
url https://doi.org/10.1186/s40658-022-00472-0
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