Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders

Purpose: Positron Emission Tomography (PET) can support a diagnosis of neurodegenerative disorder by identifying disease-specific pathologies. Our aim was to investigate the feasibility of using activity reduction in clinical [18F]FE-PE2I and [11C]PiB PET/CT scans, simulating low injected activity o...

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Main Authors: Raphaël Sura Daveau, Ian Law, Otto Mølby Henriksen, Steen Gregers Hasselbalch, Ulrik Bjørn Andersen, Lasse Anderberg, Liselotte Højgaard, Flemming Littrup Andersen, Claes Nøhr Ladefoged
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:NeuroImage
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1053811922005298
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author Raphaël Sura Daveau
Ian Law
Otto Mølby Henriksen
Steen Gregers Hasselbalch
Ulrik Bjørn Andersen
Lasse Anderberg
Liselotte Højgaard
Flemming Littrup Andersen
Claes Nøhr Ladefoged
author_facet Raphaël Sura Daveau
Ian Law
Otto Mølby Henriksen
Steen Gregers Hasselbalch
Ulrik Bjørn Andersen
Lasse Anderberg
Liselotte Højgaard
Flemming Littrup Andersen
Claes Nøhr Ladefoged
author_sort Raphaël Sura Daveau
collection DOAJ
description Purpose: Positron Emission Tomography (PET) can support a diagnosis of neurodegenerative disorder by identifying disease-specific pathologies. Our aim was to investigate the feasibility of using activity reduction in clinical [18F]FE-PE2I and [11C]PiB PET/CT scans, simulating low injected activity or scanning time reduction, in combination with AI-assisted denoising. Methods: A total of 162 patients with clinically uncertain Alzheimer's disease underwent amyloid [11C]PiB PET/CT and 509 patients referred for clinically uncertain Parkinson's disease underwent dopamine transporter (DAT) [18F]FE-PE2I PET/CT. Simulated low-activity data were obtained by random sampling of 5% of the events from the list-mode file and a 5% time window extraction in the middle of the scan. A three-dimensional convolutional neural network (CNN) was trained to denoise the resulting PET images for each disease cohort. Results: Noise reduction of low-activity PET images was successful for both cohorts using 5% of the original activity with improvement in visual quality and all similarity metrics with respect to the ground-truth images. Clinically relevant metrics extracted from the low-activity images deviated < 2% compared to ground-truth values, which were not significantly changed when extracting the metrics from the denoised images. Conclusion: The presented models were based on the same network architecture and proved to be a robust tool for denoising brain PET images with two widely different tracer distributions (delocalized, ([11C]PiB, and highly localized, [18F]FE-PE2I). This broad and robust application makes the presented network a good choice for improving the quality of brain images to the level of the standard-activity images without degrading clinical metric extraction. This will allow for reduced dose or scan time in PET/CT to be implemented clinically.
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spelling doaj.art-e0aff247b6e74ab8900410d9571410112022-12-22T00:42:10ZengElsevierNeuroImage1095-95722022-10-01259119412Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disordersRaphaël Sura Daveau0Ian Law1Otto Mølby Henriksen2Steen Gregers Hasselbalch3Ulrik Bjørn Andersen4Lasse Anderberg5Liselotte Højgaard6Flemming Littrup Andersen7Claes Nøhr Ladefoged8Department of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDanish Dementia Research Centre, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, DenmarkDepartment of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University of Copenhagen, Denmark; Corresponding author.Purpose: Positron Emission Tomography (PET) can support a diagnosis of neurodegenerative disorder by identifying disease-specific pathologies. Our aim was to investigate the feasibility of using activity reduction in clinical [18F]FE-PE2I and [11C]PiB PET/CT scans, simulating low injected activity or scanning time reduction, in combination with AI-assisted denoising. Methods: A total of 162 patients with clinically uncertain Alzheimer's disease underwent amyloid [11C]PiB PET/CT and 509 patients referred for clinically uncertain Parkinson's disease underwent dopamine transporter (DAT) [18F]FE-PE2I PET/CT. Simulated low-activity data were obtained by random sampling of 5% of the events from the list-mode file and a 5% time window extraction in the middle of the scan. A three-dimensional convolutional neural network (CNN) was trained to denoise the resulting PET images for each disease cohort. Results: Noise reduction of low-activity PET images was successful for both cohorts using 5% of the original activity with improvement in visual quality and all similarity metrics with respect to the ground-truth images. Clinically relevant metrics extracted from the low-activity images deviated < 2% compared to ground-truth values, which were not significantly changed when extracting the metrics from the denoised images. Conclusion: The presented models were based on the same network architecture and proved to be a robust tool for denoising brain PET images with two widely different tracer distributions (delocalized, ([11C]PiB, and highly localized, [18F]FE-PE2I). This broad and robust application makes the presented network a good choice for improving the quality of brain images to the level of the standard-activity images without degrading clinical metric extraction. This will allow for reduced dose or scan time in PET/CT to be implemented clinically.http://www.sciencedirect.com/science/article/pii/S1053811922005298Parkinson's disease[18F]FE-PE2IAlzheimer's disease[11C]PiBDeep learningPET denoising
spellingShingle Raphaël Sura Daveau
Ian Law
Otto Mølby Henriksen
Steen Gregers Hasselbalch
Ulrik Bjørn Andersen
Lasse Anderberg
Liselotte Højgaard
Flemming Littrup Andersen
Claes Nøhr Ladefoged
Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders
NeuroImage
Parkinson's disease
[18F]FE-PE2I
Alzheimer's disease
[11C]PiB
Deep learning
PET denoising
title Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders
title_full Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders
title_fullStr Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders
title_full_unstemmed Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders
title_short Deep learning based low-activity PET reconstruction of [11C]PiB and [18F]FE-PE2I in neurodegenerative disorders
title_sort deep learning based low activity pet reconstruction of 11c pib and 18f fe pe2i in neurodegenerative disorders
topic Parkinson's disease
[18F]FE-PE2I
Alzheimer's disease
[11C]PiB
Deep learning
PET denoising
url http://www.sciencedirect.com/science/article/pii/S1053811922005298
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