Improving image quality of sparse-view lung tumor CT images with U-Net

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Hauptverfasser: Ries, Annika, Dorosti, Tina, Thalhammer, Johannes, Sasse, Daniel, Sauter, Andreas, Meurer, Felix, Benne, Ashley, Lasser, Tobias, Pfeiffer, Franz, Schaff, Florian, Pfeiffer, Daniela
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Veröffentlicht: 2023
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author Ries, Annika
Dorosti, Tina
Thalhammer, Johannes
Sasse, Daniel
Sauter, Andreas
Meurer, Felix
Benne, Ashley
Lasser, Tobias
Pfeiffer, Franz
Schaff, Florian
Pfeiffer, Daniela
author_facet Ries, Annika
Dorosti, Tina
Thalhammer, Johannes
Sasse, Daniel
Sauter, Andreas
Meurer, Felix
Benne, Ashley
Lasser, Tobias
Pfeiffer, Franz
Schaff, Florian
Pfeiffer, Daniela
contents Background: We aimed at improving image quality (IQ) of sparse-view computed tomography (CT) images using a U-Net for lung metastasis detection and determining the best tradeoff between number of views, IQ, and diagnostic confidence. Methods: CT images from 41 subjects aged 62.8 $\pm$ 10.6 years (mean $\pm$ standard deviation), 23 men, 34 with lung metastasis, 7 healthy, were retrospectively selected (2016-2018) and forward projected onto 2,048-view sinograms. Six corresponding sparse-view CT data subsets at varying levels of undersampling were reconstructed from sinograms using filtered backprojection with 16, 32, 64, 128, 256, and 512 views. A dual-frame U-Net was trained and evaluated for each subsampling level on 8,658 images from 22 diseased subjects. A representative image per scan was selected from 19 subjects (12 diseased, 7 healthy) for a single-blinded multireader study. These slices, for all levels of subsampling, with and without U-Net postprocessing, were presented to three readers. IQ and diagnostic confidence were ranked using predefined scales. Subjective nodule segmentation was evaluated using sensitivity and Dice similarity coefficient (DSC); clustered Wilcoxon signed-rank test was used. Results: The 64-projection sparse-view images resulted in 0.89 sensitivity and 0.81 DSC, while their counterparts, postprocessed with the U-Net, had improved metrics (0.94 sensitivity and 0.85 DSC) (p = 0.400). Fewer views led to insufficient IQ for diagnosis. For increased views, no substantial discrepancies were noted between sparse-view and postprocessed images. Conclusions: Projection views can be reduced from 2,048 to 64 while maintaining IQ and the confidence of the radiologists on a satisfactory level.
format Preprint
id arxiv_https___arxiv_org_abs_2307_15506
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Improving image quality of sparse-view lung tumor CT images with U-Net
Ries, Annika
Dorosti, Tina
Thalhammer, Johannes
Sasse, Daniel
Sauter, Andreas
Meurer, Felix
Benne, Ashley
Lasser, Tobias
Pfeiffer, Franz
Schaff, Florian
Pfeiffer, Daniela
Computer Vision and Pattern Recognition
Medical Physics
Background: We aimed at improving image quality (IQ) of sparse-view computed tomography (CT) images using a U-Net for lung metastasis detection and determining the best tradeoff between number of views, IQ, and diagnostic confidence. Methods: CT images from 41 subjects aged 62.8 $\pm$ 10.6 years (mean $\pm$ standard deviation), 23 men, 34 with lung metastasis, 7 healthy, were retrospectively selected (2016-2018) and forward projected onto 2,048-view sinograms. Six corresponding sparse-view CT data subsets at varying levels of undersampling were reconstructed from sinograms using filtered backprojection with 16, 32, 64, 128, 256, and 512 views. A dual-frame U-Net was trained and evaluated for each subsampling level on 8,658 images from 22 diseased subjects. A representative image per scan was selected from 19 subjects (12 diseased, 7 healthy) for a single-blinded multireader study. These slices, for all levels of subsampling, with and without U-Net postprocessing, were presented to three readers. IQ and diagnostic confidence were ranked using predefined scales. Subjective nodule segmentation was evaluated using sensitivity and Dice similarity coefficient (DSC); clustered Wilcoxon signed-rank test was used. Results: The 64-projection sparse-view images resulted in 0.89 sensitivity and 0.81 DSC, while their counterparts, postprocessed with the U-Net, had improved metrics (0.94 sensitivity and 0.85 DSC) (p = 0.400). Fewer views led to insufficient IQ for diagnosis. For increased views, no substantial discrepancies were noted between sparse-view and postprocessed images. Conclusions: Projection views can be reduced from 2,048 to 64 while maintaining IQ and the confidence of the radiologists on a satisfactory level.
title Improving image quality of sparse-view lung tumor CT images with U-Net
topic Computer Vision and Pattern Recognition
Medical Physics
url https://arxiv.org/abs/2307.15506