arXiv subjects

Dimitris Visvikis

Publications and source records attributed to Dimitris Visvikis.

31 records · Page 2Linked to original sources

arXiv2024

CT respiratory motion synthesis using joint supervised and adversarial learning

Objective: Four-dimensional computed tomography (4DCT) imaging consists in reconstructing a CT acquisition into multiple phases to track internal organ and tumor motion. It is commonly used in radiotherapy treatment planning to establish planning target volumes. However, 4DCT increases protocol complexity, may not align with patient breathing during treatment, and lead to higher radiation delivery. Approach: In this study, we propose a deep synthesis method to generate pseudo respiratory CT phases from static images for motion-aware treatment planning. The model produces patient-specific deformation vector fields (DVFs) by conditioning synthesis on external patient surface-based estimation, mimicking respiratory monitoring devices. A key methodological contribution is to encourage DVF realism through supervised DVF training while using an adversarial term jointly not only on the warped image but also on the magnitude of the DVF itself. This way, we avoid excessive smoothness typically obtained through deep unsupervised learning, and encourage correlations with the respiratory amplitude. Main results: Performance is evaluated using real 4DCT acquisitions with smaller tumor volumes than previously reported. Results demonstrate for the first time that the generated pseudo-respiratory CT phases can capture organ and tumor motion with similar accuracy to repeated 4DCT scans of the same patient. Mean inter-scans tumor center-of-mass distances and Dice similarity coefficients were $1.97$mm and $0.63$, respectively, for real 4DCT phases and $2.35$mm and $0.71$ for synthetic phases, and compares favorably to a state-of-the-art technique (RMSim).

cs.CV↗

arXiv2024

Fast-Track of F-18 Positron paths simulations using GANs

In recent years, the use of Monte Carlo (MC) simulations in the domain of Medical Physics has become a state-of-the-art technology that consumes lots of computational resources for the accurate prediction of particle interactions. The use of generative adversarial network (GAN) has been recently proposed as an alternative to improve the efficiency and extending the applications of computational tools in both medical imaging and therapeutic applications. This study introduces a new approach to simulate positron paths originating from Fluorine 18 (18 F) isotopes through the utilization of GANs. The proposed methodology developed a pure conditional transformer least squares (LS)-GAN model, designed to generate positron paths, and to track their interaction within the surrounding material. Conditioning factors include the pre-determined number of interactions, and the initial momentum of the emitted positrons, as derived from the emission spectrum of 18 F. By leveraging these conditions, the model aims to quickly and accurately simulate electromagnetic interactions of positron paths. Results were compared to the outcome produced with Geant4 Application for Tomography Emission (GATE) MC simulations toolkit. Less than 10 % of difference was observed in the calculation of the mean and maximum length of the path and the 1-D point spread function (PSF) for three different materials (Water, Bone, Lung).

physics.med-ph↗

arXiv2024

Diffusion Posterior Sampling for Synergistic Reconstruction in Spectral Computed Tomography

Using recent advances in generative artificial intelligence (AI) brought by diffusion models, this paper introduces a new synergistic method for spectral computed tomography (CT) reconstruction. Diffusion models define a neural network to approximate the gradient of the log-density of the training data, which is then used to generate new images similar to the training ones. Following the inverse problem paradigm, we propose to adapt this generative process to synergistically reconstruct multiple images at different energy bins from multiple measurements. The experiments suggest that using multiple energy bins simultaneously improves the reconstruction by inverse diffusion and outperforms state-of-the-art synergistic reconstruction techniques.

physics.med-ph↗

arXiv2024

A Review on Low-Dose Emission Tomography Post-Reconstruction Denoising with Neural Network Approaches

Low-dose emission tomography (ET) plays a crucial role in medical imaging, enabling the acquisition of functional information for various biological processes while minimizing the patient dose. However, the inherent randomness in the photon counting process is a source of noise which is amplified in low-dose ET. This review article provides an overview of existing post-processing techniques, with an emphasis on deep neural network (NN) approaches. Furthermore, we explore future directions in the field of NN-based low-dose ET. This comprehensive examination sheds light on the potential of deep learning in enhancing the quality and resolution of low-dose ET images, ultimately advancing the field of medical imaging.

physics.med-ph↗

arXiv2023

Uconnect: Synergistic Spectral CT Reconstruction with U-Nets Connecting the Energy bins

Spectral computed tomography (CT) offers the possibility to reconstruct attenuation images at different energy levels, which can be then used for material decomposition. However, traditional methods reconstruct each energy bin individually and are vulnerable to noise. In this paper, we propose a novel synergistic method for spectral CT reconstruction, namely Uconnect. It utilizes trained convolutional neural networks (CNNs) to connect the energy bins to a latent image so that the full binned data is used synergistically. We experiment on two types of low-dose data: simulated and real patient data. Qualitative and quantitative analysis show that our proposed Uconnect outperforms state-of-art model-based iterative reconstruction (MBIR) techniques as well as CNN-based denoising.

physics.med-ph↗

arXiv2023

On-line Dose Calculation Using Deep Learning for Beams Selection in Non-Coplanar Radiotherapy

Non-coplanar Intensity-Modulated Radiation Therapy (IMRT) goes a step further by orienting the gantry carrying the radiation beam and the patient couch in a non-coplanar manner to accurately target the cancer region and better avoid organs-at-risk. The use of a non-coplanar treatment trajectory significantly enhances the degree of freedom and flexibility but increases drastically the complexity of the optimization. In inverse planning optimization the dose contribution for all potential beam directions is usually pre-calculates and pre-loads into the Treatment Planning System (TPS). The size the dose matrix becomes more critical when moving from coplanar IMRT to non-coplanar IMRT since the number of beams increases drastically. A solution would be to calculate "on-the-fly" the dose contribution to each new candidate beam during optimization. This is only possible if a dose calculation engine is fast enough to be used online during optimization iterations, which is not the case in standard method. Therefore, in this work we propose an IMRT optimization scheme using deep learning based dose engine to compute the dose matrix on-line. The proposed deep learning approach will be combined into a simulated-annealing-based optimization method for non-coplanar IMRT. Since the dose engine will compute the dose contribution on-line during the optimization, the final main optimization method requires to keep in memory a very lightweight dose matrix. The proposed method was compared with clinical data showing a good agreement considering dosimetry of the treatment plans. The main advantage of the proposed method was the reduction of the memory storage from 9GB to 10MB during the optimization process.

physics.med-ph↗

arXiv2022

Learn2Reg: comprehensive multi-task medical image registration challenge, dataset and evaluation in the era of deep learning

Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches. The Learn2Reg challenge addresses these limitations by providing a multi-task medical image registration data set for comprehensive characterisation of deformable registration algorithms. A continuous evaluation will be possible at https://learn2reg.grand-challenge.org. Learn2Reg covers a wide range of anatomies (brain, abdomen, and thorax), modalities (ultrasound, CT, MR), availability of annotations, as well as intra- and inter-patient registration evaluation. We established an easily accessible framework for training and validation of 3D registration methods, which enabled the compilation of results of over 65 individual method submissions from more than 20 unique teams. We used a complementary set of metrics, including robustness, accuracy, plausibility, and runtime, enabling unique insight into the current state-of-the-art of medical image registration. This paper describes datasets, tasks, evaluation methods and results of the challenge, as well as results of further analysis of transferability to new datasets, the importance of label supervision, and resulting bias. While no single approach worked best across all tasks, many methodological aspects could be identified that push the performance of medical image registration to new state-of-the-art performance. Furthermore, we demystified the common belief that conventional registration methods have to be much slower than deep-learning-based methods.

eess.IV↗

arXiv2022

Multi-Channel Convolutional Analysis Operator Learning for Dual-Energy CT Reconstruction

Objective. Dual-energy computed tomography (DECT) has the potential to improve contrast, reduce artifacts and the ability to perform material decomposition in advanced imaging applications. The increased number or measurements results with a higher radiation dose and it is therefore essential to reduce either number of projections per energy or the source X-ray intensity, but this makes tomographic reconstruction more ill-posed. Approach. We developed the multi-channel convolutional analysis operator learning (MCAOL) method to exploit common spatial features within attenuation images at different energies and we propose an optimization method which jointly reconstructs the attenuation images at low and high energies with a mixed norm regularization on the sparse features obtained by pre-trained convolutional filters through the convolutional analysis operator learning (CAOL) algorithm. Main results. Extensive experiments with simulated and real computed tomography (CT) data were performed to validate the effectiveness of the proposed methods and we reported increased reconstruction accuracy compared to CAOL and iterative methods with single and joint total-variation (TV) regularization. Significance. Qualitative and quantitative results on sparse-views and low-dose DECT demonstrate that the proposed MCAOL method outperforms both CAOL applied on each energy independently and several existing state-of-the-art model-based iterative reconstruction (MBIR) techniques, thus paving the way for dose reduction.

eess.IV↗

arXiv2022

Overview of the HECKTOR Challenge at MICCAI 2021: Automatic Head and Neck Tumor Segmentation and Outcome Prediction in PET/CT Images

This paper presents an overview of the second edition of the HEad and neCK TumOR (HECKTOR) challenge, organized as a satellite event of the 24th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) 2021. The challenge is composed of three tasks related to the automatic analysis of PET/CT images for patients with Head and Neck cancer (H&N), focusing on the oropharynx region. Task 1 is the automatic segmentation of H&N primary Gross Tumor Volume (GTVt) in FDG-PET/CT images. Task 2 is the automatic prediction of Progression Free Survival (PFS) from the same FDG-PET/CT. Finally, Task 3 is the same as Task 2 with ground truth GTVt annotations provided to the participants. The data were collected from six centers for a total of 325 images, split into 224 training and 101 testing cases. The interest in the challenge was highlighted by the important participation with 103 registered teams and 448 result submissions. The best methods obtained a Dice Similarity Coefficient (DSC) of 0.7591 in the first task, and a Concordance index (C-index) of 0.7196 and 0.6978 in Tasks 2 and 3, respectively. In all tasks, simplicity of the approach was found to be key to ensure generalization performance. The comparison of the PFS prediction performance in Tasks 2 and 3 suggests that providing the GTVt contour was not crucial to achieve best results, which indicates that fully automatic methods can be used. This potentially obviates the need for GTVt contouring, opening avenues for reproducible and large scale radiomics studies including thousands potential subjects.

eess.IV↗

arXiv2021

Regularized directional representations for medical image registration

In image registration, many efforts have been devoted to the development of alternatives to the popular normalized mutual information criterion. Concurrently to these efforts, an increasing number of works have demonstrated that substantial gains in registration accuracy can also be achieved by aligning structural representations of images rather than images themselves. Following this research path, we propose a new method for mono- and multimodal image registration based on the alignment of regularized vector fields derived from structural information such as gradient vector flow fields, a technique we call \textit{vector field similarity}. Our approach can be combined in a straightforward fashion with any existing registration framework by substituting vector field similarity to intensity-based registration. In our experiments, we show that the proposed approach compares favourably with conventional image alignment on several public image datasets using a diversity of imaging modalities and anatomical locations.

cs.CV↗

arXiv2021

Squeeze-and-Excitation Normalization for Automated Delineation of Head and Neck Primary Tumors in Combined PET and CT Images

Development of robust and accurate fully automated methods for medical image segmentation is crucial in clinical practice and radiomics studies. In this work, we contributed an automated approach for Head and Neck (H&N) primary tumor segmentation in combined positron emission tomography / computed tomography (PET/CT) images in the context of the MICCAI 2020 Head and Neck Tumor segmentation challenge (HECKTOR). Our model was designed on the U-Net architecture with residual layers and supplemented with Squeeze-and-Excitation Normalization. The described method achieved competitive results in cross-validation (DSC 0.745, precision 0.760, recall 0.789) performed on different centers, as well as on the test set (DSC 0.759, precision 0.833, recall 0.740) that allowed us to win first prize in the HECKTOR challenge among 21 participating teams. The full implementation based on PyTorch and the trained models are available at https://github.com/iantsen/hecktor

eess.IV↗

arXiv2020

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.

physics.med-ph↗

arXiv2016

Reliability of PET/CT shape and heterogeneity features in functional and morphological components of Non-Small Cell Lung Cancer tumors: a repeatability analysis in a prospective multi-center cohort

Purpose: The main purpose of this study was to assess the reliability of shape and heterogeneity features in both Positron Emission Tomography (PET) and low-dose Computed Tomography (CT) components of PET/CT. A secondary objective was to investigate the impact of image quantization.Material and methods: A Health Insurance Portability and Accountability Act -compliant secondary analysis of deidentified prospectively acquired PET/CT test-retest datasets of 74 patients from multi-center Merck and ACRIN trials was performed. Metabolically active volumes were automatically delineated on PET with Fuzzy Locally Adaptive Bayesian algorithm. 3DSlicerTM was used to semi-automatically delineate the anatomical volumes on low-dose CT components. Two quantization methods were considered: a quantization into a set number of bins (quantizationB) and an alternative quantization with bins of fixed width (quantizationW). Four shape descriptors, ten first-order metrics and 26 textural features were computed. Bland-Altman analysis was used to quantify repeatability. Features were subsequently categorized as very reliable, reliable, moderately reliable and poorly reliable with respect to the corresponding volume variability. Results: Repeatability was highly variable amongst features. Numerous metrics were identified as poorly or moderately reliable. Others were (very) reliable in both modalities, and in all categories (shape, 1st-, 2nd- and 3rd-order metrics). Image quantization played a major role in the features repeatability. Features were more reliable in PET with quantizationB, whereas quantizationW showed better results in CT.Conclusion: The test-retest repeatability of shape and heterogeneity features in PET and low-dose CT varied greatly amongst metrics. The level of repeatability also depended strongly on the quantization step, with different optimal choices for each modality. The repeatability of PET and low-dose CT features should be carefully taken into account when selecting metrics to build multiparametric models.

cs.CV↗