基于Swin Transformer的低活度PET影像质量恢复方法研究
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南京医科大学第一附属医院

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国家自然科学基金青年基金项目(编号:No.12405387),江苏省基础研究计划自然科学基金青年基金项目(编号:No.BK20241107),江苏省卫生健康委科研课题(编号:Ym2023101)


Research on low-activity PET image quality restoration method based on Swin Transformer
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National Natural Science Foundation of China (Grant No.12405387), the Natural Science Foundation of Jiangsu Province (Grant No.BK20241107), Jiangsu Preventive Medicine Project (Grant Ym2023101)

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    摘要:

    目的:探究18F-FDG活度对PET/CT影像质量的影响规律,建立PET影像质量恢复方法实现对患者的辐射防护。方法:本研究提出了基于Swin Transformer全局特征识别低活度PET影像质量恢复深度学习网络SwinUNetR-GAN,并随机选择了于2024年开展18F-FDG PET/CT检查的124例患者影像,探究不同给药活度下PET影像质量下降规律,并基于SwinUNetR-GAN网络实现低活度PET影像质量的恢复。结果:随着18F-FDG活度的降低,患者PET影像中正常组织及肿瘤病灶内的SUVmean和SUVmax均呈现增大趋势,当将18F-FDG的注射活度降低到临床现行活度的10%时,肿瘤病灶的SUVmean增大了约1.1倍,而SUVmax增大了约2倍。此外,采用SwinUNetR-GAN网络可降低10%活度PET影像的噪声,绝对偏差由0.21降低至0.15,相对偏差可由0.33降低至约0.25。结论:本研究明确了18F-FDG活度对患者PET影像中正常组织及肿瘤组织定量参数的变化规律,并提出了专用于低18F-FDG活度PET影像质量恢复的SwinUNetR-GAN网络,实现了降低患者所受辐射剂量的同时确保PET影像的疾病诊断性能。

    Abstract:

    Objective: To explore the influence of 18F-FDG activity on PET/CT image quality and establish a PET image quality restoration method to achieve radiation protection for patients. Methods: This study proposed a global feature recognition low-activity PET image quality restoration deep learning network model, (i.e., SwinUNetR-GAN) based on Swin Transformer. 124 patients’ PET/CT images who underwent 18F-FDG PET/CT scanning in 2024 were randomly selected to explore the law of PET image quality degradation under different activities of 18F-FDG, and the low-activity PET images’ quality restoration are achieved based on the SwinUNetR-GAN network. Results: As the activity of 18F-FDG decreases, the SUVmean and SUVmax in normal tissues and tumor lesions in the PET images show an increasing trend. When the activity of 18F-FDG is reduced to 10% of the current clinical activity, the SUVmean of the tumor lesion increases by about 1.1 times, while the SUVmax increases by about 2 times. In addition, the use of the SwinUNetR-GAN network can reduce the noise of 10% activity PET images, MAE decreases from 0.21 to 0.15, and Rdev decreases from 0.33 to about 0.25. Conclusion: This study clarifies the change law of quantitative parameters of normal tissues and tumor tissues in patient PET images under activity of 18F-FDG, and then, SwinUNetR-GAN network dedicated to low 18F-FDG activity PET image quality restoration was proposed, which could achieve the disease diagnosis performance of PET images while reducing the radiation dose deposited in patient.

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  • 收稿日期:2025-07-28
  • 最后修改日期:2025-08-25
  • 录用日期:2025-10-29
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