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第45卷第11期
               ·1652 ·                           南 京    医 科 大 学 学         报                        2025年11月


              A                                B  2.4                          C
                                25%~75%
                 16                                                                1.8
                                1.5IQR            2.0
                                Median
                 12                                                                1.5
                                Mean              1.6
                R SUV mex  8    Outliers         R SUV mean  1.2                  R SUV mean  1.2
                                                  0.8
                  4                                                                0.9
                                                  0.4
                  0                                                                0.6
                                                   0
                       10%     30%     50%             10%      30%     50%             10%     30%      50%
                       The proportion of activity used  The proportion of activity used  The proportion of activity used
                       to the current clinical activity  to the current clinical activity  to the current clinical activity
                         18                                 18
                                                                             of all voxels in patient PET images with SUV values
                                          of PET images. B:Effect of F⁃FDGactivity on R SUV mean
                 A:Effect of F⁃FDG activity on R SUV max
                                18
                                                  of all voxels in patient PET images with SUV values greater than 1.
              greater than 0.1. C:Effect of F⁃FDG activity on R SUV mean
                                             图1  18 F⁃FDG活度对PET影像SUV值的影响
                                                    18
                                     Figure 1 Effect of F⁃FDG activity on SUV values in PET images
              可以看出,采用相同的 PET 影像重建算法,当所                          2.3  基于深度学习的低 F⁃FDG给药活度下的PET
                                                                                      18
              用 F⁃FDG 的 活 度 降 低 时 ,患 者 肿 瘤 病 灶 内 的              影像质量恢复
                 18
                                                                                      18
              SUVmean和SUVmax均呈现增大趋势,其中SUVmax                         基于收集到的不同 F⁃FDG 给药活度下的患者
              的变化更显著。当 F⁃FDG的注射活度降低到临床                          PET/CT 影像数据,本研究搭建了 SwinUNetR⁃GAN
                               18
              现行活度的10%时,肿瘤病灶的SUVmean增大了约                        网络以提高低 F⁃FDG 给药活度下患者PET 影像质
                                                                             18
              1.1倍,而SUVmax增大了约2倍。                               量,首先采用视觉分析法对SwinUNetR⁃GAN网络的

                         A                                         B
                             2.0                                       30
                                                                       25
                             1.6
                                                                       20
                            SUVmean  0.8                              SUVmax  15
                             1.2
                                                                       10
                             0.4
                                                                        5
                              0
                                                                        0
                                  10%   30%   50%   100%                   10%   30%    50%   100%
                                   The proportion of activity used          The proportion of activity used
                                   to the current clinical activity          to the current clinical activity
                         C   1.6                                   D   10
                                                                        8
                             1.4
                            R SUV mean  1.2                           R SUV max  6

                                                                        4
                             1.0
                                                                        2

                             0.8                                        0
                                   10%     30%      50%                      10%     30%     50%
                                   The proportion of activity used           The proportion of activity used
                                   to the current clinical activity          to the current clinical activity
                                                           18
                         18
                 A:Effect of F⁃FDG activity on SUVmean of tumor. B:Effect of F⁃FDG activity on SUVmax of tumor. C:Ratio of SUVmean of tumor at different
              18                                                                18
               F⁃FDG activities to SUVmean at current clinical activity used. D:Ratio of SUVmax of tumor at different F⁃FDG activities to SUVmax at current clinical
              activity used.
                                               图2  18 F⁃FDG活度对肿瘤SUV值的影响
                                                        18
                                         Figure 2  Effect of F⁃FDGactivity on tumor SUV value
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