Direct image-based attenuation correction using conditional generative adversarial network for SPECT myocardial perfusion imaging

Mahsa Torkaman; Jaewon Yang; Luyao Shi; Rui Wang; Edward J. Miller; Albert J. Sinusas; Chi Liu; Grant T. Gullberg; Youngho Seo

doi:10.1117/12.2580922

15 February 2021 Direct image-based attenuation correction using conditional generative adversarial network for SPECT myocardial perfusion imaging

Mahsa Torkaman, Jaewon Yang, Luyao Shi, Rui Wang, Edward J. Miller, Albert J. Sinusas, Chi Liu, Grant T. Gullberg, Youngho Seo

Author Affiliations +

Proceedings Volume 11600, Medical Imaging 2021: Biomedical Applications in Molecular, Structural, and Functional Imaging; 116000U (2021) https://doi.org/10.1117/12.2580922
Event: SPIE Medical Imaging, 2021, Online Only

Abstract

Attenuation correction (AC) is important for an accurate interpretation and quantitative analysis of SPECT myocardial perfusion imaging. Dedicated cardiac SPECT systems have invaluable efficacy in the evaluation and risk stratification of patients with known or suspected cardiovascular disease. However, most dedicated cardiac SPECT systems are standalone, not combined with a transmission imaging capability such as computed tomography (CT) for generating attenuation maps for AC. To address this problem, we propose to apply a conditional generative adversarial network (cGAN) for generating attenuation-corrected SPECT images (SPECT_GAN ) directly from non-corrected SPECT images (SPECT_NC) in image domain as a one-step process without requiring additional intermediate step. The proposed network was trained and tested for 100 cardiac SPECT/CT data from a GE Discovery NM 570c SPECT/CT, collected retrospectively at Yale New Haven Hospital.The generated images were evaluated quantitatively through the normalized root mean square error (NRMSE), peak signal to noise ratio (PSNR), and structural similarity index (SSIM) and statistically through joint histogram and error maps. In comparison to the reference CT-based correction (SPECT_CTAC ), NRMSEs were 0.2258±0.0777 and 0.1410±0.0768 (37.5% reduction of errors); PSNRs 31.7712±2.9965 and 36.3823±3.7424 (14.5% improvement in signal to noise ratio); SSIMs 0.9877±0.0075 and 0.9949±0.0043 (0.7% improvement in structural similarity) for SPECT_NC and SPECT_GAN , respectively. This work demonstrates that the conditional adversarial training can achieve accurate CT-less attenuation correction for SPECT MPI, that is quantitatively comparable to CTAC. Standalone dedicated cardiac SPECT scanners can benefit from the proposed GAN to reduce attenuation artifacts efficiently.

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Mahsa Torkaman, Jaewon Yang, Luyao Shi, Rui Wang, Edward J. Miller, Albert J. Sinusas, Chi Liu, Grant T. Gullberg, and Youngho Seo "Direct image-based attenuation correction using conditional generative adversarial network for SPECT myocardial perfusion imaging", Proc. SPIE 11600, Medical Imaging 2021: Biomedical Applications in Molecular, Structural, and Functional Imaging, 116000U (15 February 2021); https://doi.org/10.1117/12.2580922

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