Evidence map›Paper›PMID 31622962›Full record

ArticlePhysics in medicine and biology2019

Synthetic CT generation from non-attenuation corrected PET images for whole-body PET imaging.

Xue Dong, Tonghe Wang, Yang Lei, Kristin Higgins, Tian Liu, Walter J Curran, Hui Mao, Jonathon A Nye, Xiaofeng Yang

Open access · greenAbstract read
In one paragraph

Article in Physics in medicine and biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Attenuation correction of cardiacEJNMMI physics · 2026
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  11. Review
  12. A retrospective comparison of [Physical and engineering sciences in medicine · 2025
    Article
  13. Article
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  16. Article
  17. Article
  18. Article
  19. Article
  20. Deep-learning-based Attenuation Correction forMolecular imaging and radionuclide therapy · 2024
    Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Xue DongDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Tonghe WangDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Yang LeiDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Kristin HigginsDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Tian LiuDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Walter J CurranDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Hui MaoWinship Cancer Institute, Emory University, Atlanta, GA, United States of America.
Jonathon A NyeDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States of America.
Xiaofeng YangDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Emory University · US

Funding

Multiparametric MRI-guided Prostate HDR Brachytherapy with Focal Tumor BoostR01CA215718 · NCI · EMORY UNIVERSITY · PI YANG, XIAOFENG · 2018 to 2022
$1.8M
NCI NIH HHS R01 CA215718
6 · The paper itself

Abstract

Attenuation correction (AC) of PET/MRI faces challenges including inter-scan motion, image artifacts such as truncation and distortion, and erroneous transformation of structural voxel-intensities to PET mu-map values. We propose a deep-learning-based method to derive synthetic CT (sCT) images from non-attenuation corrected PET (NAC PET) images for AC on whole-body PET/MRI imaging. A 3D cycle-consistent generative adversarial networks (CycleGAN) framework was employed to synthesize CT images from NAC PET. The method learns a transformation that minimizes the difference between sCT, generated from NAC PET, and true CT. It also learns an inverse transformation such that cycle NAC PET image generated from the sCT is close to true NAC PET image. A self-attention strategy was also utilized to identify the most informative component and mitigate the disturbance of noise. We conducted a retrospective study on a total of 119 sets of whole-body PET/CT, with 80 sets for training and 39 sets for testing and evaluation. The whole-body sCT images generated with proposed method demonstrate great resemblance to true CT images, and show good contrast on soft tissue, lung and bony tissues. The mean absolute error (MAE) of sCT over true CT is less than 110 HU. Using sCT for whole-body PET AC, the mean error of PET quantification is less than 1% and normalized mean square error (NMSE) is less than 1.4%. Average normalized cross correlation on whole body is close to one, and PSNR is larger than 42 dB. We proposed a deep learning-based approach to generate sCT from whole-body NAC PET for PET AC. sCT generated with proposed method shows great similarity to true CT images both qualitatively and quantitatively, and demonstrates great potential for whole-body PET AC in the absence of structural information.

Indexed as

Positron-Emission TomographyTomography, X-Ray ComputedWhole Body ImagingHumansImage Processing, Computer-AssistedRetrospective StudiesSignal-To-Noise Ratio

Identifiers

PMID31622962
PMCPMC7759014
OpenAlexW2981126002

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.