Evidence map›Paper›PMID 33936980›Full record

ArticleQuantitative imaging in medicine and surgery2021

Research on obtaining pseudo CT images based on stacked generative adversarial network.

Hongfei Sun, Zhengda Lu, Rongbo Fan, Wenjun Xiong, Kai Xie, Xinye Ni, Jianhua Yang

Open access · diamondAbstract read
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Article in Quantitative imaging in medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Hongfei SunSchool of Automation, Northwestern Polytechnical University, Xi'an, China.
Zhengda LuDepartment of Radiotherapy, Second People's Hospital of Changzhou, Nanjing Medical University, Changzhou, China.
Rongbo FanSchool of Automation, Northwestern Polytechnical University, Xi'an, China.
Wenjun XiongSchool of Automation, Northwestern Polytechnical University, Xi'an, China.
Kai XieDepartment of Radiotherapy, Second People's Hospital of Changzhou, Nanjing Medical University, Changzhou, China.
Xinye NiDepartment of Radiotherapy, Second People's Hospital of Changzhou, Nanjing Medical University, Changzhou, China.
Jianhua YangSchool of Automation, Northwestern Polytechnical University, Xi'an, China.
Northwestern Polytechnical University · CNChangzhou No.2 People's Hospital · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the feasibility of using a stacked generative adversarial network (sGAN) to synthesize pseudo computed tomography (CT) images based on ultrasound (US) images.

methodsThe pre-radiotherapy US and CT images of 75 patients with cervical cancer were selected for the training set of pseudo-image synthesis. In the first stage, labeled US images were used as the first conditional GAN input to obtain low-resolution pseudo CT images, and in the second stage, a super-resolution reconstruction GAN was used. The pseudo CT image obtained in the first stage was used as an input, following which a high-resolution pseudo CT image with clear texture and accurate grayscale information was obtained. Five cross validation tests were performed to verify our model. The mean absolute error (MAE) was used to compare each pseudo CT with the same patient's real CT image. Also, another 10 cases of patients with cervical cancer, before radiotherapy, were selected for testing, and the pseudo CT image obtained using the neural style transfer (NSF) and CycleGAN methods were compared with that obtained using the sGAN method proposed in this study. Finally, the dosimetric accuracy of pseudo CT images was verified by phantom experiments.

resultsThe MAE metric values between the pseudo CT obtained based on sGAN, and the real CT in five-fold cross validation are 66.82±1.59 HU, 66.36±1.85 HU, 67.26±2.37 HU, 66.34±1.75 HU, and 67.22±1.30 HU, respectively. The results of the metrics, namely, normalized mutual information (NMI), structural similarity index (SSIM), and peak signal-to-noise ratio (PSNR), between the pseudo CT images obtained using the sGAN method and the ground truth CT (CTgt) images were compared with those of the other two methods via the paired t-test, and the differences were statistically significant. The dice similarity coefficient (DSC) measurement results showed that the pseudo CT images obtained using the sGAN method were more similar to the CTgt images of organs at risk. The dosimetric phantom experiments also showed that the dose distribution between the pseudo CT images synthesized by the new method was similar to that of the CTgt images.

conclusionsCompared with NSF and CycleGAN methods, the sGAN method can obtain more accurate pseudo CT images, thereby providing a new method for image guidance in radiotherapy for cervical cancer.

Indexed as

generative adversarial networks (GANs)Image synthesispseudo computed tomography (CT)

Identifiers

PMID33936980
PMCPMC8047346
OpenAlexW3135639136

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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.