Evidence map›Paper›PMID 41091188›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

Clinical evaluation of deep learning-based CT-free PET reconstruction image: a dual-center study.

Hangxing Chunyu, Yizhou Chen, Song Xue, Xinyu Zhang, Ying Miao, Rui Guo, Biao Li, Kuangyu Shi

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Hangxing Chunyu *Department of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yizhou Chen *Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Song Xue *Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Xinyu ZhangDepartment of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ying MiaoDepartment of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Rui GuoDepartment of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. gr11734@rjh.com.cn.
Biao LiDepartment of Nuclear Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. lb10363@rjh.com.cn.ORCID 0000-0002-0493-2062
Kuangyu ShiDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Funding

National Natural Science Foundation of China 82171975Natural Science Foundation of Shanghai 23ZR1439600Science and Technology Commission of Shanghai Municipality (STCSM) 25TS1405600Shanghai Hospital Development Center Foundation SHDC22023201Swiss National Science Foundation SNSF Sinergia 222763
6 · The paper itself

Abstract

purposeEfforts to reduce the radiation burden of PET/CT have driven the increasing development of AI-based CT-less PET imaging techniques. However, comprehensive clinical evaluations of these approaches remain limited. This study aimed to rigorously assess whether deep learning (DL)-based PET reconstruction can eliminate the need for CT-derived attenuation and scatter correction while maintaining image quality sufficient for reliable clinical diagnosis.

methodsIn this dual-center retrospective analysis, raw PET/CT data from 359 patients were evaluated across 4 scanners and 4 tracers. Each dataset underwent four reconstruction approaches: (1) CT-based attenuation and scatter correction (CT-ASC, reference standard); (2) conventional 2D-DL; (3) conventional 3D-DL; and (4) our novel Decomposition-based DL algorithm. Diagnostic quality of reconstructed images was systematically assessed via visual scoring (5-point Likert scale), diagnostic accuracy (lesion-based false-positive/negative rates), and semi-quantitative metrics (SUVmax consistency).

resultsVisual analysis demonstrated the superior performance of Decomposition-based DL compared to conventional 2D-DL and 3D-DL (p < 0.001 for all comparisons). Furthermore, the proposed method exhibited the lowest false-negative and false-positive rates (0.56% false positives with SIEMENS Vision 600; zero rates in other cases). Semi-quantitative analysis showed that although Decomposition-based DL did not consistently yield the lowest mean absolute percentage error values compared to controls, it maintained strong agreement with CT-ASC in most cases.

conclusionThis dual-center study demonstrates that decomposition-based DL CT-free PET imaging outperforms conventional DL methods, achieving diagnostic accuracy comparable to CT-based attenuation correction in most cases. This clinical evaluation provides valuable insights to guide further methodological development and support clinical translation of CT-free PET imaging.

Indexed as

Deep LearningImage Processing, Computer-AssistedPositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesAttenuation correctionClinical applicabilityDeep learning (DL)Positron emission tomography (PET)

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.