Detection of phase-binning and interpolation artifacts in 4-dimensional computed tomography imaging using deep learning and rule-based approaches.

backgroundFour-dimensional computed tomography (4DCT) imaging is a crucial component to lung cancer radiotherapy planning and enables CT-ventilation-based functional avoidance planning to mitigate radiation toxicity. However, 4DCT scans are frequently impaired by acquisition artifacts that corrupt downstream analyses that depend on lung segmentation and deformable image registration, such as CT-ventilation and dose accumulation. PURPOSE: This study develops 3D deep learning models to identify phase-binning artifacts at the voxel level and a heuristic, rule-based method to identify interpolation slices within 4DCT images.

methodsWe introduce a generator that systematically inserts synthetic phase-binning and interpolation artifacts into any artifact-free breathing phase obtained from nine different clinical 4DCT datasets to produce ground-truth data for (1) training modified nnUNet and SwinUNETR models to detect phase-binning artifacts, and (2) to determine thresholds in the rule-based detection method for interpolation artifacts. The use of multiple datasets incorporates robustness across artifact severities, lung geometries, and cancer progressions.

resultsAfter training on generated synthetic data and several configurations (region-based learning masks, left-right lung separation), the nnUNet and SwinUNETR models demonstrated state-of-the-art artifact detection accuracy, averaging 0.957

conclusionsWe demonstrate state-of-the-art artifact detection accuracy using 3D deep learning models trained on synthetic data and a rule-based approach configured on true data, providing interpretability by highlighting which voxel locations indicate a slice is artifact-affected. The SwinUNETR model accuracy and fast run-time have the potential to enable more targeted artifact correction methods or signal an imaging technologist when to re-scan a patient in real-time.