Evidence map›Paper›PMID 42260270›Full record

ArticleMedical physics2026

Physics-informed data augmentation to simulate low dose CT scans: Application to lung nodule detection.

Moktari Mostofa, J McIntosh, Qian Cao, Berkman Sahiner, M Mehdi Farhangi, Nicholas Petrick

Abstract read
In one paragraph

Article in Medical physics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Moktari MostofaCenter for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Marryland, USA.
J McIntosh *Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Marryland, USA.
Qian CaoCenter for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Marryland, USA.
Berkman SahinerCenter for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Marryland, USA.
M Mehdi Farhangi *Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Marryland, USA.
Nicholas PetrickCenter for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Marryland, USA.

Funding

U.S. Food and Drug Administration
6 · The paper itself

Abstract

backgroundConvolutional neural networks (CNNs) can be sensitive to slight changes in input images, even when the differences are imperceptible to human observers. In artificial intelligence (AI) applications for medical imaging, these variations can result from different imaging systems and acquisition parameters. PURPOSE: In this paper, we propose a new approach based on imaging physics principles for simulating the noise characteristics of images from specific CT scanners as part of data augmentation for AI training.

methodsOur proposed Physics-Informed Data Augmentation (PIDA) method leverages the mAs and Noise Power Spectrum (NPS) profiles of various CT reconstruction kernels to simulate the effects of various dose exposures. In this approach, the NPS of a higher dose CT scan is used to generate correlated noise, which is then stochastically inserted into the training data. This simulates the noise characteristics of the lower dose exposure and enhances variability within the training set. To demonstrate PIDA's applicability in mitigating radiation dose-related domain shift, we applied PIDA in training a neural network designed to reduce false positives in a lung nodule detection algorithm. We evaluated the impact of the noise insertion training method by assessing lung nodule detection performance on low-dose CT scans.

resultsOur experimental results illustrate the effectiveness of our PIDA method in simulating noise characteristics of low dose CT scans from higher dose CT scans. Including PIDA in algorithm training, improved the performance of the algorithm when it was applied to low dose CT scans. The performance in terms of Competitive Performance Metric (CPM) for the low dose scans improved to 0.677 from a CPM = 0.586 when training was performed without PIDA.

conclusionsPIDA is designed to address the performance drop in CNNs due to acquisitional differences between training and testing datasets. Our findings indicate that it enhances the performance of a CNN in detecting nodules on low-dose CT scans when acquisition differences are present.

Indexed as

Image Processing, Computer-AssistedLung NeoplasmsRadiation DosageTomography, X-Ray ComputedConvolutional Neural NetworksDetection AlgorithmsHumansSignal-To-Noise Ratioconvolutional neural network (CNN)noise power spectrum (NPS)physics‐informed data augmentation (PIDA)synthetic sample generation

Identifiers

PMID42260270
PMCPMC13366036

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.