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A deep learning approach for virtual contrast enhancement in Contrast Enhanced Spectral Mammography
Unit of Computer Systems & Bioinformatics, Department of Engineering University Campus Bio-Medico, Rome, Italy.
Unit of Computer Systems & Bioinformatics, Department of Engineering University Campus Bio-Medico, Rome, Italy.
Department of Radiology, Fondazione Policlinico Campus Bio-Medico, Rome, Italy.
Department of Radiology, Fondazione Policlinico Campus Bio-Medico, Rome, Italy.
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2024 (English)In: Computerized Medical Imaging and Graphics, ISSN 0895-6111, E-ISSN 1879-0771, Vol. 116, article id 102398Article in journal (Refereed) Published
Abstract [en]

Contrast Enhanced Spectral Mammography (CESM) is a dual-energy mammographic imaging technique that first requires intravenously administering an iodinated contrast medium. Then, it collects both a low-energy image, comparable to standard mammography, and a high-energy image. The two scans are combined to get a recombined image showing contrast enhancement. Despite CESM diagnostic advantages for breast cancer diagnosis, the use of contrast medium can cause side effects, and CESM also beams patients with a higher radiation dose compared to standard mammography. To address these limitations, this work proposes using deep generative models for virtual contrast enhancement on CESM, aiming to make CESM contrast-free and reduce the radiation dose. Our deep networks, consisting of an autoencoder and two Generative Adversarial Networks, the Pix2Pix, and the CycleGAN, generate synthetic recombined images solely from low-energy images. We perform an extensive quantitative and qualitative analysis of the model's performance, also exploiting radiologists’ assessments, on a novel CESM dataset that includes 1138 images. As a further contribution to this work, we make the dataset publicly available. The results show that CycleGAN is the most promising deep network to generate synthetic recombined images, highlighting the potential of artificial intelligence techniques for virtual contrast enhancement in this field.

Place, publisher, year, edition, pages
Elsevier, 2024. Vol. 116, article id 102398
Keywords [en]
CESM, Contrast enhanced spectral mammography, Generative adversarial network, Image-to-image translation, Virtual contrast enhancement
National Category
Radiology, Nuclear Medicine and Medical Imaging Medical Imaging
Identifiers
URN: urn:nbn:se:umu:diva-225498DOI: 10.1016/j.compmedimag.2024.102398ISI: 001246554400001PubMedID: 38810487Scopus ID: 2-s2.0-85194331808OAI: oai:DiVA.org:umu-225498DiVA, id: diva2:1867199
Funder
Swedish Research Council, 2022-06725Swedish Research Council, 2018-05973Swedish National Infrastructure for Computing (SNIC)National Academic Infrastructure for Supercomputing in Sweden (NAISS)Available from: 2024-06-10 Created: 2024-06-10 Last updated: 2025-04-24Bibliographically approved

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Soda, Paolo

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