IEEE J Biomed Health Inform. 2021 May;25(5):1699-1711. doi: 10.1109/JBHI.2020.3024563. Epub 2021 May 11.
Accurate segmentation and partitioning of lesions in PET images provide computer-aided procedures and doctors with parameters for tumour diagnosis, staging and prognosis. Currently, PET segmentation and lesion partitioning are manually measured by radiologists, which is time consuming and laborious, and tedious manual procedures might lead to inaccurate measurement results. Therefore, we designed a new automatic multiprocessing scheme for PET image pre-screening, noise reduction, segmentation and lesion partitioning in this study. PET image pre-screening can reduce the time cost of noise reduction, segmentation and lesion partitioning methods, and denoising can enhance both quantitative metrics and visual quality for better segmentation accuracy. For pre-screening, we propose a new differential activation filter (DAF) to screen the lesion images from whole-body scanning. For noise reduction, neural network inverse (NN inverse) as the inverse transformation of generalized Anscombe transformation (GAT), which does not depend on the distribution of residual noise, was presented to improve the SNR of images. For segmentation and lesion partitioning, definition density peak clustering (DDPC) was proposed to realize instance segmentation of lesion and normal tissue with unsupervised images, which helped reduce the cost of density calculation and completely deleted the cluster halo. The experimental results of clinical data demonstrate that our proposed methods have good results and better performance in noise reduction, segmentation and lesion partitioning compared with state-of-the-art methods.
准确的 PET 图像病变分割和分区为计算机辅助程序和医生提供了肿瘤诊断、分期和预后的参数。目前,PET 分割和病变分区是由放射科医生手动测量的,既耗时又费力,而且繁琐的手动程序可能导致测量结果不准确。因此,我们在这项研究中设计了一种新的 PET 图像预处理、降噪、分割和病变分区的自动多处理方案。PET 图像预处理可以减少降噪、分割和病变分区方法的时间成本,而降噪可以提高定量指标和视觉质量,从而实现更好的分割精度。对于预处理,我们提出了一种新的差分激活滤波器(DAF),用于从全身扫描中筛选病变图像。对于降噪,我们提出了作为广义安斯科姆变换(GAT)逆变换的神经网络逆(NN inverse),它不依赖于残余噪声的分布,用于提高图像的 SNR。对于分割和病变分区,我们提出了定义密度峰值聚类(DDPC),用于实现病变和正常组织的无监督图像实例分割,这有助于降低密度计算成本,并完全删除聚类晕。临床数据的实验结果表明,与最先进的方法相比,我们提出的方法在降噪、分割和病变分区方面具有良好的效果和更好的性能。