Dopaminergic PET to SPECT Domain Adaptation: A Cycle GAN translation approach

20 May 2024, 15:50
20m
La Biodola, Isola d'Elba

La Biodola, Isola d'Elba

Hotel Hermitage
Oral Next-gen clinical PET/CT AI enhanced PET imaging

Speaker

Leonor Lopes (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland | Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland)

Description

Dopamine transporter imaging is routinely used in the diagnosis of Parkinson's disease (PD), although unreliable in distinguishing PD from atypical parkinsonian syndromes (APS). While [11C] CFT PET is common in East Asia, with a substantial APS database to support AI advancements, Europe primarily relies on [123I] FP-CIT SPECT, with limited APS data. Cross-modality translation is appealing to facilitate multicenter/long-term studies. We aim to develop a deep learning(DL)-based cross-modality synthesis between CFT PET and FP-CIT SPECT.
Methods: A 3D CycleGAN was trained with CFT PET and FP-CIT SPECT images from PD and non-parkinsonian (NC) subjects and used to generate synthetic SPECT from the real PET test set. Quantitative and qualitative evaluations were performed.
Results: The Fréchet Inception Distance between synthetic and real SPECT was lower than between synthetic SPECT and real PET. The striatal specific binding ratios values of synthetic SPECT were not significantly different from those of real SPECT. The DL model for NC vs PD classification achieved an AUC of 0.992. Visual grading analysis showed no significant differences between real and synthetic SPECT.
Conclusion: The CycleGAN generated visually indistinguishable synthetic SPECT images, preserving disease-specific classification information. This can improve reproducibility of quantitative measures and AI classification accuracy, aiding in the diagnosis of PD and APS.

Field Software and quantification

Primary author

Leonor Lopes (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland | Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland)

Co-authors

Fangyang Jiao (Department of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Shanghai, China) Song Xue (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland) Thomas Pyka (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland) Korbinian Krieger (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland) Jingjie Ge (Department of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Shanghai, China | National Center for Neurological Disorders & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China) Qian Xu (Department of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Shanghai, China | National Center for Neurological Disorders & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China) Rachid Fahmi (Siemens Medical Solutions USA, Inc., Knoxville, Tennessee, United States) Bruce Spottiswoode (Siemens Medical Solutions USA, Inc., Knoxville, Tennessee, United States) Ahmed Soliman (Siemens Medical Solutions USA, Inc., Knoxville, Tennessee, United States) Ralph Buchert (Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany) Matthias Brendel (Department of Nuclear Medicine, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany | Munich Cluster for Systems Neurology (SyNergy), Munich, Germany | German Center for Neurodegenerative Diseases (DZNE), Munich, Germany) Jimin Hong (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland | Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland) Yihui Guan (Department of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Shanghai, China | National Center for Neurological Disorders & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China) Claudio Bassetti (Department of Neurology, University of Bern, Bern, Switzerland) Axel Rominger (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland) Chuantao Zuo (Department of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Shanghai, China | National Center for Neurological Disorders & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China) Ping Wu (Department of Nuclear Medicine & PET Center, Huashan Hospital, Fudan University, Shanghai, China | National Center for Neurological Disorders & National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China) Kuangyu Shi (Department of Nuclear Medicine, Inselspital, University of Bern, Bern, Switzerland | Department of Informatics, Technical University of Munich, Munich, Germany)

Presentation materials