Deformation-aware GAN for Medical Image Synthesis with Substantially Misaligned Pairs

Medical image synthesis generates additional imaging modalities that are costly, invasive or harmful to acquire, which helps to facilitate the clinical workflow. When training pairs are substantially misaligned (e.g., lung MRI-CT pairs with respiratory motion), accurate image synthesis remains a critical challenge. Recent works explored the directional registration module to adjust misalignment in generative adversarial networks (GANs); however, substantial misalignment will lead to 1) suboptimal data mapping caused by correspondence ambiguity, and 2) degraded image fidelity caused by morphology influence on discriminators. To address the challenges, we propose a novel Deformation-aware GAN (DA-GAN) to dynamically correct the misalignment during the image synthesis based on multi-objective inverse consistency. Specifically, in the generative process, three levels of inverse consistency cohesively optimise symmetric registration and image generation for improved correspondence. In the adversarial process, to further improve image fidelity under misalignment, we design deformation-aware discriminators to disentangle the mismatched spatial morphology from the judgement of image fidelity. Experimental results show that DA-GAN achieved superior performance on a public dataset with simulated misalignments and a real-world lung MRI-CT dataset with respiratory motion misalignment. The results indicate the potential for a wide range of medical image synthesis tasks such as radiotherapy planning.

Deep learning-guided weighted averaging for signal dropout compensation in diffusion-weighted imaging of the liver

Purpose: To develop an algorithm for the retrospective correction of signal dropout artifacts in abdominal diffusion-weighted imaging (DWI) resulting from cardiac motion. Methods: Given a set of image repetitions for a slice, a locally adaptive weighted averaging is proposed which aims to suppress the contribution of image regions affected by signal dropouts. Corresponding weight maps were estimated by a sliding-window algorithm which analyzed signal deviations from a patch-wise reference. In order to ensure the computation of a robust reference, repetitions were filtered by a classifier that was trained to detect images corrupted by signal dropouts. The proposed method, termed Deep Learning-guided Adaptive Weighted Averaging (DLAWA), was evaluated in terms of dropout suppression capability, bias reduction in the Apparent Diffusion Coefficient (ADC) and noise characteristics. Results: In the case of uniform averaging, motion-related dropouts caused signal attenuation and ADC overestimation in parts of the liver with the left lobe being affected particularly. Both effects could be substantially mitigated by DLAWA while preventing global penalties with respect to signal-to-noise ratio (SNR) due to local signal suppression. Performing evaluations on patient data, the capability to recover lesions concealed by signal dropouts was demonstrated as well. Further, DLAWA allowed for transparent control of the trade-off between SNR and signal dropout suppression by means of a few hyperparameters. Conclusion: This work presents an effective and flexible method for the local compensation of signal dropouts resulting from motion and pulsation. Since DLAWA follows a retrospective approach, no changes to the acquisition are required.

Robust partial Fourier reconstruction for diffusion-weighted imaging using a recurrent convolutional neural network

Purpose: To develop an algorithm for robust partial Fourier (PF) reconstruction applicable to diffusion-weighted (DW) images with non-smooth phase variations. Methods: Based on an unrolled proximal splitting algorithm, a neural network architecture is derived which alternates between data consistency operations and regularization implemented by recurrent convolutions. In order to exploit correlations, multiple repetitions of the same slice are jointly reconstructed under consideration of permutation-equivariance. The proposed method is trained on DW liver data of 60 volunteers and evaluated on retrospectively and prospectively sub-sampled data of different anatomies and resolutions. In addition, the benefits of using a recurrent network over other unrolling strategies is investigated. Results: Conventional PF techniques can be significantly outperformed in terms of quantitative measures as well as perceptual image quality. The proposed method is able to generalize well to brain data with contrasts and resolution not present in the training set. The reduction in echo time (TE) associated with prospective PF-sampling enables DW imaging with higher signal. Also, the TE increase in acquisitions with higher resolution can be compensated for. It can be shown that unrolling by means of a recurrent network produced better results than using a weight-shared network or a cascade of networks. Conclusion: This work demonstrates that robust PF reconstruction of DW data is feasible even at strong PF factors in applications with severe phase variations. Since the proposed method does not rely on smoothness priors of the phase but uses learned recurrent convolutions instead, artifacts of conventional PF methods can be avoided.