To investigate the feasibility of building the breast dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) images deduction model by using deep learning algorithms
with the aim of obtaining the DCE-MRI sequences w
ithout actual scanning.
Methods:
Clinical data and MRI images of 54 subjects with breast MRI examinations were collected retrospectively in Xian International Medical Center Hospital from January 2020 to August 2021 and divided into a training set (38 subjects)
a test set 1 (8 subjects) and a test set 2 (8 subjects). Here
we built the breast DCE-MRI images deduction model using the Pix2Pix algorithm based on the T1-weighted imaging (T1WI) and the first post-contrast phase of DCE sequence images in the training set. Furthermore
the model performance for synthesizing images and sequences was evaluated in the test set using several metrics such as peak signal to noise ratio (PSNR)
structural similarity index measure (SSIM)
mean squared error (MSE)
and mean absolute error (MAE). In addition
the correlation between the synthesized DCE sequences and the original DCE sequences was evaluated.
Results:
In total
760 images of the first post-contrast phase of DCE were synthesized using the model. The synthesized images had good structural similarity and low information loss compared with the original images
where the mean SSIM was 0.710.01 and PSNR was 23.701.41. In addition
we found that the synthesized DCE sequences had small reconstruction errors
MAE was 0.0320.004
MSE was 0.0060.002
and the synthesized first post-contrast phase of DCE sequences had a significantly positive correlation with the original sequences
(
r
=0.8720.038
95% CI: 0.870-0.874
P
=0.000).
Conclusion:
The model which we built can automatically synthesize the first post-contrast phase of DCE sequence images
which provides a new idea for supplementing the missing information in non-enhanced sequences. At the same time
it avoids the application of contrast agents
shortens the scanning time
and lays a solid foundation for the popularization and application of breast MRI screening.
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Related Author
MA Mingming
ZHANG Yaofeng
WANG Xiangpeng
ZHANG Xiaodong
QIN Naishan
WANG Xiaoying
HUANG Xing
LIANG Yan
Related Institution
Department of Radiology, Peking University First Hospital
Beijing Smart-Imaging Technology Co. Ltd.
Department of Radiology, Jilin Provincial People's Hospital
Department of Medical Imaging, North China University of Science and Technology Affiliated Hospital
Department of Cardiothoracic Surgery, KaiLuan General Hospital