A generative whole-brain segmentation model for positron emission tomography images

Abstract Purpose Whole-brain segmentation via positron emission tomography (PET) imaging is crucial for advancing neuroscience research and clinical medicine, providing essential insights into biological metabolism and activity within different brain regions. However, the low resolution of PET image...

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Main Authors: Wenbo Li, Zhenxing Huang, Hongyan Tang, Yaping Wu, Yunlong Gao, Jing Qin, Jianmin Yuan, Yang Yang, Yan Zhang, Na Zhang, Hairong Zheng, Dong Liang, Meiyun Wang, Zhanli Hu
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:EJNMMI Physics
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Online Access:https://doi.org/10.1186/s40658-025-00716-9
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author Wenbo Li
Zhenxing Huang
Hongyan Tang
Yaping Wu
Yunlong Gao
Jing Qin
Jianmin Yuan
Yang Yang
Yan Zhang
Na Zhang
Hairong Zheng
Dong Liang
Meiyun Wang
Zhanli Hu
author_facet Wenbo Li
Zhenxing Huang
Hongyan Tang
Yaping Wu
Yunlong Gao
Jing Qin
Jianmin Yuan
Yang Yang
Yan Zhang
Na Zhang
Hairong Zheng
Dong Liang
Meiyun Wang
Zhanli Hu
author_sort Wenbo Li
collection DOAJ
description Abstract Purpose Whole-brain segmentation via positron emission tomography (PET) imaging is crucial for advancing neuroscience research and clinical medicine, providing essential insights into biological metabolism and activity within different brain regions. However, the low resolution of PET images may have limited the segmentation accuracy of multiple brain structures. Therefore, we propose a generative multi-object segmentation model for brain PET images to achieve automatic and accurate segmentation. Methods In this study, we propose a generative multi-object segmentation model for brain PET images with two learning protocols. First, we pretrained a latent mapping model to learn the mapping relationship between PET and MR images so that we could extract anatomical information of the brain. A 3D multi-object segmentation model was subsequently proposed to apply whole-brain segmentation to MR images generated from integrated latent mapping models. Moreover, a custom cross-attention module based on a cross-attention mechanism was constructed to effectively fuse the functional information and structural information. The proposed method was compared with various deep learning-based approaches in terms of the Dice similarity coefficient, Jaccard index, precision, and recall serving as evaluation metrics. Results Experiments were conducted on real brain PET/MR images from 120 patients. Both visual and quantitative results indicate that our method outperforms the other comparison approaches, achieving 75.53% ± 4.26% Dice, 66.02% ± 4.55% Jaccard, 74.64% ± 4.15% recall and 81.40% ± 2.30% precision. Furthermore, the evaluation of the SUV distribution and correlation assessment in the regions of interest demonstrated consistency with the ground truth. Additionally, clinical tolerance rates, which are determined by the tumor background ratio, have confirmed the ability of the method to distinguish highly metabolic regions accurately from normal regions, reinforcing its clinical applicability. Conclusion For automatic and accurate whole-brain segmentation, we propose a novel 3D generative multi-object segmentation model for brain PET images, which achieves superior model performance compared with other deep learning methods. In the future, we will apply our whole-brain segmentation method to clinical practice and extend it to other multimodal tasks.
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spelling doaj-art-9dd74093ffd24aa4ae26d01a4c12b2682025-02-09T12:54:48ZengSpringerOpenEJNMMI Physics2197-73642025-02-0112111610.1186/s40658-025-00716-9A generative whole-brain segmentation model for positron emission tomography imagesWenbo Li0Zhenxing Huang1Hongyan Tang2Yaping Wu3Yunlong Gao4Jing Qin5Jianmin Yuan6Yang Yang7Yan Zhang8Na Zhang9Hairong Zheng10Dong Liang11Meiyun Wang12Zhanli Hu13Research Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesDepartment of Medical Imaging, Henan Provincial People’s Hospital & People’s Hospital of Zhengzhou UniversityResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesCentre for Smart Health, School of Nursing, The Hong Kong Polytechnic UniversityCentral Research Institute, United Imaging Healthcare GroupBeijing United Imaging Research Institute of Intelligent ImagingBeijing United Imaging Research Institute of Intelligent ImagingResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesDepartment of Medical Imaging, Henan Provincial People’s Hospital & People’s Hospital of Zhengzhou UniversityResearch Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of SciencesAbstract Purpose Whole-brain segmentation via positron emission tomography (PET) imaging is crucial for advancing neuroscience research and clinical medicine, providing essential insights into biological metabolism and activity within different brain regions. However, the low resolution of PET images may have limited the segmentation accuracy of multiple brain structures. Therefore, we propose a generative multi-object segmentation model for brain PET images to achieve automatic and accurate segmentation. Methods In this study, we propose a generative multi-object segmentation model for brain PET images with two learning protocols. First, we pretrained a latent mapping model to learn the mapping relationship between PET and MR images so that we could extract anatomical information of the brain. A 3D multi-object segmentation model was subsequently proposed to apply whole-brain segmentation to MR images generated from integrated latent mapping models. Moreover, a custom cross-attention module based on a cross-attention mechanism was constructed to effectively fuse the functional information and structural information. The proposed method was compared with various deep learning-based approaches in terms of the Dice similarity coefficient, Jaccard index, precision, and recall serving as evaluation metrics. Results Experiments were conducted on real brain PET/MR images from 120 patients. Both visual and quantitative results indicate that our method outperforms the other comparison approaches, achieving 75.53% ± 4.26% Dice, 66.02% ± 4.55% Jaccard, 74.64% ± 4.15% recall and 81.40% ± 2.30% precision. Furthermore, the evaluation of the SUV distribution and correlation assessment in the regions of interest demonstrated consistency with the ground truth. Additionally, clinical tolerance rates, which are determined by the tumor background ratio, have confirmed the ability of the method to distinguish highly metabolic regions accurately from normal regions, reinforcing its clinical applicability. Conclusion For automatic and accurate whole-brain segmentation, we propose a novel 3D generative multi-object segmentation model for brain PET images, which achieves superior model performance compared with other deep learning methods. In the future, we will apply our whole-brain segmentation method to clinical practice and extend it to other multimodal tasks.https://doi.org/10.1186/s40658-025-00716-9Positron emission tomographyBrainGenerative medical segmentationCross-attention
spellingShingle Wenbo Li
Zhenxing Huang
Hongyan Tang
Yaping Wu
Yunlong Gao
Jing Qin
Jianmin Yuan
Yang Yang
Yan Zhang
Na Zhang
Hairong Zheng
Dong Liang
Meiyun Wang
Zhanli Hu
A generative whole-brain segmentation model for positron emission tomography images
EJNMMI Physics
Positron emission tomography
Brain
Generative medical segmentation
Cross-attention
title A generative whole-brain segmentation model for positron emission tomography images
title_full A generative whole-brain segmentation model for positron emission tomography images
title_fullStr A generative whole-brain segmentation model for positron emission tomography images
title_full_unstemmed A generative whole-brain segmentation model for positron emission tomography images
title_short A generative whole-brain segmentation model for positron emission tomography images
title_sort generative whole brain segmentation model for positron emission tomography images
topic Positron emission tomography
Brain
Generative medical segmentation
Cross-attention
url https://doi.org/10.1186/s40658-025-00716-9
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