Screening is an effective way to detect lung cancer early and can improve the survival rate significantly. The low-dose computed tomography (LdCT) is demanding for lung screening to ensure the exam radiation as low as reasonably possible. The statistical image reconstruction has shown great advantages in LdCT imaging, where many types of priors can be used as constrain for optimal images. The tissue-specific Markov random field (MRF) type texture prior (MRFt) was proposed in our previous work to address the clinical related texture information. For the chest scans, four tissue texture were extracted from regions of lung, bone, fat and muscle respectively. In this work, we focus on the region of interest, i.e. lung for the lung cancer screening. The quantitative texture analysis of normal and abnormal lung tissue was performed to address the following issues of the proposed MRFt model: (1) a more comprehensive understanding of the lung tissue texture (2) what MRF prior we should use for the abnormal lung tissue. Experiments results showed that normal lung tissue has texture similarity among different subjects. The robust similarity among humans laid the feasibility of building the lung tissue database for the LdCT imaging which has no previous FdCT scans. Different abnormal lung tissue varies significantly. There is no way to get the prior knowledge of lung nodules until the CT exam was performed.
Purpose: Bayesian theory provides a sound framework for ultralow-dose computed tomography (ULdCT) image reconstruction with two terms for modeling the data statistical property and incorporating a priori knowledge for the image that is to be reconstructed. We investigate the feasibility of using a machine learning (ML) strategy, particularly the convolutional neural network (CNN), to construct a tissue-specific texture prior from previous full-dose computed tomography.
Approach: Our study constructs four tissue-specific texture priors, corresponding with lung, bone, fat, and muscle, and integrates the prior with the prelog shift Poisson (SP) data property for Bayesian reconstruction of ULdCT images. The Bayesian reconstruction was implemented by an algorithm called SP-CNN-T and compared with our previous Markov random field (MRF)-based tissue-specific texture prior algorithm called SP-MRF-T.
Results: In addition to conventional quantitative measures, mean squared error and peak signal-to-noise ratio, structure similarity index, feature similarity, and texture Haralick features were used to measure the performance difference between SP-CNN-T and SP-MRF-T algorithms in terms of the structure and tissue texture preservation, demonstrating the feasibility and the potential of the investigated ML approach.
Conclusions: Both training performance and image reconstruction results showed the feasibility of constructing CNN texture prior model and the potential of improving the structure preservation of the nodule comparing to our previous regional tissue-specific MRF texture prior model.
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