Max Celio Nzatsi , Nicolas Varmenot , David Sarrut , Grégory Delpon , Michel Cherel , Caroline Rousseau , Ludovic Ferrer
{"title":"基于神经网络去噪的177Lu放射治疗中时间足迹的减少","authors":"Max Celio Nzatsi , Nicolas Varmenot , David Sarrut , Grégory Delpon , Michel Cherel , Caroline Rousseau , Ludovic Ferrer","doi":"10.1016/j.ejmp.2025.105071","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Internal vectorised therapies, particularly with [177Lu]-labelled agents, are increasingly used for metastatic prostate cancer and neuroendocrine tumours. However, routine dosimetry for organs-at-risk and tumours remains limited due to the complexity and time requirements of current protocols.</div></div><div><h3>Method</h3><div>We developed a Generative Adversarial Network (GAN) to transform rapid 6 s SPECT projections into synthetic 30 s-equivalent projections. SPECT data from twenty patients and phantom acquisitions were collected at multiple time-points.</div></div><div><h3>Results</h3><div>The GAN accurately predicted 30 s projections, enabling estimation of time-integrated activities in kidneys and liver with maximum errors below 6 % and 1 %, respectively, compared to standard acquisitions. For tumours and phantom spheres, results were more variable. On phantom data, GAN-inferred reconstructions showed lower biases for spheres of 20, 8, and 1 mL (8.2 %, 6.9 %, and 21.7 %) compared to direct 6 s acquisitions (12.4 %, 20.4 %, and 24.0 %). However, in patient lesions, 37 segmented tumours showed higher median discrepancies in cumulated activity for the GAN (15.4 %) than for the 6 s approach (4.1 %).</div></div><div><h3>Conclusion</h3><div>Our preliminary results indicate that the GAN can provide reliable dosimetry for organs-at-risk, but further optimisation is needed for small lesion quantification. This approach could reduce SPECT acquisition time from 45 to 9 min for standard three-bed studies, potentially facilitating wider adoption of dosimetry in nuclear medicine and addressing challenges related to toxicity and cumulative absorbed doses in personalised radiopharmaceutical therapy.</div></div>","PeriodicalId":56092,"journal":{"name":"Physica Medica-European Journal of Medical Physics","volume":"137 ","pages":"Article 105071"},"PeriodicalIF":2.7000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Temporal footprint reduction via neural network denoising in 177Lu radioligand therapy\",\"authors\":\"Max Celio Nzatsi , Nicolas Varmenot , David Sarrut , Grégory Delpon , Michel Cherel , Caroline Rousseau , Ludovic Ferrer\",\"doi\":\"10.1016/j.ejmp.2025.105071\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Internal vectorised therapies, particularly with [177Lu]-labelled agents, are increasingly used for metastatic prostate cancer and neuroendocrine tumours. However, routine dosimetry for organs-at-risk and tumours remains limited due to the complexity and time requirements of current protocols.</div></div><div><h3>Method</h3><div>We developed a Generative Adversarial Network (GAN) to transform rapid 6 s SPECT projections into synthetic 30 s-equivalent projections. SPECT data from twenty patients and phantom acquisitions were collected at multiple time-points.</div></div><div><h3>Results</h3><div>The GAN accurately predicted 30 s projections, enabling estimation of time-integrated activities in kidneys and liver with maximum errors below 6 % and 1 %, respectively, compared to standard acquisitions. For tumours and phantom spheres, results were more variable. On phantom data, GAN-inferred reconstructions showed lower biases for spheres of 20, 8, and 1 mL (8.2 %, 6.9 %, and 21.7 %) compared to direct 6 s acquisitions (12.4 %, 20.4 %, and 24.0 %). However, in patient lesions, 37 segmented tumours showed higher median discrepancies in cumulated activity for the GAN (15.4 %) than for the 6 s approach (4.1 %).</div></div><div><h3>Conclusion</h3><div>Our preliminary results indicate that the GAN can provide reliable dosimetry for organs-at-risk, but further optimisation is needed for small lesion quantification. This approach could reduce SPECT acquisition time from 45 to 9 min for standard three-bed studies, potentially facilitating wider adoption of dosimetry in nuclear medicine and addressing challenges related to toxicity and cumulative absorbed doses in personalised radiopharmaceutical therapy.</div></div>\",\"PeriodicalId\":56092,\"journal\":{\"name\":\"Physica Medica-European Journal of Medical Physics\",\"volume\":\"137 \",\"pages\":\"Article 105071\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physica Medica-European Journal of Medical Physics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1120179725001814\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physica Medica-European Journal of Medical Physics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1120179725001814","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
Temporal footprint reduction via neural network denoising in 177Lu radioligand therapy
Background
Internal vectorised therapies, particularly with [177Lu]-labelled agents, are increasingly used for metastatic prostate cancer and neuroendocrine tumours. However, routine dosimetry for organs-at-risk and tumours remains limited due to the complexity and time requirements of current protocols.
Method
We developed a Generative Adversarial Network (GAN) to transform rapid 6 s SPECT projections into synthetic 30 s-equivalent projections. SPECT data from twenty patients and phantom acquisitions were collected at multiple time-points.
Results
The GAN accurately predicted 30 s projections, enabling estimation of time-integrated activities in kidneys and liver with maximum errors below 6 % and 1 %, respectively, compared to standard acquisitions. For tumours and phantom spheres, results were more variable. On phantom data, GAN-inferred reconstructions showed lower biases for spheres of 20, 8, and 1 mL (8.2 %, 6.9 %, and 21.7 %) compared to direct 6 s acquisitions (12.4 %, 20.4 %, and 24.0 %). However, in patient lesions, 37 segmented tumours showed higher median discrepancies in cumulated activity for the GAN (15.4 %) than for the 6 s approach (4.1 %).
Conclusion
Our preliminary results indicate that the GAN can provide reliable dosimetry for organs-at-risk, but further optimisation is needed for small lesion quantification. This approach could reduce SPECT acquisition time from 45 to 9 min for standard three-bed studies, potentially facilitating wider adoption of dosimetry in nuclear medicine and addressing challenges related to toxicity and cumulative absorbed doses in personalised radiopharmaceutical therapy.
期刊介绍:
Physica Medica, European Journal of Medical Physics, publishing with Elsevier from 2007, provides an international forum for research and reviews on the following main topics:
Medical Imaging
Radiation Therapy
Radiation Protection
Measuring Systems and Signal Processing
Education and training in Medical Physics
Professional issues in Medical Physics.