MR to CT synthesis using GANs : a practical guide applied to thoracic imaging
Résumé
In medical imaging, MR-to-CT synthesis has been extensively studied. The primary motivation is to benefit from the quality of the CT signal, i.e. excellent spatial resolution, high contrast, and sharpness, while avoiding patient exposure to CT ionizing radiation, by relying on the safe and non-invasive nature of MRI. Recent studies have successfully used deep learning methods for cross-modality synthesis, notably with the use of conditional Generative Adversarial Networks (cGAN), due to their ability to create realistic images in a target domain from an input in a source domain. In this study, we examine in detail the different steps required for cross-modality translation using GANs applied to MR-to-CT lung synthesis, from data representation and pre-processing to the type of method and loss function selection. The different alternatives for each step were evaluated using a quantitative comparison of intensities inside the lungs, as well as bronchial segmentations between synthetic and ground truth CTs. Finally, a general guideline for crossmodality medical synthesis is proposed, bringing together best practices from generation to evaluation.
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