Image credit: UnsplashIn this multicenter study, five AI models were investigated for restoring low-count whole-body PET/MRI, covering convolutional benchmarks — U-Net, enhanced deep super-resolution network (EDSR), generative adversarial network (GAN) — and the most cutting-edge image reconstruction transformer models in computer vision to date — Swin transformer image restoration network (SwinIR) and EDSR-ViT (vision transformer). The models were evaluated against six groups of count levels representing the simulated 75%, 50%, 25%, 12.5%, 6.25%, and 1% (extremely ultra-low-count) of the clinical standard 3 MBq/kg 18F-FDG dose. The comparisons were performed upon two independent cohorts — (1) a primary cohort from Stanford University and (2) a cross-continental external validation cohort from Tübingen University — in order to ensure the findings are generalizable. A total of 476 original count and simulated low-count whole-body PET/MRI scans were incorporated into this analysis.
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