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Abstract
Background: Dual-energy (DE) chest radiography (CXR) enables the selective imaging of two relevant materials, namely, soft tissue and bone structures, to better characterize various chest pathologies (i.e., lung nodule, bony lesions, etc.) and potentially improve CXR-based diagnosis. Recently, deep-learning-based image synthesis techniques have attracted considerable attention as alternatives to existing DE methods (i.e., dual-exposure-based and sandwich-detector-based methods) because software-based bone-only and bone-suppression images in CXR could be useful.

Purpose: The objective of this study was to develop a new framework for DE-like CXR image synthesis from single-energy computed tomography (CT) based on a cycle-consistent generative adversarial network.

Methods: The core techniques of the proposed framework are divided into three categories: (1) data configuration from the generation of pseudo CXR from single energy CT, (2) learning of the developed network architecture using pseudo CXR and pseudo-DE imaging using a single-energy CT, and (3) inference of the trained network on real single-energy CXR. We performed a visual inspection and comparative evaluation using various metrics and introduced a figure of image quality (FIQ) to consider the effects of our framework on the spatial resolution and noise in terms of a single index through various test cases.

Results: Our results indicate that the proposed framework is effective and exhibits potential synthetic imaging ability for two relevant materials: soft tissue and bone structures. Its effectiveness was validated, and its ability to overcome the limitations associated with DE imaging techniques (e.g., increase in exposure dose owing to the requirement of two acquisitions, and emphasis on noise characteristics) via an artificial intelligence technique was presented.

Conclusions: The developed framework addresses X-ray dose issues in the field of radiation imaging and enables pseudo-DE imaging with single exposure.

Affiliations

Minjae Lee 1, Hunwoo Lee 1, Dongyeon Lee 1, Hyosung Cho 1, Jaegu Choi 2, Bo Kyung Cha 2, Kyuseok Kim 3
1Department of Radiation Convergence Engineering, Yonsei University, Wonju, Republic of Korea.
2Electro-Medical Device Research Center, Korea Electrotechnology Research Institute (KERI), Hanggaul-ro, Sangnok-gu, Ansan-si, Gyeonggi-do, Republic of Korea.
3Department of Integrative Medicine, Major in Digital Healthcare, Yonsei University College of Medicine, Gangman-gu, Unju-ro, Republic of Korea.