High-quality 3D fetal brain MRI reconstruction from motion-corrupted 2D slices is crucial for precise clinical diagnosis and advancing our understanding of fetal brain development. This necessitates reliable slice-to-volume registration (SVR) for motion correction and super-resolution reconstruction (SRR) techniques. Traditional approaches have their limitations, but deep learning (DL) offers the potential in enhancing SVR and SRR. However, most of DL methods require large-scale external 3D high-resolution (HR) training datasets, which is challenging in clinical fetal MRI. To address this issue, we propose an unsupervised iterative joint SVR and SRR DL framework for 3D isotropic HR volume reconstruction. Specifically, our method conceptualizes SVR as a function that maps a 2D slice and a 3D target volume to a rigid transformation matrix, aligning the slice to the underlying location within the target volume. This function is parameterized by a convolutional neural network, which is trained by minimizing the difference between the volume slicing at the predicted position and the actual input slice. For SRR, a decoding network embedded within a deep image prior framework, coupled with a comprehensive image degradation model, is used to produce the HR volume. The deep image prior framework offers a local consistency prior to guide the reconstruction of HR volumes. By performing a forward degradation model, the HR volume is optimized by minimizing the loss between the predicted slices and the acquired slices. Experiments on both large-magnitude motion-corrupted simulation data and clinical data have shown that our proposed method outperforms current state-of-the-art fetal brain reconstruction methods.

Dose reduction in computed tomography (CT) has gained considerable attention in clinical applications because it decreases radiation risks. However, a lower dose generates noise in low-dose computed tomography (LDCT) images. Previous deep learning (DL)-based works have investigated ways to improve diagnostic performance to address this ill-posed problem. However, most of them disregard the anatomical differences among different human body sites in constructing the mapping function between LDCT images and their high-resolution normal-dose CT (NDCT) counterparts. In this article, we propose a novel deep convolutional neural network (CNN) denoising approach by introducing information of the anatomical prior. Instead of designing multiple networks for each independent human body anatomical site, a unified network framework is employed to process anatomical information. The anatomical prior is represented as a pattern of weights of the features extracted from the corresponding LDCT image in an anatomical prior fusion module. To promote diversity in the contextual information, a spatial attention fusion mechanism is introduced to capture many local regions of interest in the attention fusion module. Although many network parameters are saved, the experimental results demonstrate that our method, which incorporates anatomical prior information, is effective in denoising LDCT images. Furthermore, the anatomical prior fusion module could be conveniently integrated into other DL-based methods and avails the performance improvement on multiple anatomical data.

Objective: Radiomics, an emerging tool for medical image analysis, is potential towards precisely characterizing gastric cancer (GC). Whether using one-slice 2D annotation or whole-volume 3D annotation remains a long-time debate, especially for heterogeneous GC. We comprehensively compared 2D and 3D radiomic features' representation and discrimination capacity regarding GC, via three tasks (TLNM, lymph node metastasis' prediction; TLVI, lymphovascular invasion's prediction; TpT, pT4 or other pT stages' classification). Methods: Four-center 539 GC patients were retrospectively enrolled and divided into the training and validation cohorts. From 2D or 3D regions of interest (ROIs) annotated by radiologists, radiomic features were extracted respectively. Feature selection and model construction procedures were customed for each combination of two modalities (2D or 3D) and three tasks. Subsequently, six machine learning models (ModelLNM2D, ModelLNM3D; ModelLVI2D, ModelLVI3Ds ModelpT2D,s ModelpT3D) were derived and evaluated to reflect modalities' performances in characterizing GC. Furthermore, we performed an auxiliary experiment to assess modalities' performances when resampling spacing different. Results: Regarding three tasks, the yielded areas under the curve (AUCs) were: ModelLNM2D's 0.712 (95% confidence interval, 0.613-0.811), ModelLNM3D's 0.680 (0.584-0.775); ModelLVI2D's 0.677 (0.595-0.761), ModelLVI3D's 0.615 (0.528-0.703); ModelpT2D's 0.840 (0.779-0.901), ModelpT3D's 0.813 (0.747-0.879). Moreover, the auxiliary experiment indicated that Models2Dare statistically advantageous than Models3Dwith different resampling spacings. Conclusion: Models constructed with 2D radiomic features revealed comparable performances with those constructed with 3D features in characterizing GC. Significance: Our work indicated that time-saving 2D annotation would be the better choice in GC, and provided a related reference to further radiomics-based researches.

Gastric cancer (GC) is the third leading cause of cancer-associated deaths globally. Accurate risk prediction of the overall survival (OS) for GC patients shows significant prognostic value, which helps identify and classify patients into different risk groups to benefit from personalized treatment. Many methods based on machine learning algorithms have been widely explored to predict the risk of OS. However, the accuracy of risk prediction has been limited and remains a challenge with existing methods. Few studies have proposed a framework and pay attention to the low-level and high-level features separately for the risk prediction of OS based on computed tomography images of GC patients. To achieve high accuracy, we propose a multi-focus fusion convolutional neural network. The network focuses on low-level and high-level features, where a subnet to focus on lower-level features and the other enhanced subnet with lateral connection to focus on higher-level semantic features. Three independent datasets of 640 GC patients are used to assess our method. Our proposed network is evaluated by metrics of the concordance index and hazard ratio. Our network outperforms state-of-the-art methods with the highest concordance index and hazard ratio in independent validation and test sets. Our results prove that our architecture can unify the separate low-level and high-level features into a single framework, and can be a powerful method for accurate risk prediction of OS.

Multi-contrast magnetic resonance (MR) image registration is useful in the clinic to achieve fast and accurate imaging-based disease diagnosis and treatment planning. Nevertheless, the efficiency and performance of the existing registration algorithms can still be improved. In this paper, we propose a novel unsupervised learning-based framework to achieve accurate and efficient multi-contrast MR image registration. Specifically, an end-to-end coarse-to-fine network architecture consisting of affine and deformable transformations is designed to improve the robustness and achieve end-to-end registration. Furthermore, a dual consistency constraint and a new prior knowledge-based loss function are developed to enhance the registration performances. The proposed method has been evaluated on a clinical dataset containing 555 cases, and encouraging performances have been achieved. Compared to the commonly utilized registration methods, including VoxelMorph, SyN, and LT-Net, the proposed method achieves better registration performance with a Dice score of 0.8397± 0.0756 in identifying stroke lesions. With regards to the registration speed, our method is about 10 times faster than the most competitive method of SyN (Affine) when testing on a CPU. Moreover, we prove that our method can still perform well on more challenging tasks with lacking scanning information data, showing the high robustness for the clinical application.