
Due to major artifacts and uncalibrated Hounsfield units (HU), cone-beam computed tomography (CBCT) cannot be used readily for diagnostics and therapy planning purposes. This study addresses image-to-image translation by convolutional neural networks (CNNs) to convert CBCT to CT-like scans, comparing supervised to unsupervised training techniques, exploiting a pelvic CT/CBCT publicly available dataset. Interestingly, quantitative results were in favor of supervised against unsupervised approach showing improvements in the HU accuracy (62% vs. 50%), structural similarity index (2.5% vs. 1.1%) and peak signal-to-noise ratio (15% vs. 8%). Qualitative results conversely showcased higher anatomical artifacts in the synthetic CBCT generated by the supervised techniques. This was motivated by the higher sensitivity of the supervised training technique to the pixel-wise correspondence contained in the loss function. The unsupervised technique does not require correspondence and mitigates this drawback as it combines adversarial, cycle consistency, and identity loss functions. Overall, two main impacts qualify the paper: (a) the feasibility of CNN to generate accurate synthetic CT from CBCT images, which is fast and easy to use compared to traditional techniques applied in clinics; (b) the proposal of guidelines to drive the selection of the better training technique, which can be shifted to more general image-to-image translation.
Medicine (General), Unsupervised training, Supervised training, image-to-image translation; synthetic images; supervised training; unsupervised training; U-Net; cycleGAN; CBCT; CT, synthetic image, 610, CBCT, Synthetic images, image-to-image translation, U-Net, synthetic images, Article, R5-920, CycleGAN, Image-to-image translation, supervised training, unsupervised training, CT, cycleGAN
Medicine (General), Unsupervised training, Supervised training, image-to-image translation; synthetic images; supervised training; unsupervised training; U-Net; cycleGAN; CBCT; CT, synthetic image, 610, CBCT, Synthetic images, image-to-image translation, U-Net, synthetic images, Article, R5-920, CycleGAN, Image-to-image translation, supervised training, unsupervised training, CT, cycleGAN
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| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
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