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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleArtificial Intelligence

Synthesizing Contrast-Enhanced MR Images from Noncontrast MR Images Using Deep Learning

Gowtham Murugesan, Fang F. Yu, Michael Achilleos, John DeBevits, Sahil Nalawade, Chandan Ganesh, Ben Wagner, Ananth J Madhuranthakam and Joseph A. Maldjian
American Journal of Neuroradiology March 2024, 45 (3) 312-319; DOI: https://doi.org/10.3174/ajnr.A8107
Gowtham Murugesan
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Fang F. Yu
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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  • ORCID record for Fang F. Yu
Michael Achilleos
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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John DeBevits
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Sahil Nalawade
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Chandan Ganesh
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Ben Wagner
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Ananth J Madhuranthakam
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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  • ORCID record for Ananth J Madhuranthakam
Joseph A. Maldjian
aDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Article Figures & Data

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  • FIG 1.
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    FIG 1.

    Residual inception DenseNet (RID). A, RID model for virtual contrast enhancement (vT1c prediction) and enhancing tumor (ET) segmentation. B, RID model for whole tumor (WT) segmentation.

  • FIG 2.
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    FIG 2.

    Residual inception DenseNet (RID). A, RID model for whole tumor segmentation. B, RID model for virtual contrast enhancement and enhancing tumor segmentation.

  • FIG 3.
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    FIG 3.

    Building blocks of residual inception network. From left to right, dense block, convolution block, transition block, and projection block.

  • FIG 4.
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    FIG 4.

    Synthesized virtual contrast enhanced T1w (vT1c) images in 3 different subjects. Ground truth (left column) and synthesized vT1c (right column) image pairs for 9 subjects.

  • FIG 5.
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    FIG 5.

    Mosaic plot illustrating the distribution of 3 expert radiologists and their consensus along a 3-point Likert scale.

  • FIG 6.
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    FIG 6.

    Importance of input sequences example. Top row, input images: T1w, FLAIR, T2, and the ground truth T1c. Bottom row, output images with (A) all inputs (T1w, FLAIR, and T2w) given to the model, (B) T1w replaced with zeros in the input, (C) FLAIR replaced with zeros in the input, and (D) T2 replaced with zeros in the input. The T2 and FLAIR inputs together provide contrast enhancement prediction, whereas T1w input provides primarily anatomic detail.

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    Table 1:

    Quantitative evaluation. Analysis of virtual enhancement prediction by using various masks generated by an external model

    MaskSSIMNMSEDicePSNR
    Whole brain0.910.030.3264.35
    Whole tumor0.900.010.3548.99
    Enhancing tumor0.900.010.6249.93
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    Table 2:

    Quantitative presence and location of the under/overestimation of synthetic contrast enhancement, the introduction of artifacts, and the image quality improvement on vT1c

     Reviewer 1 (FY)Reviewer 2 (MA)Reviewer 3 (JD)
    Overestimate (O)262720
    Underestimate (U)716958
    Both (O and U)11834
    Central543564
    Peripheral947197
    False distant enhancement10915
    Missed distant enhancement542
    Artifact172225
    Image quality improved10NA3
    • Note:—NA indicates not applicable.

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American Journal of Neuroradiology: 45 (3)
American Journal of Neuroradiology
Vol. 45, Issue 3
1 Mar 2024
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Cite this article
Gowtham Murugesan, Fang F. Yu, Michael Achilleos, John DeBevits, Sahil Nalawade, Chandan Ganesh, Ben Wagner, Ananth J Madhuranthakam, Joseph A. Maldjian
Synthesizing Contrast-Enhanced MR Images from Noncontrast MR Images Using Deep Learning
American Journal of Neuroradiology Mar 2024, 45 (3) 312-319; DOI: 10.3174/ajnr.A8107

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Synthesizing Contrast-Enhanced MR Images via DL
Gowtham Murugesan, Fang F. Yu, Michael Achilleos, John DeBevits, Sahil Nalawade, Chandan Ganesh, Ben Wagner, Ananth J Madhuranthakam, Joseph A. Maldjian
American Journal of Neuroradiology Mar 2024, 45 (3) 312-319; DOI: 10.3174/ajnr.A8107
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