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Quasi-supervised MR-CT image conversion based on unpaired data
Ruiming Zhu1, Yuhui Ruan1, Mingrui Li1
1College of Medicine and Biomedical Information Engineering, Northeastern University, 110169 Shenyang, People's Republic of China.
Physics in Medicine and Biology
|June 6, 2025
Summary
This study introduces a quasi-supervised learning framework to generate CT images from MRI scans, reducing radiation exposure and costs in radiotherapy planning. The novel method improves image quality and anatomical accuracy for better patient treatment.
Area of Science:
- Medical Imaging
- Artificial Intelligence in Healthcare
- Radiotherapy Planning
Background:
- Simultaneous acquisition of MRI and CT images is vital for radiotherapy planning but is costly, time-consuming, and involves ionizing radiation.
- Generating CT images from MRI can mitigate these issues, but requires accurate cross-modality image synthesis.
Purpose of the Study:
- To develop a novel quasi-supervised learning framework for generating CT images from radiation-free MR images.
- To improve the accuracy and fidelity of MR-to-CT image translation for radiotherapy applications.
Main Methods:
- A quasi-supervised framework was developed to analyze unpaired MR and CT images.
- Normalized Mutual Information (NMI) and the Hungarian algorithm were used to establish optimal MR-CT pairings.
- These pairs and NMI scores served as priors to guide the MR-to-CT image translation model.
Main Results:
- The proposed method significantly outperformed existing unsupervised methods in image quality and feature consistency.
- Generated CT images demonstrated higher accuracy and fidelity, preserving anatomical details and structural integrity.
- The framework successfully converted unpaired MR and CT images into structurally consistent pseudo-pairs.
Conclusions:
- The quasi-supervised framework enhances MR-to-CT conversion accuracy and reliability.
- This approach reduces dependence on expensive and scarce paired medical imaging datasets.
- It offers a practical and scalable solution for medical imaging applications lacking paired annotations.

