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    This study introduces an anatomical prior-guided diffusion model for Positron Emission Tomography (PET) image reconstruction. The method efficiently generates high-quality PET images across different tracers, even with low-dose data.

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    Area of Science:

    • Medical Imaging
    • Computational Imaging
    • Artificial Intelligence in Medicine

    Background:

    • Diffusion models show potential in medical image denoising and reconstruction.
    • Positron Emission Tomography (PET) imaging faces challenges like tracer-specific contrast variability and high computational costs.
    • Existing methods struggle with tracer variability and computational demands in PET reconstruction.

    Purpose of the Study:

    • To develop an anatomical prior-guided PET image reconstruction method using diffusion models.
    • To address tracer-specific contrast variability and computational demands in PET imaging.
    • To enable high-quality PET image reconstruction from low-dose data across various tracers.

    Main Methods:

    • Proposed an anatomical prior-guided PET image reconstruction method based on the deep diffusion image prior (DDIP) framework.
    • Alternated diffusion sampling and model fine-tuning guided by PET sinogram data.
    • Employed the half-quadratic splitting (HQS) algorithm for computational efficiency, decoupling network optimization from iterative PET reconstruction.
    • Utilized a score function pretrained on one tracer for reconstruction with other tracers, demonstrating out-of-distribution performance.

    Main Results:

    • The proposed method successfully reconstructed high-quality PET images from various tracers using a pretrained score function.
    • Evaluated using simulation and clinical datasets (low-dose [18F]FDG, [18F]Florbetapir), demonstrating robust generalization across tracer distributions and scanner types.
    • Showcased effective out-of-distribution performance when a model pretrained on [18F]FDG data was tested on amyloid-negative PET data.

    Conclusions:

    • The developed anatomical prior-guided diffusion model offers an efficient and versatile framework for low-dose PET image reconstruction.
    • The method demonstrates robust generalization capabilities, overcoming limitations of tracer-specific contrast variability.
    • This approach holds significant promise for improving the quality and efficiency of PET imaging.