HepatoGEN: Generating Hepatobiliary Phase MRI with Perceptual and Adversarial Models
- URL: http://arxiv.org/abs/2504.18405v1
- Date: Fri, 25 Apr 2025 15:01:09 GMT
- Title: HepatoGEN: Generating Hepatobiliary Phase MRI with Perceptual and Adversarial Models
- Authors: Jens Hooge, Gerard Sanroma-Guell, Faidra Stavropoulou, Alexander Ullmann, Gesine Knobloch, Mark Klemens, Carola Schmidt, Sabine Weckbach, Andreas Bolz,
- Abstract summary: We propose a deep learning based approach for synthesizing hepatobiliary phase (HBP) images from earlier contrast phases.<n> Quantitative evaluation using pixel-wise and perceptual metrics, combined with blinded radiologist reviews, showed that pGAN achieved the best quantitative performance.<n>In contrast, the U-Net produced consistent liver enhancement with fewer artifacts, while DDPM underperformed due to limited preservation of fine structural details.
- Score: 33.7054351451505
- License: http://creativecommons.org/licenses/by-nc-sa/4.0/
- Abstract: Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) plays a crucial role in the detection and characterization of focal liver lesions, with the hepatobiliary phase (HBP) providing essential diagnostic information. However, acquiring HBP images requires prolonged scan times, which may compromise patient comfort and scanner throughput. In this study, we propose a deep learning based approach for synthesizing HBP images from earlier contrast phases (precontrast and transitional) and compare three generative models: a perceptual U-Net, a perceptual GAN (pGAN), and a denoising diffusion probabilistic model (DDPM). We curated a multi-site DCE-MRI dataset from diverse clinical settings and introduced a contrast evolution score (CES) to assess training data quality, enhancing model performance. Quantitative evaluation using pixel-wise and perceptual metrics, combined with qualitative assessment through blinded radiologist reviews, showed that pGAN achieved the best quantitative performance but introduced heterogeneous contrast in out-of-distribution cases. In contrast, the U-Net produced consistent liver enhancement with fewer artifacts, while DDPM underperformed due to limited preservation of fine structural details. These findings demonstrate the feasibility of synthetic HBP image generation as a means to reduce scan time without compromising diagnostic utility, highlighting the clinical potential of deep learning for dynamic contrast enhancement in liver MRI. A project demo is available at: https://jhooge.github.io/hepatogen
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