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A convolutional neural network-based method for the generation of super-resolution 3D models from clinical CT images
Division of Biomedical Engineering, Department of Materials Science and Engineering, Ångströmlaboratoriet, Uppsala University, Lägerhyddsvägen 1, Uppsala 75237, Sweden.
Center for Medical Image Science and Visualization (CMIV), Linköping University, Sweden; cDepartment of Radiology and Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Medical Imaging.ORCID iD: 0000-0002-6948-1784
Institute for Biomechanics, ETH Zürich, Zürich, Switzerland.
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2024 (English)In: Computer Methods and Programs in Biomedicine, ISSN 0169-2607, E-ISSN 1872-7565, Vol. 245, article id 108009Article in journal (Refereed) Published
Abstract [en]

Background and objective: The accurate evaluation of bone mechanical properties is essential for predicting fracture risk based on clinical computed tomography (CT) images. However, blurring and noise in clinical CT images can compromise the accuracy of these predictions, leading to incorrect diagnoses. Although previous studies have explored enhancing trabecular bone CT images to super-resolution (SR), none of these studies have examined the possibility of using clinical CT images from different instruments, typically of lower resolution, as a basis for analysis. Additionally, previous studies rely on 2D SR images, which may not be sufficient for accurate mechanical property evaluation, due to the complex nature of the 3D trabecular bone structures. The objective of this study was to address these limitations. Methods: A workflow was developed that utilizes convolutional neural networks to generate SR 3D models across different clinical CT instruments. The morphological and finite-element-derived mechanical properties of these SR models were compared with ground truth models obtained from micro-CT scans. Results: A significant improvement in analysis accuracy was demonstrated, where the new SR models increased the accuracy by up to 700 % compared with the low-resolution data, i.e. clinical CT images. Additionally, we found that the mixture of different CT image datasets may improve the SR model performance. Conclusions: SR images, generated by convolutional neural networks, outperformed clinical CT images in the determination of morphological and mechanical properties. The developed workflow could be implemented for fracture risk prediction, potentially leading to improved diagnoses and subsequent clinical decision making.

Place, publisher, year, edition, pages
Elsevier BV , 2024. Vol. 245, article id 108009
Keywords [en]
Clinical CT datasets, Morphological and mechanical validation, Neural network based super-resolution
National Category
Medical Imaging Radiology and Medical Imaging
Identifiers
URN: urn:nbn:se:kth:diva-367070DOI: 10.1016/j.cmpb.2024.108009ISI: 001156807200001PubMedID: 38219339Scopus ID: 2-s2.0-85182591284OAI: oai:DiVA.org:kth-367070DiVA, id: diva2:1983945
Note

QC 20250714

Available from: 2025-07-14 Created: 2025-07-14 Last updated: 2025-07-14Bibliographically approved

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Klintström, Benjamin

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