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Abstract #5090

Virtual gadolinium contrast enhancement MRI using deep learning GAN in rectal cancer: a proof-of-concept two-center study

Xinyi Gao1 and Dening Ma2
1Department of Radiology, Zhejiang Cancer Hospital, Hangzhou, China, 2Department of Colorectal Surgery, Zhejiang Cancer Hospital, Hangzhou, China

Synopsis

Keywords: Pelvis, Safety, rectal cancer, GBCAs, deep learning

Motivation: It would be clinically beneficial if GBCAs enhancement could be accurately synthesized without any GBCAs administration though AI.

Goal(s): To evaluate the feasibility of deep learning in synthesizing VTE based on noncontrast rectal cancer MRIs obtained without the use of gadolinium.

Approach: Deep learning networks were trained and validated on nonenhanced conventional pelvic MRI (T1WI, T2WI, DWI-ADC) using GAN. MRI scans included 697 rectal cancer patients from two hospitals.

Results: Quantitative and qualitative evaluation of three-channel VTE was significantly better than that of two-channel and one-channel (P<0.001). The T staging accuracy of VTE was comparable with that of RTE.

Impact: VTE synthesized by deep learning based on noncontrast MRI can overcome the limitations of RTE and aid in the clinical diagnosis and management of rectal cancer as a noninvasive, save, affordable and time-saving method that does not require GBCAs.

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