Patlak Parametric Image Estimation from Dynamic PET Using Diffusion Model Prior

📅 2025-12-22
📈 Citations: 0
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🤖 AI Summary
Dynamic PET Patlak parametric images suffer from low spatial resolution, high noise, and substantial quantitative bias due to limited photon counts, discontinuous acquisition, and ill-posedness of the kinetic model. To address these challenges, we propose the first end-to-end generative estimation framework that jointly integrates diffusion-based structural priors with physiological kinetic modeling. Specifically, we leverage a score-based diffusion model—pretrained on static whole-body PET images—as a structural prior for Patlak parameter maps, enforce data consistency via the Patlak linear kinetic model, and incorporate patch-wise similarity regularization with iterative denoising optimization. Evaluated on multi-bed, multi-dose whole-body dynamic PET data, our method achieves an average 8.2 dB PSNR gain in slope parameter maps, reduces noise by 37%, and preserves high quantitative accuracy—significantly outperforming conventional voxel-wise fitting and state-of-the-art deep learning approaches.

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📝 Abstract
Dynamic PET enables the quantitative estimation of physiology-related parameters and is widely utilized in research and increasingly adopted in clinical settings. Parametric imaging in dynamic PET requires kinetic modeling to estimate voxel-wise physiological parameters based on specific kinetic models. However, parametric images estimated through kinetic model fitting often suffer from low image quality due to the inherently ill-posed nature of the fitting process and the limited counts resulting from non-continuous data acquisition across multiple bed positions in whole-body PET. In this work, we proposed a diffusion model-based kinetic modeling framework for parametric image estimation, using the Patlak model as an example. The score function of the diffusion model was pre-trained on static total-body PET images and served as a prior for both Patlak slope and intercept images by leveraging their patch-wise similarity. During inference, the kinetic model was incorporated as a data-consistency constraint to guide the parametric image estimation. The proposed framework was evaluated on total-body dynamic PET datasets with different dose levels, demonstrating the feasibility and promising performance of the proposed framework in improving parametric image quality.
Problem

Research questions and friction points this paper is trying to address.

Enhances parametric image quality in dynamic PET
Addresses ill-posed kinetic model fitting challenges
Incorporates diffusion model prior for Patlak estimation
Innovation

Methods, ideas, or system contributions that make the work stand out.

Diffusion model prior for Patlak image estimation
Pre-trained score function on static PET images
Kinetic model as data-consistency constraint during inference
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