Draw Sketch, Draw Flesh: Whole-Body Computed Tomography from Any X-Ray Views

Stereoscopic observation is a common foundation of medical image analysis and is generally achieved by 3D medical imaging based on settled scanners, such as CT and MRI, that are not as convenient as X-ray machines in some flexible scenarios. However, X-ray images can only provide perspective 2D observation and lack view in the third dimension. If 3D information can be deduced from X-ray images, it would broaden the application of X-ray machines. Focus on the above objective, this paper dedicates to the generation of pseudo 3D CT scans from non-parallel 2D perspective X-ray (PXR) views and proposes the Draw Sketch and Draw Flesh (DSDF) framework to first roughly predict the tissue distribution (Sketch) from PXR views and then render the tissue details (Flesh) from the tissue distribution and PXR views. Different from previous studies that focus only on partial locations, e.g., chest or neck, this study theoretically investigates the feasibility of head-to-leg reconstruction, i.e., generally applicable to any body parts. Experiments on 559 whole-body samples from 4 cohorts suggest that our DSDF can reconstruct more reasonable pseudo CT images than state-of-the-art methods and achieve promising results in both visualization and various downstream tasks. The source code and well-trained models are available a https://github.com/YongshengPan/WholeBodyXraytoCT.