Two-stage deep learning framework for the restoration of incomplete-ring PET images

Abstract: Positron Emission Tomography (PET) is an important molecular imaging tool widely used in medicine. Traditional PET systems rely on complete detector rings for full angular coverage and reliable data collection. However, incomplete-ring PET scanners have emerged due to hardware failures, cost constraints, or specific clinical needs. Standard reconstruction algorithms often suffer from performance degradation with these systems because of reduced data completeness and geometric inconsistencies. We present a two-stage deep-learning framework that, without incorporating any time-of-flight (TOF) information, restores high-quality images from data with about 50% missing coincidences - double the loss levels previously addressed by CNN-based methods. The pipeline operates in two stages: a projection-domain Attention U-Net first predicts the missing sections of the sinogram by leveraging spatial context from neighbouring slices, after which the completed data are reconstructed with OSEM algorithm and passed to a U-Net-diffusion module that removes residual artefacts while reinstating high-frequency detail. Using 206 brain volumes from a public dataset, the result shows that our model successfully preserves most anatomical structures and tracer distribution features with PSNR of 30.92 dB and SSIM of 0.9708. We also achieve higher inference speed, thus providing an effective solution for incomplete-ring PET imaging.