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Advances in Radiotherapy
            & Nuclear Medicine                                                    Image fusion’s significance in medicine



            representation from a 3D patch and then devise a     Considering the aforementioned limitations, several
            systematic  method for joint feature  representation from   future research directions can be envisioned for image
            paired patches of MRI and PET using a multimodal DBM.  fusion technology in NMMI:
                                                               (i)  As artificial intelligence continues to advance, image
            4. Challenges and future directions of                fusion technology can be combined with deep
            image fusion in nuclear medicine                      learning, neural networks, and other techniques to
            In summary, both traditional image fusion methods     improve the automation and accuracy of medical
            and deep learning-based image fusion methods have     image processing.
            shown good performance and are playing an increasingly   (ii)  The utilization of 3D image fusion technology is
            important role in NMMI. As computer hardware and      expected  to  expand  significantly,  providing  more
            algorithms continue to evolve, the  application  prospects   accurate medical image information. By effectively
            of image fusion technology are becoming more and more   evaluating the morphology and  structure of  organs,
            extensive. However, despite the progress, there are still   3D medical image fusion technology can contribute
            some  challenges  and  problems  in  the  development  of   to early disease diagnosis and treatment.
            image fusion technology in NMMI. The challenges and   (iii) Real-time image fusion technology will be further
            future development trends of image fusion in NMMI are   developed and applied, thereby enhancing medical
            discussed in Section 4.                               decision-making  during  complex  procedures,
                                                                  including surgeries. By providing doctors with
              Although image fusion technology has made significant   accurate and real-time medical image information,
            progress in recent years, several challenges and issues still   this innovative technology significantly impacts
            require attention and resolution. First, different types of   patient care and treatment outcomes.
            medical  image  data may exhibit  different levels  of  noise,   (iv)  The combination of image fusion technology with big
            distortions,  and spatial and  temporal  resolutions, which   data and cloud computing can significantly improve
            may affect the quality and visual effects of the fused data,   the speed and efficiency of medical image processing,
            resulting in distorted or missing information. Ensuring the   thus allowing for faster diagnosis and treatment.
            quality and visual effects of the fusion results should be a
            top priority in the development of image fusion technology.   5. Conclusion
            Second, the heterogeneity of diseases and the complexity of   Medical image fusion technology holds promising
            human tissue in clinical work can give rise to different fusion
            requirements. However, most algorithms lack universality,   prospects in NMMI. By fusing different types of medical
            making it difficult to meet these clinical needs. Ensuring   image information, it offers more comprehensive and
                                                               precise medical image information, enabling doctors to
            the robustness of the algorithm to different types of images   make more accurate diagnoses and treatments. Despite
            and data is a prerequisite for further development of image
            fusion technology in NMMI. Third, as medical image fusion   the significant progress achieved in medical image fusion
            involves the sharing and transmission of sensitive medical   technology, there remain challenges and issues that need to
                                                               be addressed. To further improve the accuracy, efficiency,
            data, ensuring privacy and security becomes an important   and reliability of medical image fusion technology,
            challenge. It is essential to address concerns related to data
            privacy, secure transmission, and storage in medical image   continuous exploration of new algorithms and technologies
            fusion. Fourth, medical image fusion algorithms require the   is imperative. Integrating new technologies such as artificial
                                                               intelligence, big data, and cloud computing is essential to
            processing of large amounts of data and multiple variables,
            necessitating efficient computing and processing algorithms   meet the ever-growing demands in medical imaging and
            to ensure accuracy and real-time performance. Improving   clinical applications.
            the speed of image fusion and achieving real-time fusion   Acknowledgments
            present additional challenges to image fusion technology.
            Finally, methods like deep learning rely on substantial   None.
            data for validation, with publicly available datasets being
            frequently used to assess robustness and generalizability.   Funding
            However, most of the current multimodal publicly   The research was funded by Beijing Hospitals Authority
            available datasets are centered around brain imaging data.   Dengfeng Project (Grant No.:  DFL20191102),  the  Pilot
            Consequently, research on image fusion methods primarily   Project (4   Round) to Reform Public Development of
                                                                       th
            focuses on brain images, imposing certain requirements for   Beijing Municipal Medical Research Institute (2021), and
            the robustness of other organ sites.               the Third Foster Plan in 2019 “Molecular Imaging Probe


            Volume 1 Issue 2 (2023)                         7                       https://doi.org/10.36922/arnm.0870
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