DOVE: Doodled vessel enhancement for photoacoustic angiography super resolution

Deep-learning-based super-resolution photoacoustic angiography (PAA) has emerged as a valuable tool for enhancing the resolution of blood vessel images and aiding in disease diagnosis. However, due to the scarcity of training samples, PAA super-resolution models do not generalize well, especially in the challenging in-vivo imaging of organs with deep tissue penetration. Furthermore, prolonged exposure to high laser intensity during the image acquisition process can lead to tissue damage and secondary infections. To address these challenges, we propose an approach doodled vessel enhancement (DOVE) that utilizes hand-drawn doodles to train a PAA super-resolution model. With a training dataset consisting of only 32 real PAA images, we construct a diffusion model that interprets hand-drawn doodles as low-resolution images. DOVE enables us to generate a large number of realistic PAA images, achieving a 49.375% fool rate, even among experts in photoacoustic imaging. Subsequently, we employ these generated images to train a self-similarity-based model for super-resolution. During cross-domain tests, our method, trained solely on generated images, achieves a structural similarity value of 0.8591, surpassing the scores of all other models trained with real high-resolution images. DOVE successfully overcomes the limitation of insufficient training samples and unlocks the clinic application potential of super-resolution-based biomedical imaging.