This work set out to develop a motion correction approach aided by conditional generative adversarial network (cGAN) methodology that allows reliable, data-driven determination of involuntary subject motion during dynamic 18F-FDG brain studies. Methods: Ten healthy volunteers (5M/5F, 27 ± 7 years, 70 ± 10 kg) underwent a test-retest 18F-FDG PET/MRI examination of the brain (N = 20). The imaging protocol consisted of a 60-min PET list-mode acquisition contemporaneously acquired with MRI, including MR navigators and a 3D time-of-43 flight MR-angiography sequence. Arterial blood samples were collected as a reference standard 44 representing the arterial input function (AIF). Training of the cGAN was performed using 70% of the total data sets (N = 16, randomly chosen), which was corrected for motion using MR navigators. The resulting cGAN mappings (between individual frames and the reference frame (55-60min p.i.)) were then applied to the test data set (remaining 30%, N = 6), producing artificially generated low-noise images from early high-noise PET frames. These low-noise images 49 were then co-registered to the reference frame, yielding 3D motion vectors. Performance of 50 cGAN-aided motion correction was assessed by comparing the image-derived input function 51 (IDIF) extracted from a cGAN-aided motion corrected dynamic sequence against the AIF based 52 on the areas-under-the-curves (AUCs). Moreover, clinical relevance was assessed through direct 53 comparison of the average cerebral metabolic rates of glucose (CMRGlc) values in grey matter 54 (GM) calculated using the AIF and the IDIF. Results: The absolute percentage-difference between 55 AUCs derived using the motion-corrected IDIF and the AIF was (1.2 + 0.9) %. The GM CMRGlc 56 values determined using these two input functions differed by less than 5% ((2.4 + 1.7) %). Conclusion: A fully-automated data-driven motion compensation approach was established and by on December 6, 2020. For personal use only. jnm.snmjournals.org Downloaded from 4 tested for 18F-FDG PET brain imaging. cGAN-aided motion correction enables the translation of non-invasive clinical absolute quantification from PET/MR to PET/CT by allowing the accurate determination of motion vectors from the PET data itself.