Abstract: Various examples are provided related to predicting perfusion images from non-contrast scans. In one example, a method for predicting perfusion images includes generating perfusion maps of an organ of a subject from non-contrast computed tomography (NCCT) slices of the organ; processing the perfusion maps based upon weights determined by a Physicians-in-the-Loop (PILO) module; and generating synthetic computed tomography perfusion (CTP) maps from the processed perfusion maps, the synthetic CTP maps generated by deep learning-based multimodal image translation. In another example, a system includes at least one computing device that can generate prefusion maps of an organ from NCCT slices; process the perfusion maps based upon weights determined by a PILO module; and generate synthetic CTP maps from the processed perfusion maps using deep learning-based multimodal image translation. The CTP maps can be rendered for display to a user.