We propose a supervised machine learning approach for boosting existing signal and image recovery methods and demonstrate its efficacy on example of image reconstruction in computed tomography. Our technique is based on a local nonlinear fusion of several image estimates, all obtained by applying a chosen reconstruction algorithm with different values of its control parameters. Usually such output images have different bias/variance trade-off. The fusion of the images is performed by feed-forward neural network trained on a set of known examples. Numerical experiments show an improvement in reconstruction quality relatively to existing direct and iterative reconstruction methods.
University College London（伦敦大学学院）；University of Bremen（不来梅大学）；University of Cambridge（剑桥大学）
We investigate adaptive design based on a single sparse pilot scan for generating effective scanning strategies for computed tomography reconstruction. We propose a novel approach using the linearised deep image prior. It allows incorporating information from the pilot measurements into the angle selection criteria, while maintaining the tractability of a conjugate Gaussian-linear model. On a synthetically generated dataset with preferential directions, linearised DIP design allows reducing the number of scans by up to 30% relative to an equidistant angle baseline.
Fast and automatic algorithm to segment Brain (intracranial region) from computed tomography (CT) head images using combination of HU thresholding, identification of intracranial voxels through ray intersection with cranium, special binary erosion and connected components per slice.
This work presents TorchRadon -- an open source CUDA library which contains a set of differentiable routines for solving computed tomography (CT) reconstruction problems. The library is designed to help researchers working on CT problems to combine deep learning and model-based approaches. The package is developed as a PyTorch extension and can be seamlessly integrated into existing deep learning training code. Compared to the existing Astra Toolbox, TorchRadon is up to 125 faster. The operators implemented by TorchRadon allow the computation of gradients using PyTorch backward(), and can ther…
Technion - Israel Institute of Technology（以色列理工学院）
We propose a direct reconstruction algorithm for Computed Tomography, based on a local fusion of a few preliminary image estimates by means of a non-linear fusion rule. One such rule is based on a signal denoising technique which is spatially adaptive to the unknown local smoothness. Another, more powerful fusion rule, is based on a neural network trained off-line with a high-quality training set of images. Two types of linear reconstruction algorithms for the preliminary images are employed for two different reconstruction tasks. For an entire image reconstruction from full projection data, t…
Computed Tomography (CT) is an imaging technique where information about an object are collected at different angles (called projections or scans). Then the cross-sectional image showing the internal structure of the slice is produced by solving an inverse problem. Limited by certain factors such as radiation dosage, projection angles, the produced images can be noisy or contain artifacts. Inspired by the success of transformer for natural language processing, the core idea of this preliminary study is to consider a projection of tomography as a word token, and the whole scan of the cross-sect…
With the availability of more powerful computers, iterative reconstruction algorithms are the subject of an ongoing work in the design of more efficient reconstruction algorithms for X-ray computed tomography. In this work, we show how two analytical reconstruction algorithms can be improved by correcting the corresponding reconstructions using a randomized iterative reconstruction algorithm. The combined analytical reconstruction followed by randomized iterative reconstruction can also be viewed as a reconstruction algorithm which, in the experiments we have conducted, uses up to $35\%$ less …
In this work, we investigate the application of deep learning methods for computed tomography in the context of having a low-data regime. As motivation, we review some of the existing approaches and obtain quantitative results after training them with different amounts of data. We find that the learned primal-dual has an outstanding performance in terms of reconstruction quality and data efficiency. However, in general, end-to-end learned methods have two issues: a) lack of classical guarantees in inverse problems and b) lack of generalization when not trained with enough data. To overcome the…
National Institute for Mathematical Sciences（国家数学科学研究所）；Yonsei University（延世大学）
This paper describes the mathematical structure of the ill-posed nonlinear inverse problem of low-dose dental cone-beam computed tomography (CBCT) and explains the advantages of a deep learning-based approach to the reconstruction of computed tomography images over conventional regularization methods. This paper explains the underlying reasons why dental CBCT is more ill-posed than standard computed tomography. Despite this severe ill-posedness, the demand for dental CBCT systems is rapidly growing because of their cost competitiveness and low radiation dose. We then describe the limitations o…
Lesions are injuries and abnormal tissues in the human body. Detecting lesions in 3D Computed Tomography (CT) scans can be time-consuming even for very experienced physicians and radiologists. In recent years, CNN based lesion detectors have demonstrated huge potentials. Most of current state-of-the-art lesion detectors employ anchors to enumerate all possible bounding boxes with respect to the dataset in process. This anchor mechanism greatly improves the detection performance while also constraining the generalization ability of detectors. In this paper, we propose an anchor-free lesion dete…
University of Stavanger（斯塔万格大学）；Stavanger University Hospital（斯塔万格大学医院）
More than 13 million people suffer from ischemic cerebral stroke worldwide each year. Thrombolytic treatment can reduce brain damage but has a narrow treatment window. Computed Tomography Perfusion imaging is a commonly used primary assessment tool for stroke patients, and typically the radiologists will evaluate resulting parametric maps to estimate the affected areas, dead tissue (core), and the surrounding tissue at risk (penumbra), to decide further treatments. Different work has been reported, suggesting thresholds, and semi-automated methods, and in later years deep neural networks, for …
St. Michael’s Hospital（圣迈克尔医院）；Unity Health Toronto（多伦多统一健康中心）；University of Toronto（多伦多大学）；Stanford University（斯坦福大学）
Fractures of the cervical spine are a medical emergency and may lead to permanent paralysis and even death. Accurate diagnosis in patients with suspected fractures by computed tomography (CT) is critical to patient management. In this paper, we propose a deep convolutional neural network (DCNN) with a bidirectional long-short term memory (BLSTM) layer for the automated detection of cervical spine fractures in CT axial images. We used an annotated dataset of 3,666 CT scans (729 positive and 2,937 negative cases) to train and validate the model. The validation results show a classification accur…
Graz University of Technology（格拉茨技术大学）；Johannes Kepler University Linz（约翰内斯·开普勒林茨大学）
In the past decades, Computed Tomography (CT) has established itself as one of the most important imaging techniques in medicine. Today, the applicability of CT is only limited by the deposited radiation dose, reduction of which manifests in noisy or incomplete measurements. Thus, the need for robust reconstruction algorithms arises. In this work, we learn a parametric regularizer with a global receptive field by maximizing it's likelihood on reference CT data. Due to this unsupervised learning strategy, our trained regularizer truly represents higher-level domain statistics, which we empirica…
Classic algebraic reconstruction technology (ART) for computed tomography requires pre-determined weights of the voxels for projecting pixel values. However, such weight cannot be accurately obtained due to the limitation of the physical understanding and computation resources. In this study, we propose a semi-case-wise learning-based method named Weight Encode Reconstruction Network (WERNet) to tackle the issues mentioned above. The model is trained in a self-supervised manner without the label of a voxel set. It contains two branches, including the voxel weight encoder and the voxel attentio…
In this paper, the Primal-Dual UNet for sparse view CT reconstruction is modified to be applicable to cone beam projections and perform reconstructions of entire volumes instead of slices. Experiments show that the PSNR of the proposed method is increased by 10dB compared to the direct FDK reconstruction and almost 3dB compared to the modified original Primal-Dual Network when using only 23 projections. The presented network is not optimized wrt. memory consumption or hyperparameters but merely serves as a proof of concept and is limited to low resolution projections and volumes.
Early detection of pulmonary cancer is the most promising way to enhance a patient's chance for survival. Accurate pulmonary nodule detection in computed tomography (CT) images is a crucial step in diagnosing pulmonary cancer. In this paper, inspired by the successful use of deep convolutional neural networks (DCNNs) in natural image recognition, we propose a novel pulmonary nodule detection approach based on DCNNs. We first introduce a deconvolutional structure to Faster Region-based Convolutional Neural Network (Faster R-CNN) for candidate detection on axial slices. Then, a three-dimensional…
National Yang Ming Chiao Tung University（国立阳明交通大学）；National Cheng Kung University Hospital（国立成功大学医院）；National Cheng Kung University（国立成功大学）
The clinical symptoms of pulmonary embolism (PE) are very diverse and non-specific, which makes it difficult to diagnose. In addition, pulmonary embolism has multiple triggers and is one of the major causes of vascular death. Therefore, if it can be detected and treated quickly, it can significantly reduce the risk of death in hospitalized patients. In the detection process, the cost of computed tomography pulmonary angiography (CTPA) is high, and angiography requires the injection of contrast agents, which increase the risk of damage to the patient. Therefore, this study will use a deep learn…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）；Intel Technology India Pvt. Ltd.（英特尔技术印度私人有限公司）
Lung cancer is the most common form of cancer found worldwide with a high mortality rate. Early detection of pulmonary nodules by screening with a low-dose computed tomography (CT) scan is crucial for its effective clinical management. Nodules which are symptomatic of malignancy occupy about 0.0125 - 0.025\% of volume in a CT scan of a patient. Manual screening of all slices is a tedious task and presents a high risk of human errors. To tackle this problem we propose a computationally efficient two stage framework. In the first stage, a convolutional neural network (CNN) trained adversarially …
University of Edinburgh（爱丁堡大学）；ETH Zurich（苏黎世联邦理工学院）
Spectral Photon-Counting Computed Tomography (SPCCT) is a promising technology that has shown a number of advantages over conventional X-ray Computed Tomography (CT) in the form of material separation, artefact removal and enhanced image quality. However, due to the increased complexity and non-linearity of the SPCCT governing equations, model-based reconstruction algorithms typically require handcrafted regularisation terms and meticulous tuning of hyperparameters making them impractical to calibrate in variable conditions. Additionally, they typically incur high computational costs and in ca…
University of Cambridge（剑桥大学）；University of Cincinnati（辛辛那提大学）
Quantitative cancer image analysis relies on the accurate delineation of tumours, a very specialised and time-consuming task. For this reason, methods for automated segmentation of tumours in medical imaging have been extensively developed in recent years, being Computed Tomography one of the most popular imaging modalities explored. However, the large amount of 3D voxels in a typical scan is prohibitive for the entire volume to be analysed at once in conventional hardware. To overcome this issue, the processes of downsampling and/or resampling are generally implemented when using traditional …
University of Science and Technology of China（中国科学技术大学）
In application of tomography imaging, limited-angle problem is a quite practical and important issue. In this paper, an iterative reprojection-reconstruction (IRR) algorithm using a modified Papoulis-Gerchberg (PG) iterative scheme is developed for reconstruction from limited-angle projections which contain noise. The proposed algorithm has two iterative update processes, one is the extrapolation of unknown data, and the other is the modification of the known noisy observation data. And the algorithm introduces scaling factors to control the two processes, respectively. The convergence of the …
Radboud University Medical Center（拉德堡德大学医学中心）；Meander Medical Center（米安德医疗中心）；Jewish National Health（犹太国家健康中心）
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality. While COPD diagnosis is based on lung function tests, early stages and progression of different aspects of the disease can be visible and quantitatively assessed on computed tomography (CT) scans. Many studies have been published that quantify imaging biomarkers related to COPD. In this paper we present a convolutional neural network that directly computes visual emphysema scores and predicts the outcome of lung function tests for 195 CT scans from the COPDGene study. Contrary to previous work, the prop…
Technical University of Denmark（丹麦技术大学）；University of Antwerp（安特卫普大学）
In computed tomography, the reconstruction is typically obtained on a voxel grid. In this work, however, we propose a mesh-based reconstruction method. For tomographic problems, 3D meshes have mostly been studied to simulate data acquisition, but not for reconstruction, for which a 3D mesh means the inverse process of estimating shapes from projections. In this paper, we propose a differentiable forward model for 3D meshes that bridge the gap between the forward model for 3D surfaces and optimization. We view the forward projection as a rendering process, and make it differentiable by extendin…
Yıldız Technical University（耶尔德兹技术大学）；İstanbul University（伊斯坦布尔大学）；Haseki Education Research Hospital（哈塞基教育研究医院）
In recent years, besides the medical treatment methods in medical field, Computer Aided Diagnosis (CAD) systems which can facilitate the decision making phase of the physician and can detect the disease at an early stage have started to be used frequently. The diagnosis of Idiopathic Pulmonary Fibrosis (IPF) disease by using CAD systems is very important in that it can be followed by doctors and radiologists. It has become possible to diagnose and follow up the disease with the help of CAD systems by the development of high resolution computed imaging scanners and increasing size of computatio…
The University of Alabama（阿拉巴马大学）；University of California, Santa Cruz（加州大学圣克鲁兹分校）；New York University（纽约大学）；NYU Grossman School of Medicine（纽约大学格罗斯曼医学院）
The evaluation of infectious disease processes on radiologic images is an important and challenging task in medical image analysis. Pulmonary infections can often be best imaged and evaluated through computed tomography (CT) scans, which are often not available in low-resource environments and difficult to obtain for critically ill patients. On the other hand, X-ray, a different type of imaging procedure, is inexpensive, often available at the bedside and more widely available, but offers a simpler, two dimensional image. We show that by relying on a model that learns to generate CT images fro…
Velammal College of Engg and Tech（维拉马尔工程技术学院）；Thiagarajar College of Engg（蒂亚加拉贾工程技术学院）
The research work presented in this paper is to achieve the tissue classification and automatically diagnosis the abnormal tumor region present in Computed Tomography (CT) images using the wavelet based statistical texture analysis method. Comparative studies of texture analysis method are performed for the proposed wavelet based texture analysis method and Spatial Gray Level Dependence Method (SGLDM). Our proposed system consists of four phases i) Discrete Wavelet Decomposition (ii) Feature extraction (iii) Feature selection (iv) Analysis of extracted texture features by classifier. A wavelet…
University of Oulu（奥卢大学）；University College London（伦敦大学学院）
Multi-energy computed tomography (CT) with photon counting detectors (PCDs) enables spectral imaging as PCDs can assign the incoming photons to specific energy channels. However, PCDs with many spectral channels drastically increase the computational complexity of the CT reconstruction, and bespoke reconstruction algorithms need fine-tuning to varying noise statistics. \rev{Especially if many projections are taken, a large amount of data has to be collected and stored. Sparse view CT is one solution for data reduction. However, these issues are especially exacerbated when sparse imaging scenar…
An algorithm is presented for constructing high-order signed distance fields for two phase materials imaged with computed tomography. The signed distance field is high-order in that it is free of the quantization artifact associated with the distance transform of sampled signals. The narrowband is solved using a closest point algorithm extended for implicit embeddings that are not a signed distance field. The high-order fast sweeping algorithm is used to extend the narrowband to the remainder of the domain. The order of accuracy of the narrowband and extension methods are verified on ideal imp…
Image models are central to all image processing tasks. The great advancements in digital image processing would not have been made possible without powerful models which, themselves, have evolved over time. In the past decade, patch-based models have emerged as one of the most effective models for natural images. Patch-based methods have outperformed other competing methods in many image processing tasks. These developments have come at a time when greater availability of powerful computational resources and growing concerns over the health risks of the ionizing radiation encourage research o…
Recent studies have shown that lung cancer screening using annual low-dose computed tomography (CT) reduces lung cancer mortality by 20% compared to traditional chest radiography. Therefore, CT lung screening has started to be used widely all across the world. However, analyzing these images is a serious burden for radiologists. In this study, we propose a novel and simple framework that analyzes CT lung screenings using convolutional neural networks (CNNs) and reduces false positives. Our framework shows that even non-complex architectures are very powerful to classify 3D nodule data when com…
Airway segmentation in computed tomography images can be used to analyze pulmonary diseases, however, manual segmentation is labor intensive and relies on expert knowledge. This manuscript details our contribution to MICCAI's 2022 Airway Tree Modelling challenge, a competition of fully automated methods for airway segmentation. We employed a previously developed deep learning architecture based on a modified EfficientDet (MEDSeg), training from scratch for binary airway segmentation using the provided annotations. Our method achieved 90.72 Dice in internal validation, 95.52 Dice on external va…
With the mushrooming use of computed tomography (CT) images in clinical decision making, management of CT data becomes increasingly difficult. From the patient identification perspective, using the standard DICOM tag to track patient information is challenged by issues such as misspelling, lost file, site variation, etc. In this paper, we explore the feasibility of leveraging the faces in 3D CT images as biometric features. Specifically, we propose an automatic processing pipeline that first detects facial landmarks in 3D for ROI extraction and then generates aligned 2D depth images, which are…
With more than 60,000 deaths annually in the United States, Pulmonary Embolism (PE) is among the most fatal cardiovascular diseases. It is caused by an artery blockage in the lung; confirming its presence is time-consuming and is prone to over-diagnosis. The utilization of automated PE detection systems is critical for diagnostic accuracy and efficiency. In this study we propose a two-stage attention-based CNN-LSTM network for predicting PE, its associated type (chronic, acute) and corresponding location (leftsided, rightsided or central) on computed tomography (CT) examinations. We trained ou…
Underestimation of lung regions on chest X-ray segmentation masks assessed by comparison with total lung volume evaluated on computed tomography
Medical University of Warsaw（华沙医科大学）；Warsaw University of Technology（华沙理工大学）；MI2.ai；University of Amsterdam（阿姆斯特丹大学）；Amsterdam University Medical Center（阿姆斯特丹大学医学中心）；Medical University of Silesia（西里西亚医科大学）；University of Warsaw（华沙大学）
The University of Iceland（冰岛大学）；ETH Zurich（苏黎世联邦理工学院）；The University of Calgary（卡尔加里大学）；McCaig Institute for Bone and Joint Health（麦凯格骨关节健康研究所）；The Icelandic Heart Association（冰岛心脏协会）；The Johns Hopkins University（约翰斯·霍普金斯大学）
Osteoporosis is a common bone disease that increases the risk of bone fracture. Hip-fracture risk screening methods based on finite element analysis depend on segmented computed tomography (CT) images; however, current femur segmentation methods require manual delineations of large data sets. Here we propose a deep neural network for fully automated, accurate, and fast segmentation of the proximal femur from CT. Evaluation on a set of 1147 proximal femurs with ground truth segmentations demonstrates that our method is apt for hip-fracture risk screening, bringing us one step closer to a clinic…
Rensselaer Polytechnic Institute（伦斯勒理工学院）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Niskayuna High School（尼斯卡尤纳高中）
Cancer patients have a higher risk of cardiovascular disease (CVD) mortality than the general population. Low dose computed tomography (LDCT) for lung cancer screening offers an opportunity for simultaneous CVD risk estimation in at-risk patients. Our deep learning CVD risk prediction model, trained with 30,286 LDCTs from the National Lung Cancer Screening Trial, achieved an area under the curve (AUC) of 0.871 on a separate test set of 2,085 subjects and identified patients with high CVD mortality risks (AUC of 0.768). We validated our model against ECG-gated cardiac CT based markers, includin…
University of Helsinki（赫尔辛基大学）；Technische Universität Berlin（柏林工业大学）；Fraunhofer Heinrich Hertz Institute（弗劳恩霍夫海因里希·赫兹研究所）
The high complexity of various inverse problems poses a significant challenge to model-based reconstruction schemes, which in such situations often reach their limits. At the same time, we witness an exceptional success of data-based methodologies such as deep learning. However, in the context of inverse problems, deep neural networks mostly act as black box routines, used for instance for a somewhat unspecified removal of artifacts in classical image reconstructions. In this paper, we will focus on the severely ill-posed inverse problem of limited angle computed tomography, in which entire bo…
The development of energy selective, photon counting X-ray detectors allows for a wide range of new possibilities in the area of computed tomographic image formation. Under the assumption of perfect energy resolution, here we propose a tensor-based iterative algorithm that simultaneously reconstructs the X-ray attenuation distribution for each energy. We use a multi-linear image model rather than a more standard "stacked vector" representation in order to develop novel tensor-based regularizers. Specifically, we model the multi-spectral unknown as a 3-way tensor where the first two dimensions …
Recent years have seen growing interest in exploiting dual- and multi-energy measurements in computed tomography (CT) in order to characterize material properties as well as object shape. Material characterization is performed by decomposing the scene into constitutive basis functions, such as Compton scatter and photoelectric absorption functions. While well motivated physically, the joint recovery of the spatial distribution of photoelectric and Compton properties is severely complicated by the fact that the data are several orders of magnitude more sensitive to Compton scatter coefficients …
Multi-spectral computed tomography is an emerging technology for the non-destructive identification of object materials and the study of their physical properties. Applications of this technology can be found in various scientific and industrial contexts, such as luggage scanning at airports. Material distinction and its identification is challenging, even with spectral x-ray information, due to acquisition noise, tomographic reconstruction artefacts and scanning setup application constraints. We present MUSIC - and open access multi-spectral CT dataset in 2D and 3D - to promote further resear…
Baylor University（贝勒大学）；California State University, San Bernardino（加州州立大学圣贝纳迪诺分校）；University of Haifa（海法大学）；Loma Linda University Medical Center（洛马林达大学医学中心）
Proton computed tomography (pCT) is a novel imaging modality developed for patients receiving proton radiation therapy. The purpose of this work was to investigate hull-detection algorithms used for preconditioning of the large and sparse linear system of equations that needs to be solved for pCT image reconstruction. The hull-detection algorithms investigated here included silhouette/space carving (SC), modified silhouette/space carving (MSC), and space modeling (SM). Each was compared to the cone-beam version of filtered backprojection (FBP) used for hull-detection. Data for testing these al…
Shenzhen University（深圳大学）；University of Delaware（特拉华大学）；Chongqing University（重庆大学）；Chongqing University of Science and Technology（重庆科技大学）
In this paper, we first propose a variational model for the limited-angle computed tomography (CT) image reconstruction and then convert the model into an end-to-end deep network.We use the penalty method to solve the model and divide it into three iterative subproblems, where the first subproblem completes the sinograms by utilizing the prior information of sinograms in the frequency domain and the second refines the CT images by using the prior information of CT images in the spatial domain, and the last merges the outputs of the first two subproblems. In each iteration, we use the convoluti…
South China University of Technology（华南理工大学）；Fudan University（复旦大学）；University of Notre Dame（圣母大学）；Guangdong Cardiovascular Institute（广东省心血管病研究所）
Type-B Aortic Dissection (TBAD) is one of the most serious cardiovascular events characterized by a growing yearly incidence,and the severity of disease prognosis. Currently, computed tomography angiography (CTA) has been widely adopted for the diagnosis and prognosis of TBAD. Accurate segmentation of true lumen (TL), false lumen (FL), and false lumen thrombus (FLT) in CTA are crucial for the precise quantification of anatomical features. However, existing works only focus on only TL and FL without considering FLT. In this paper, we propose ImageTBAD, the first 3D computed tomography angiograp…
IITP RAS (Kharkevich Institute)（俄罗斯科学院信息传输问题研究所（哈尔凯维奇研究所））；Smart Engines Service LLC（智能引擎服务有限责任公司）；FSRC "Crystallography and Photonics"（联邦科学研究中心“晶体学与光子学”）
Filtered back projection (FBP) is a commonly used technique in tomographic image reconstruction demonstrating acceptable quality. The classical direct implementations of this algorithm require the execution of $Θ(N^3)$ operations, where $N$ is the linear size of the 2D slice. Recent approaches including reconstruction via the Fourier slice theorem require $Θ(N^2\log N)$ multiplication operations. In this paper, we propose a novel approach that reduces the computational complexity of the algorithm to $Θ(N^2\log N)$ addition operations avoiding Fourier space. For speeding up the convolution, ram…
In computed tomography (CT), data truncation is a common problem. Images reconstructed by the standard filtered back-projection algorithm from truncated data suffer from cupping artifacts inside the field-of-view (FOV), while anatomical structures are severely distorted or missing outside the FOV. Deep learning, particularly the U-Net, has been applied to extend the FOV as a post-processing method. Since image-to-image prediction neglects the data fidelity to measured projection data, incorrect structures, even inside the FOV, might be reconstructed by such an approach. Therefore, generating r…
University of Applied Sciences Würzburg-Schweinfurt（维尔茨堡-施韦因富特应用科学大学）
We consider reconstructing multi-channel images from measurements performed by photon-counting and energy-discriminating detectors in the setting of multi-spectral X-ray computed tomography (CT). Our aim is to exploit the strong structural correlation that is known to exist between the channels of multi-spectral CT images. To that end, we adopt the multi-channel Potts prior to jointly reconstruct all channels. This prior produces piecewise constant solutions with strongly correlated channels. In particular, edges are enforced to have the same spatial position across channels which is a benefit…
