Metal artifact reduction (MAR) is a challenging problem in computed tomography (CT) imaging. A popular class of MAR methods replace sinogram measurements that are corrupted by metal with artificial data. While these ``projection completion'' approaches are successful in eliminating severe artifacts, secondary artifacts may be introduced by the artificial data. In this paper, we propose an approach which uses projection completion to generate a prior image, which is then incorporated into an iterative reconstruction algorithm based on the superiorization framework. The prior image is reconstructed using normalized metal artifact reduction (NMAR), a popular projection completion approach. The iterative algorithm is a modified version of the simultaneous algebraic reconstruction technique (SART), which reduces artifacts by incorporating a polyenergetic forward model, least-squares weighting, and superiorization. The penalty function used for superiorization is a weighted average between a total variation (TV) term and a term promoting similarity with the prior image, similar to penalty functions used in prior image constrained compressive sensing. Because the prior is largely free of severe metal artifacts, these artifacts are discouraged from arising during iterative reconstruction; additionally, because the iterative approach uses the original projection data, it is able to recover information that is lost during the NMAR process. We perform numerical experiments modeling a simple geometric object, as well as several more realistic scenarios such as metal pins, bilateral hip implants, and dental fillings placed within an anatomical phantom. The proposed iterative algorithm is largely successful at eliminating severe metal artifacts as well as secondary artifacts introduced by the NMAR process, especially lost edges of bone structures in the neighborhood of the metal regions.
Recent work in CT imaging has seen increased interest in the use of total variation (TV) and related penalties to regularize problems involving reconstruction from undersampled or incomplete data. Superiorization is a recently proposed heuristic which provides an automatic procedure to "superiorize" an iterative reconstruction algorithm with respect to a chosen objective function, such as TV. Under certain conditions, the superiorized algorithm is guaranteed to find a solution that is as satisfactory as any found by the original algorithm with respect to satisfying the constraints of the probl…
Complex Wavelet-Based Sinogram Segmentation for Metal Artifact Reduction in Cone-Beam CT
University of Helsinki（赫尔辛基大学）；Aalto University School of Electrical Engineering（阿尔托大学电气工程学院）；Planmeca Oy（Planmeca公司）；University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）
Computed tomography (CT) images containing metallic objects commonly show severe streaking and shadow artifacts. Metal artifacts are caused by nonlinear beam-hardening effects combined with other factors such as scatter and Poisson noise. In this paper, we propose an implant-specific method that extracts beam-hardening artifacts from CT images without affecting the background image. We found that in cases where metal is inserted in the water (or tissue), the generated beam-hardening artifacts can be approximately extracted by subtracting artifacts generated exclusively by metals. We used a dee…
The presence of metal implants within CT imaging causes severe attenuation of the X-ray beam. Due to the incomplete information recorded by CT detectors, artifacts in the form of streaks and dark bands would appear in the resulting CT images. The metal-induced artifacts would firstly affect the quantitative accuracy of CT imaging, and consequently, the radiation treatment planning and dose estimation in radiation therapy. To address this issue, CT scanner vendors have implemented metal artifact reduction (MAR) algorithms to avoid such artifacts and enhance the overall quality of CT images. The…
Metallic implants introduce severe artifacts in CT images, which degrades the image quality. It is an effective method to reduce metal artifacts by replacing the metal affected projection with the forward projection of a prior image. How to find a good prior image is the key of this class methods, and numerous algorithms have been proposed to address this issue recently. In this work, by using image mutual correlation, pixels in the original reconstructed image or linear interpolation corrected image, which are less affected by artifacts, are selected to build a combined image. Thereafter, a b…
In the presence of metal implants, metal artifacts are introduced to x-ray CT images. Although a large number of metal artifact reduction (MAR) methods have been proposed in the past decades, MAR is still one of the major problems in clinical x-ray CT. In this work, we develop a convolutional neural network (CNN) based open MAR framework, which fuses the information from the original and corrected images to suppress artifacts. The proposed approach consists two phases. In the CNN training phase, we build a database consisting of metal-free, metal-inserted and pre-corrected CT images, and image…
CT images have been used to generate radiation therapy treatment plans for more than two decades. Dual-energy CT (DECT) has shown high accuracy in estimating electronic density or proton stopping-power maps used in treatment planning. However, the presence of metal implants introduces severe streaking artifacts in the reconstructed images, affecting the diagnostic accuracy and treatment performance. In order to reduce the metal artifacts in DECT, we introduce a metal-artifact reduction scheme for iterative DECT algorithms. An estimate is substituted for the corrupt data in each iteration. We u…
Nara Institute of Science and Technology（奈良先端科学技术大学院大学）；Osaka University（大阪大学）
In total hip arthroplasty, analysis of postoperative medical images is important to evaluate surgical outcome. Since Computed Tomography (CT) is most prevalent modality in orthopedic surgery, we aimed at the analysis of CT image. In this work, we focus on the metal artifact in postoperative CT caused by the metallic implant, which reduces the accuracy of segmentation especially in the vicinity of the implant. Our goal was to develop an automated segmentation method of the bones and muscles in the postoperative CT images. We propose a method that combines Normalized Metal Artifact Reduction (NM…
The University of Hong Kong（香港大学）；Stanford University（斯坦福大学）；Hong Kong University of Science and Technology（香港科技大学）
The presence of metallic implants often introduces severe metal artifacts in the X-ray CT images, which could adversely influence clinical diagnosis or dose calculation in radiation therapy. In this work, we present a novel deep-learning-based approach for metal artifact reduction (MAR). In order to alleviate the need for anatomically identical CT image pairs (i.e., metal artifact-corrupted CT image and metal artifact-free CT image) for network learning, we propose a self-supervised cross-domain learning framework. Specifically, we train a neural network to restore the metal trace region value…
Metal artifacts present a frequent challenge to cone-beam CT (CBCT) in image-guided surgery, obscuring visualization of metal instruments and adjacent anatomy. Recent advances in mobile C-arm systems have enabled 3D imaging capacity with non-circular orbits. We extend a previously proposed metal artifacts avoidance (MAA) method to reduce the influence of metal artifacts by prospectively defining a non-circular orbit that avoids metal-induced biases in projection domain. Accurate geometric calibration is an important challenge to accurate 3D image reconstruction for such orbits. We investigate …
Sichuan University（四川大学）；West China Hospital of Sichuan University（四川大学华西医院）
Metal implants can heavily attenuate X-rays in computed tomography (CT) scans, leading to severe artifacts in reconstructed images, which significantly jeopardize image quality and negatively impact subsequent diagnoses and treatment planning. With the rapid development of deep learning in the field of medical imaging, several network models have been proposed for metal artifact reduction (MAR) in CT. Despite the encouraging results achieved by these methods, there is still much room to further improve performance. In this paper, a novel Dual-domain Adaptive-scaling Non-local network (DAN-Net)…
High density implants such as metals often lead to serious artifacts in the reconstructed CT images which hampers the accuracy of image based diagnosis and treatment planning. In this paper, we propose a novel wavelet frame based CT image reconstruction model to reduce metal artifacts. This model is built on a joint spatial and Radon (projection) domain (JSR) image reconstruction framework with a built-in weighting and re-weighting mechanism in Radon domain to repair degraded projection data. The new weighting strategy used in the proposed model not only makes the regularization in Radon domai…
Sichuan University（四川大学）；West China Hospital of Sichuan University（四川大学华西医院）
Due to the presence of metallic implants, the imaging quality of computed tomography (CT) would be heavily degraded. With the rapid development of deep learning, several network models have been proposed for metal artifact reduction (MAR). Since the dual-domain MAR methods can leverage the hybrid information from both sinogram and image domains, they have significantly improved the performance compared to single-domain methods. However,current dual-domain methods usually operate on both domains in a specific order, which implicitly imposes a certain priority prior into MAR and may ignore the l…
Rensselaer Polytechnic Institute（伦斯勒理工学院）；Cedars-Sinai Medical Center（西达赛奈医疗中心）；University of California, Los Angeles（加州大学洛杉矶分校）
Cine cardiac magnetic resonance imaging (MRI) is widely used for diagnosis of cardiac diseases thanks to its ability to present cardiovascular features in excellent contrast. As compared to computed tomography (CT), MRI, however, requires a long scan time, which inevitably induces motion artifacts and causes patients' discomfort. Thus, there has been a strong clinical motivation to develop techniques to reduce both the scan time and motion artifacts. Given its successful applications in other medical imaging tasks such as MRI super-resolution and CT metal artifact reduction, deep learning is a…
We introduce a new CT image reconstruction algorithm that is less affected by various artifacts. The new reconstruction algorithm is a method of minimizing the difference between synchrotron X-ray tomography data and sinograms generated using Radon transform of CT images. The CT image is iteratively updated to reduce the difference from the sinogram of the data. This method can obtain clean CT images from the projection data, which can create ring artifacts or metal artifacts. Also, even if the sample size is larger than the CCD and/or the projection image does not satisfy the Beer-Lambert law…
National Institute for Mathematical Sciences（国家数学科学研究所）；Yonsei University（延世大学）；Yonsei University College of Medicine（延世大学医学院）
This paper proposes a sinogram consistency learning method to deal with beam-hardening related artifacts in polychromatic computerized tomography (CT). The presence of highly attenuating materials in the scan field causes an inconsistent sinogram, that does not match the range space of the Radon transform. When the mismatched data are entered into the range space during CT reconstruction, streaking and shading artifacts are generated owing to the inherent nature of the inverse Radon transform. The proposed learning method aims to repair inconsistent sinograms by removing the primary metal-indu…
A major remaining challenge for magnetic resonance-based attenuation correction methods (MRAC) is their susceptibility to sources of MRI artifacts (e.g. implants, motion) and uncertainties due to the limitations of MRI contrast (e.g. accurate bone delineation and density, and separation of air/bone). We propose using a Bayesian deep convolutional neural network that, in addition to generating an initial pseudo-CT from MR data, also produces uncertainty estimates of the pseudo-CT to quantify the limitations of the MR data. These outputs are combined with MLAA reconstruction that uses the PET em…
Post-implant dosimetry (PID) is an essential step of prostate brachytherapy that utilizes CT to image the prostate and allow the location and dose distribution of the radioactive seeds to be directly related to the actual prostate. However, it it a very challenging task to identify these seeds in CT images due to the severe metal artifacts and high-overlapped appearance when multiple seeds clustered together. In this paper, we propose an automatic and efficient algorithm based on 3D deep fully convolutional network for identifying implanted seeds in CT images. Our method models the seed locali…
