Low-dose computed tomography (LDCT) became a clear trend in radiology with an aspiration to refrain from delivering excessive X-ray radiation to the patients. The reduction of the radiation dose decreases the risks to the patients but raises the noise level, affecting the quality of the images and their ultimate diagnostic value. One mitigation option is to consider pairs of low-dose and high-dose CT projections to train a denoising model using deep learning algorithms; however, such pairs are rarely available in practice. In this paper, we present a new self-supervised method for CT denoising. Unlike existing self-supervised approaches, the proposed method requires only noisy CT projections and exploits the connections between adjacent images. The experiments carried out on an LDCT dataset demonstrate that our method is almost as accurate as the supervised approach, while also outperforming the considered self-supervised denoising methods.
Low-dose Computed Tomography (LDCT) reconstruction is an important task in medical image analysis. Recent years have seen many deep learning based methods, proved to be effective in this area. However, these methods mostly follow a supervised architecture, which needs paired CT image of full dose and quarter dose, and the solution is highly dependent on specific measurements. In this work, we introduce Denoising Diffusion LDCT Model, dubbed as DDLM, generating noise-free CT image using conditioned sampling. DDLM uses pretrained model, and need no training nor tuning process, thus our proposal …
Low-Dose Computed Tomography (LDCT) technique, which reduces the radiation harm to human bodies, is now attracting increasing interest in the medical imaging field. As the image quality is degraded by low dose radiation, LDCT exams require specialized reconstruction methods or denoising algorithms. However, most of the recent effective methods overlook the inner-structure of the original projection data (sinogram) which limits their denoising ability. The inner-structure of the sinogram represents special characteristics of the data in the sinogram domain. By maintaining this structure while d…
In the past few decades, to reduce the risk of X-ray in computed tomography (CT), low-dose CT image denoising has attracted extensive attention from researchers, which has become an important research issue in the field of medical images. In recent years, with the rapid development of deep learning technology, many algorithms have emerged to apply convolutional neural networks to this task, achieving promising results. However, there are still some problems such as low denoising efficiency, over-smoothed result, etc. In this paper, we propose the Edge enhancement based Densely connected Convol…
Computed tomography (CT) is a popular medical imaging modality in clinical applications. At the same time, the x-ray radiation dose associated with CT scans raises public concerns due to its potential risks to the patients. Over the past years, major efforts have been dedicated to the development of Low-Dose CT (LDCT) methods. However, the radiation dose reduction compromises the signal-to-noise ratio (SNR), leading to strong noise and artifacts that down-grade CT image quality. In this paper, we propose a novel 3D noise reduction method, called Structure-sensitive Multi-scale Generative Adver…
Friedrich-Alexander Universität Erlangen-Nürnberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；Siemens Healthineers AG（西门子医疗集团）
The use of deep learning has successfully solved several problems in the field of medical imaging. Deep learning has been applied to the CT denoising problem successfully. However, the use of deep learning requires large amounts of data to train deep convolutional networks (CNNs). Moreover, due to large parameter count, such deep CNNs may cause unexpected results. In this study, we introduce a novel CT denoising framework, which has interpretable behaviour, and provides useful results with limited data. We employ bilateral filtering in both the projection and volume domains to remove noise. To…
Rensselaer Polytechnic Institute（伦斯勒理工学院）；Sichuan University（四川大学）；Harvard Medical School（哈佛医学院）；West China Hospital, Sichuan University（四川大学华西医院）
Low-dose computed tomography (CT) has attracted a major attention in the medical imaging field, since CT-associated x-ray radiation carries health risks for patients. The reduction of CT radiation dose, however, compromises the signal-to-noise ratio, and may compromise the image quality and the diagnostic performance. Recently, deep-learning-based algorithms have achieved promising results in low-dose CT denoising, especially convolutional neural network (CNN) and generative adversarial network (GAN). This article introduces a Contracting Path-based Convolutional Encoder-decoder (CPCE) network…
University of São Paulo（圣保罗大学）；Rensselaer Polytechnic Institute（伦斯勒理工学院）；Fudan University（复旦大学）；Shanghai Center for Brain Science and Brain-inspired Technology（上海脑科学与类脑研究中心）
Digital breast tomosynthesis (DBT) exams should utilize the lowest possible radiation dose while maintaining sufficiently good image quality for accurate medical diagnosis. In this work, we propose a convolution neural network (CNN) to restore low-dose (LD) DBT projections to achieve an image quality equivalent to a standard full-dose (FD) acquisition. The proposed network architecture benefits from priors in terms of layers that were inspired by traditional model-based (MB) restoration methods, considering a model-based deep learning approach, where the network is trained to operate in the va…
Friedrich-Alexander University Erlangen-Nürnberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；Fraunhofer Institute for Ceramic Technologies and Systems IKTS（弗劳恩霍夫陶瓷技术与系统研究所（IKTS））；Leibniz Institute for Analytical Sciences ISAS（莱布尼茨分析科学研究所（ISAS））；University Hospital Erlangen（埃尔朗根大学医院）；Institute for Nanotechnology and Correlative Microscopy e.V. INAM（纳米技术与关联显微镜协会研究所（INAM））
Computed tomography is widely used as an imaging tool to visualize three-dimensional structures with expressive bone-soft tissue contrast. However, CT resolution and radiation dose are tightly entangled, highlighting the importance of low-dose CT combined with sophisticated denoising algorithms. Most data-driven denoising techniques are based on deep neural networks and, therefore, contain hundreds of thousands of trainable parameters, making them incomprehensible and prone to prediction failures. Developing understandable and robust denoising algorithms achieving state-of-the-art performance …
Philips Innovation Labs（飞利浦创新实验室）；Skolkovo Institute of Science and Technology（斯科尔科沃科学技术研究院）
Computed Tomography (CT) imposes risk on the patients due to its inherent X-ray radiation, stimulating the development of low-dose CT (LDCT) imaging methods. Lowering the radiation dose reduces the health risks but leads to noisier measurements, which decreases the tissue contrast and causes artifacts in CT images. Ultimately, these issues could affect the perception of medical personnel and could cause misdiagnosis. Modern deep learning noise suppression methods alleviate the challenge but require low-noise-high-noise CT image pairs for training, rarely collected in regular clinical workflows…
Towards order of magnitude X-ray dose reduction in breast cancer imaging using phase contrast and deep denoising
The University of Melbourne（墨尔本大学）；The University of Sydney（悉尼大学）；Eastern Health（东部健康）；Monash Health（莫纳什健康）；Monash University（莫纳什大学）；Australian Synchrotron, ANSTO（澳大利亚同步辐射中心，ANSTO）；Commonwealth Scientific and Industrial Research Organisation（澳大利亚联邦科学与工业研究组织）
Friedrich-Alexander-University Erlangen-Nuremberg（弗里德里希-亚历山大-埃尔兰根-纽伦堡大学）；German Cancer Research Center（德国癌症研究中心）
In computed tomography (CT), automatic exposure control (AEC) is frequently used to reduce radiation dose exposure to patients. For organ-specific AEC, a preliminary CT reconstruction is necessary to estimate organ shapes for dose optimization, where only a few projections are allowed for real-time reconstruction. In this work, we investigate the performance of automated transform by manifold approximation (AUTOMAP) in such applications. For proof of concept, we investigate its performance on the MNIST dataset first, where the dataset containing all the 10 digits are randomly split into a trai…
With substantial public concerns on potential cancer risks and health hazards caused by the accumulated radiation exposure in medical imaging, reducing radiation dose in X-ray based medical imaging such as Computed Tomography Perfusion (CTP) has raised significant research interests. In this paper, we embrace the deep Convolutional Neural Networks (CNN) based approaches and introduce Smoothed Dense-Convolution Neural Network (SDCNet) to recover high-dose quality CTP images from low-dose ones. SDCNet is composed of sub-network blocks cascaded by skip-connections to infer the noise (differential…
Patient-Level Anatomy Meets Scanning-Level Physics: Personalized Federated Low-Dose CT Denoising Empowered by Large Language Model
College of Computer Science, Sichuan University（四川大学计算机学院）；Key Laboratory of Data Protection and Intelligent Management, Ministry of Education, Sichuan University（四川大学（教育部数据保护与智能管理重点实验室））；School of Cyber Science and Engineering, Sichuan University（四川大学网络空间安全学院）；School of Computer Science and Software Engineering, Southwest Petroleum University（西南石油大学计算机科学与技术学院）；Institute of Science and Technology for Brain-inspired Intelligence, Fudan University（复旦大学类脑智能科学与技术研究院）；School of Computer Science and Engineering, Southeast University（东南大学计算机科学与工程学院）
Technical University of Munich（慕尼黑工业大学）；Istanbul Technical University（伊斯坦布尔理工大学）
In this paper, we introduced a novel deep learning-based reconstruction technique for low-dose CT imaging using 3 dimensional convolutions to include the sagittal information unlike the existing 2 dimensional networks which exploits correlation only in transverse plane. In the proposed reconstruction technique, sparse and noisy sinograms are back-projected to the image domain with FBP operation, then the denoising process is applied with a U-Net like 3-dimensional network called 3D U-NetR. The proposed network is trained with synthetic and real chest CT images, and 2D U-Net is also trained wit…
Low-dose computed tomography (LDCT) reduces the X-ray radiation but compromises image quality with more noises and artifacts. A plethora of transformer models have been developed recently to improve LDCT image quality. However, the success of a transformer model relies on a large amount of paired noisy and clean data, which is often unavailable in clinical applications. In computer vision and natural language processing fields, masked autoencoders (MAE) have been proposed as an effective label-free self-pretraining method for transformers, due to its excellent feature representation ability. H…
The explosive rise of the use of Computer tomography (CT) imaging in medical practice has heightened public concern over the patient's associated radiation dose. However, reducing the radiation dose leads to increased noise and artifacts, which adversely degrades the scan's interpretability. Consequently, an advanced image reconstruction algorithm to improve the diagnostic performance of low dose ct arose as the primary concern among the researchers, which is challenging due to the ill-posedness of the problem. In recent times, the deep learning-based technique has emerged as a dominant method…
MDAA-Diff: CT-Guided Multi-Dose Adaptive Attention Diffusion Model for PET Denoising
School of Biomedical Engineering, Southern Medical University（南方医科大学生物医学工程学院）；School of Biomedical Engineering, Shanghai Jiao Tong University（上海交通大学生物医学工程学院）；Nanfang PET Center, Nanfang Hospital Southern Medical University（南方医科大学南芳医院PET中心）
The extensive use of medical CT has raised a public concern over the radiation dose to the patient. Reducing the radiation dose leads to increased CT image noise and artifacts, which can adversely affect not only the radiologists judgement but also the performance of downstream medical image analysis tasks. Various low-dose CT denoising methods, especially the recent deep learning based approaches, have produced impressive results. However, the existing denoising methods are all downstream-task-agnostic and neglect the diverse needs of the downstream applications. In this paper, we introduce a…
University of Massachusetts, Lowell（马萨诸塞大学洛厄尔分校）；Weill Cornell Medicine, Cornell University（康奈尔大学威尔康奈尔医学院）
Low-dose computed tomography (LDCT) denoising is an important problem in CT research. Compared to the normal dose CT (NDCT), LDCT images are subjected to severe noise and artifacts. Recently in many studies, vision transformers have shown superior feature representation ability over convolutional neural networks (CNNs). However, unlike CNNs, the potential of vision transformers in LDCT denoising was little explored so far. To fill this gap, we propose a Convolution-free Token2Token Dilated Vision Transformer for low-dose CT denoising. The CTformer uses a more powerful token rearrangement to en…
Low dose computed tomography is a mainstream for clinical applications. How-ever, compared to normal dose CT, in the low dose CT (LDCT) images, there are stronger noise and more artifacts which are obstacles for practical applications. In the last few years, convolution-based end-to-end deep learning methods have been widely used for LDCT image denoising. Recently, transformer has shown superior performance over convolution with more feature interactions. Yet its ap-plications in LDCT denoising have not been fully cultivated. Here, we propose a convolution-free T2T vision transformer-based Enc…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格布尔分校）
The resurgence of deep neural networks has created an alternative pathway for low-dose computed tomography denoising by learning a nonlinear transformation function between low-dose CT (LDCT) and normal-dose CT (NDCT) image pairs. However, those paired LDCT and NDCT images are rarely available in the clinical environment, making deep neural network deployment infeasible. This study proposes a novel method for self-supervised low-dose CT denoising to alleviate the requirement of paired LDCT and NDCT images. Specifically, we have trained an invertible neural network to minimize the pixel-based m…
Ryerson University（瑞尔森大学）；University of Saskatoon Health Region（萨斯卡通健康区域大学）
Low-dose CT denoising is a challenging task that has been studied by many researchers. Some studies have used deep neural networks to improve the quality of low-dose CT images and achieved fruitful results. In this paper, we propose a deep neural network that uses dilated convolutions with different dilation rates instead of standard convolution helping to capture more contextual information in fewer layers. Also, we have employed residual learning by creating shortcut connections to transmit image information from the early layers to later ones. To further improve the performance of the netwo…
ASCON: Anatomy-aware Supervised Contrastive Learning Framework for Low-dose CT Denoising
Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University（复旦大学类脑智能科学与技术研究院）；School of Cyber Science and Engineering, Sichuan University（四川大学网络空间安全学院）
Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；Siemens Healthcare GmbH（西门子医疗有限公司）
Deep neural networks have shown great success in low dose CT denoising. However, most of these deep neural networks have several hundred thousand trainable parameters. This, combined with the inherent non-linearity of the neural network, makes the deep neural network diffcult to understand with low accountability. In this study we introduce JBFnet, a neural network for low dose CT denoising. The architecture of JBFnet implements iterative bilateral filtering. The filter functions of the Joint Bilateral Filter (JBF) are learned via shallow convolutional networks. The guidance image is estimated…
Korea Advanced Institute of Science and Technology（韩国科学技术院）
Recently, deep learning approaches have been extensively studied for low-dose CT denoising thanks to its superior performance despite the fast computational time. In particular, cycleGAN has been demonstrated as a powerful unsupervised learning scheme to improve the low-dose CT image quality without requiring matched high-dose reference data. Unfortunately, one of the main limitations of the cycleGAN approach is that it requires two deep neural network generators at the training phase, although only one of them is used at the inference phase. The secondary auxiliary generator is needed to enfo…
Low-dose CT Denoising with Language-engaged Dual-space Alignment
Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University（复旦大学脑智能科学与技术研究院）；Center for Biotechnology and Interdisciplinary Studies, Rensselaer Polytechnic Institute（伦斯勒理工学院生物技术与跨学科研究中心）
Low-dose computed tomography (LDCT) is an important topic in the field of radiology over the past decades. LDCT reduces ionizing radiation-induced patient health risks but it also results in a low signal-to-noise ratio (SNR) and a potential compromise in the diagnostic performance. In this paper, to improve the LDCT denoising performance, we introduce the conditional denoising diffusion probabilistic model (DDPM) and show encouraging results with a high computational efficiency. Specifically, given the high sampling cost of the original DDPM model, we adapt the fast ordinary differential equat…
Korea Advanced Institute of Science and Technology (KAIST)（韩国科学技术院）
Recently, CycleGAN was shown to provide high-performance, ultra-fast denoising for low-dose X-ray computed tomography (CT) without the need for a paired training dataset. Although this was possible thanks to cycle consistency, CycleGAN requires two generators and two discriminators to enforce cycle consistency, demanding significant GPU resources and technical skills for training. A recent proposal of tunable CycleGAN with Adaptive Instance Normalization (AdaIN) alleviates the problem in part by using a single generator. However, two discriminators and an additional AdaIN code generator are st…
A deep dictionary network-based foundation model for ultra-low-dose CT denoising
Yanshan University（燕山大学）；Capital Medical University（首都医科大学）；Beijing Friendship Hospital（北京友谊医院）；Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；Agency for Science, Technology and Research (A*STAR)（新加坡科技研究局）
Gating is commonly used in PET imaging to reduce respiratory motion blurring and facilitate more sophisticated motion correction methods. In the applications of low dose PET, however, reducing injection dose causes increased noise and reduces signal-to-noise ratio (SNR), subsequently corrupting the motion estimation/correction steps, causing inferior image quality. To tackle these issues, we first propose a Siamese adversarial network (SAN) that can efficiently recover high dose gated image volume from low dose gated image volume. To ensure the appearance consistency between the recovered gate…
University of Texas Southwestern Medical Centre（德克萨斯大学西南医学中心）
Despite the indispensable role of X-ray computed tomography (CT) in diagnostic medicine field, the associated ionizing radiation is still a major concern considering that it may cause genetic and cancerous diseases. Decreasing the exposure can reduce the dose and hence the radiation-related risk, but will also induce higher quantum noise. Supervised deep learning can be used to train a neural network to denoise the low-dose CT (LDCT). However, its success requires massive pixel-wise paired LDCT and normal-dose CT (NDCT) images, which are rarely available in real practice. To alleviate this pro…
Low-dose computed tomography (CT) denoising algorithms aim to enable reduced patient dose in routine CT acquisitions while maintaining high image quality. Recently, deep learning~(DL)-based methods were introduced, outperforming conventional denoising algorithms on this task due to their high model capacity. However, for the transition of DL-based denoising to clinical practice, these data-driven approaches must generalize robustly beyond the seen training data. We, therefore, propose a hybrid denoising approach consisting of a set of trainable joint bilateral filters (JBFs) combined with a co…
GAN-Based Architecture for Low-dose Computed Tomography Imaging Denoising
College of Life Science and Technology, Huazhong University of Science and Technology（华中科技大学生命科学技术学院）；New York University Shanghai（上海纽约大学）；School of Life Sciences and Biotechnology, Shanghai Jiao Tong University（上海交通大学生命科学技术学院）
WIA-LD2ND: Wavelet-based Image Alignment for Self-supervised Low-Dose CT Denoising
School of Computer Science, Wuhan University（武汉大学计算机学院）；School of Computer Science, Central China Normal University（华中师范大学计算机学院）；University of Louisville（路易斯维尔大学）
Saratoga High School（萨拉托加高中）；Stanford University（斯坦福大学）
CT image quality is heavily reliant on radiation dose, which causes a trade-off between radiation dose and image quality that affects the subsequent image-based diagnostic performance. However, high radiation can be harmful to both patients and operators. Several (deep learning-based) approaches have been attempted to denoise low dose images. However, those approaches require access to large training sets, specifically the full dose CT images for reference, which can often be difficult to obtain. Self-supervised learning is an emerging alternative for lowering the reference data requirement fa…
University of California Davis Medical Center（加州大学戴维斯分校医学中心）
Deep neural networks have a great potential to improve image denoising in low-dose computed tomography (LDCT). Popular ways to increase the network capacity include adding more layers or repeating a modularized clone model in a sequence. In such sequential architectures, the noisy input image and end output image are commonly used only once in the training model, which however limits the overall learning performance. In this paper, we propose a parallel-clone neural network method that utilizes a modularized network model and exploits the benefit of parallel input, parallel-output loss, and cl…
Low-dose CT has been a key diagnostic imaging modality to reduce the potential risk of radiation overdose to patient health. Despite recent advances, CNN-based approaches typically apply filters in a spatially invariant way and adopt similar pixel-level losses, which treat all regions of the CT image equally and can be inefficient when fine-grained structures coexist with non-uniformly distributed noises. To address this issue, we propose a Structure-preserving Kernel Prediction Network (StructKPN) that combines the kernel prediction network with a structure-aware loss function that utilizes t…
Northeastern University（东北大学）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；Rensselaer Polytechnic Institute（伦斯勒理工学院）
Due to the widespread use of positron emission tomography (PET) in clinical practice, the potential risk of PET-associated radiation dose to patients needs to be minimized. However, with the reduction in the radiation dose, the resultant images may suffer from noise and artifacts that compromise diagnostic performance. In this paper, we propose a parameter-transferred Wasserstein generative adversarial network (PT-WGAN) for low-dose PET image denoising. The contributions of this paper are twofold: i) a PT-WGAN framework is designed to denoise low-dose PET images without compromising structural…
Cycle-Constrained Adversarial Denoising Convolutional Network for PET Image Denoising: Multi-Dimensional Validation on Large Datasets with Reader Study and Real Low-Dose Data
Image denoising is a prerequisite for downstream tasks in many fields. Low-dose and photon-counting computed tomography (CT) denoising can optimize diagnostic performance at minimized radiation dose. Supervised deep denoising methods are popular but require paired clean or noisy samples that are often unavailable in practice. Limited by the independent noise assumption, current unsupervised denoising methods cannot process correlated noises as in CT images. Here we propose the first-of-its-kind similarity-based unsupervised deep denoising approach, referred to as Noise2Sim, that works in a non…
School of Statistics and Data Science, Nankai University（南开大学统计与数据科学学院）；The First Affiliated Hospital of Xi’an Jiaotong University（西安交通大学第一附属医院）；Shanxi Engineering Research Center of Computational Imaging and Medical Intelligence（山西省计算成像与医学智能工程研究中心）
Guangdong Cardiovascular Institute（广东省心血管病研究所）；Guangdong Academy of Medical Sciences（广东省医学科学院）；University of Notre Dame（圣母大学）
As one of the most commonly ordered imaging tests, computed tomography (CT) scan comes with inevitable radiation exposure that increases the cancer risk to patients. However, CT image quality is directly related to radiation dose, thus it is desirable to obtain high-quality CT images with as little dose as possible. CT image denoising tries to obtain high dose like high-quality CT images (domain X) from low dose low-quality CTimages (domain Y), which can be treated as an image-to-image translation task where the goal is to learn the transform between a source domain X (noisy images) and a targ…
Korea Advanced Institute of Science and Technology (KAIST)（韩国科学技术院（KAIST））；VUNO Corp.（VUNO公司）；Chungnam National University College of Medicine（忠南大学医学院）；Chungnam National University Hospital（忠南大学医院）
The acquisition conditions for low-dose and high-dose CT images are usually different, so that the shifts in the CT numbers often occur. Accordingly, unsupervised deep learning-based approaches, which learn the target image distribution, often introduce CT number distortions and result in detrimental effects in diagnostic performance. To address this, here we propose a novel unsupervised learning approach for lowdose CT reconstruction using patch-wise deep metric learning. The key idea is to learn embedding space by pulling the positive pairs of image patches which shares the same anatomical s…
End-to-end Triple-domain PET Enhancement: A Hybrid Denoising-and-reconstruction Framework for Reconstructing Standard-dose PET Images from Low-dose PET Sinograms
ShanghaiTech University（上海科技大学）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）；Shanghai Clinical Research and Trial Center（上海临床研究与试验中心）；Shanghai Artificial Intelligence Laboratory（上海人工智能实验室）
提出端到端三域 TriPLET 框架，融合投影域去噪、小波域重建和图像域对抗评估，从低剂量 PET 正弦图恢复标准剂量图像，并取得最优相似度与信噪比。
Friedrich-Alexander University of Erlangen-Nuremberg（埃尔朗根-纽伦堡大学）；Siemens Healthcare GmbH（西门子医疗有限公司）
Denoising of clinical CT images is an active area for deep learning research. Current clinically approved methods use iterative reconstruction methods to reduce the noise in CT images. Iterative reconstruction techniques require multiple forward and backward projections, which are time-consuming and computationally expensive. Recently, deep learning methods have been successfully used to denoise CT images. However, conventional deep learning methods suffer from the 'black box' problem. They have low accountability, which is necessary for use in clinical imaging situations. In this paper, we us…
University of Texas Southwestern Medical Centre（德克萨斯大学西南医学中心）
Low Dose Computed Tomography (LDCT) is clinically desirable due to the reduced radiation to patients. However, the quality of LDCT images is often sub-optimal because of the inevitable strong quantum noise. Inspired by their unprecedent success in computer vision, deep learning (DL)-based techniques have been used for LDCT denoising. Despite the promising noise removal ability of DL models, people have observed that the resolution of the DL-denoised images is compromised, decreasing their clinical value. Aiming at relieving this problem, in this work, we developed a more effective denoiser by …
