Lowering the radiation dose in computed tomography (CT) can greatly reduce the potential risk to public health. However, the reconstructed images from the dose-reduced CT or low-dose CT (LDCT) suffer from severe noise, compromising the subsequent diagnosis and analysis. Recently, convolutional neural networks have achieved promising results in removing noise from LDCT images; the network architectures used are either handcrafted or built on top of conventional networks such as ResNet and U-Net. Recent advance on neural network architecture search (NAS) has proved that the network architecture has a dramatic effect on the model performance, which indicates that current network architectures for LDCT may be sub-optimal. Therefore, in this paper, we make the first attempt to apply NAS to LDCT and propose a multi-scale and multi-level NAS for LDCT denoising, termed MANAS. On the one hand, the proposed MANAS fuses features extracted by different scale cells to capture multi-scale image structural details. On the other hand, the proposed MANAS can search a hybrid cell- and network-level structure for better performance. Extensively experimental results on three different dose levels demonstrate that the proposed MANAS can achieve better performance in terms of preserving image structural details than several state-of-the-art methods. In addition, we also validate the effectiveness of the multi-scale and multi-level architecture for LDCT denoising.
Rethinking Cross-Dose PET Denoising: Mitigating Averaging Effects via Residual Noise Learning
IWR, Heidelberg University（海德堡大学IWR）；Silicon Austria Labs（Silicon Austria实验室）；College of Medicine and Biological Information Engineering, Key Laboratory of Intelligent Computing in Medical Image, Ministry of Education, Northeastern University（医学与生物信息工程学院，医学图像智能计算教育部重点实验室，东北大学）；Department of Epidemiology & Global Health, Umeå University（流行病学与全球健康系，乌梅大学）
PPORLD-EDNetLDCT: A Proximal Policy Optimization-Based Reinforcement Learning Framework for Adaptive Low-Dose CT Denoising
Department of Computer Science and Engineering, United International University, Dhaka 1212, Bangladesh（United International University）；Faculty of Science and Technology, Charles Darwin University, Casuarina, NT 0909, Australia（Charles Darwin University）；Faculty of Science and Information Technology, Charles Darwin University, Sydney, NSW, Australia（Charles Darwin University）
Neighbor2Inverse: Self-Supervised Denoising for Low-Dose Region-of-Interest Phase Contrast CT
Chair of Biomedical Physics, Department of Physics, School of Natural Sciences, TU Munich（技术物理系主任，物理系，自然科学学院，慕尼黑技术大学）；Munich Institute of Biomedical Engineering, TU Munich（慕尼黑生物医学工程研究所，慕尼黑技术大学）；Institute for Diagnostic and Interventional Radiology, TUM Klinikum（诊断与介入放射学研究所，TUM医院）；Institute for Advanced Study, TU Munich, 85748 Garching, Germany（高级研究研究所，慕尼黑技术大学，德国85748盖ARCHING）；X-ray Imaging Group, School of Physics and Astronomy, Monash University, Australia（X射线成像组，物理与天文学学院，墨尔本大学，澳大利亚）；School of Medicine and Robinson Research Institute, Adelaide University, and Respiratory and Sleep Medicine, Women’s and Children’s Hospital, Adelaide, Australia（医学学院和罗宾逊研究所，阿德莱德大学，以及呼吸与睡眠医学，妇女与儿童医院，阿德莱德，澳大利亚）
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。
College of Computer Science, Sichuan University（四川大学计算机学院）；National Key Laboratory of Fundamental Science on Synthetic Vision, Sichuan University（四川大学视觉合成图形图像技术国家级重点实验室）；Rensselaer Polytechnic Institute（伦斯勒理工学院）
To reduce the potential radiation risk, low-dose CT has attracted much attention. However, simply lowering the radiation dose will lead to significant deterioration of the image quality. In this paper, we propose a noise reduction method for low-dose CT via deep neural network without accessing original projection data. A deep convolutional neural network is trained to transform low-dose CT images towards normal-dose CT images, patch by patch. Visual and quantitative evaluation demonstrates a competing performance of the proposed method.
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…
Cycle-Constrained Adversarial Denoising Convolutional Network for PET Image Denoising: Multi-Dimensional Validation on Large Datasets with Reader Study and Real Low-Dose Data
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）
The next great leap toward improving treatment of cancer with radiation will require the combined use of online adaptive and magnetic resonance guided radiation therapy techniques with automatic X-ray beam orientation selection. Unfortunately, by uniting these advancements, we are met with a substantial expansion in the required dose information and consequential increase to the overall computational time imposed during radiation treatment planning, which cannot be handled by existing techniques for accelerating Monte Carlo dose calculation. We propose a deep convolutional neural network appro…
Fudan University（复旦大学）；Sichuan University（四川大学）；Shanghai Center for Brain Science and Brain-inspired Technology（上海脑科学与类脑研究中心）
LDCT has drawn major attention in the medical imaging field due to the potential health risks of CT-associated X-ray radiation to patients. Reducing the radiation dose, however, decreases the quality of the reconstructed images, which consequently compromises the diagnostic performance. Various deep learning techniques have been introduced to improve the image quality of LDCT images through denoising. GANs-based denoising methods usually leverage an additional classification network, i.e. discriminator, to learn the most discriminate difference between the denoised and normal-dose images and, …
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…
Shiraz University（设拉子大学）；Geneva University Hospital（日内瓦大学医院）
Reducing the injected dose would result in quality degradation and loss of information in PET imaging. To address this issue, deep learning methods have been introduced to predict standard PET images (S-PET) from the corresponding low-dose versions (L-PET). The existing deep learning-based denoising methods solely rely on a single dose level of PET images to predict the S-PET images. In this work, we proposed to exploit the prior knowledge in the form of multiple low-dose levels of PET images (in addition to the target low-dose level) to estimate the S-PET images.
Ghost imaging has recently been successfully achieved in the X-ray regime; due to the penetrating power of X-rays this immediately opens up the possibility of X-ray ghost tomography. No research into this topic currently exists in the literature. Here we present adaptations of conventional tomography techniques to this new ghost imaging scheme. Several numerical implementations for tomography through X-ray ghost imaging are considered. Specific attention is paid to schemes for denoising of the resulting tomographic reconstruction, issues related to dose fractionation, and considerations regard…
Washington University in St. Louis（圣路易斯华盛顿大学）；Mallinckrodt Institute of Radiology（马林克罗特放射学研究所）
Deep-learning (DL)-based methods have shown significant promise in denoising myocardial perfusion SPECT images acquired at low dose. For clinical application of these methods, evaluation on clinical tasks is crucial. Typically, these methods are designed to minimize some fidelity-based criterion between the predicted denoised image and some reference normal-dose image. However, while promising, studies have shown that these methods may have limited impact on the performance of clinical tasks in SPECT. To address this issue, we use concepts from the literature on model observers and our underst…
A variety of supervise learning methods are available for low-dose CT denoising in the sinogram domain. Traditional model observers are widely employed to evaluate these methods. However, the sinogram domain evaluation remains an open challenge for deep learning-based low-dose CT denoising. Since each lesion in medical CT images corresponds to a narrow sinusoidal strip in sinogram domain, here we proposed a transformer-based model observer to evaluate sinogram domain supervised learning methods. The numerical results indicate that our transformer-based model well-approximates the Laguerre-Gaus…
Exploiting network optimization stability for enhanced PET image denoising using deep image prior
Central Research Laboratory, Hamamatsu Photonics K. K.（滨松光子学株式会社中央研究所）；Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology (QST)（国立量子科学技术研究开发机构量子医学科学研究所）；J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida（佛罗里达大学J. Crayton Pruitt家族生物医学工程系）
Most of the Deep Neural Networks (DNNs) based CT image denoising literature shows that DNNs outperform traditional iterative methods in terms of metrics such as the RMSE, the PSNR and the SSIM. In many instances, using the same metrics, the DNN results from low-dose inputs are also shown to be comparable to their high-dose counterparts. However, these metrics do not reveal if the DNN results preserve the visibility of subtle lesions or if they alter the CT image properties such as the noise texture. Accordingly, in this work, we seek to examine the image quality of the DNN results from a holis…
We set out to simulate four reduced dose-levels (60%-dose, 40%-dose, 20%-dose, and 10%-dose) of standard CT imaging using Beer-Lambert's law across 49 patients infected with COVID-19. Then, three denoising filters, namely Gaussian, Bilateral, and Median, were applied to the different low-dose CT images, the quality of which was assessed prior to and after the application of the various filters via calculation of peak signal-to-noise ratio (PSNR), root mean square error (RMSE), structural similarity index measure (SSIM), and relative CT-value bias, separately for the lung tissue and whole-body.…
Center for Advanced Medical Computing and Analysis（高级医学计算与分析中心）；Gordon Center for Medical Imaging（戈登医学成像中心）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
Dynamic computed tomography perfusion (CTP) imaging is a promising approach for acute ischemic stroke diagnosis and evaluation. Hemodynamic parametric maps of cerebral parenchyma are calculated from repeated CT scans of the first pass of iodinated contrast through the brain. It is necessary to reduce the dose of CTP for routine applications due to the high radiation exposure from the repeated scans, where image denoising is necessary to achieve a reliable diagnosis. In this paper, we proposed a self-supervised deep learning method for CTP denoising, which did not require any high-dose referenc…
Objective: Proton therapy offers an advantageous dose distribution compared to the photon therapy, since it deposits most of the energy at the end of range, namely the Bragg peak (BP). Protoacoustic technique was developed to in vivo determine the BP locations. However, it requires large dose delivery to the tissue to obtain an averaged acoustic signal with a sufficient signal to noise ratio (SNR), which is not suitable in clinics. We propose a deep learning-based technique to acquire denoised acoustic signals and reduce BP range uncertainty with much lower doses. Approach: Three accelerometer…
PPFM: Image denoising in photon-counting CT using single-step posterior sampling Poisson flow generative models
KTH Royal Institute of Technology（皇家理工学院）；Karolinska University Hospital（卡罗林斯卡大学医院）；University of Wisconsin School of Medicine and Public Health（威斯康星大学麦迪逊分校医学与公共卫生学院）；GE HealthCare（GE医疗）；Rensselaer Polytechnic Institute（伦斯勒理工学院）
Computed tomography (CT) has played a vital role in medical diagnosis, assessment, and therapy planning, etc. In clinical practice, concerns about the increase of X-ray radiation exposure attract more and more attention. To lower the X-ray radiation, low-dose CT is often used in certain scenarios, while it will induce the degradation of CT image quality. In this paper, we proposed a training method that trained denoising neural networks without any paired clean data. we trained the denoising neural network to map one noise LDCT image to its two adjacent LDCT images in a singe 3D thin-layer low…
University of Washington（华盛顿大学）；Purdue University（普渡大学）；GE Healthcare Technologies（通用电气医疗技术公司）；University of Notre Dame（圣母大学）
Markov random fields (MRFs) have been widely used as prior models in various inverse problems such as tomographic reconstruction. While MRFs provide a simple and often effective way to model the spatial dependencies in images, they suffer from the fact that parameter estimation is difficult. In practice, this means that MRFs typically have very simple structure that cannot completely capture the subtle characteristics of complex images. In this paper, we present a novel Gaussian mixture Markov random field model (GM-MRF) that can be used as a very expressive prior model for inverse problems su…
Rensselaer Polytechnic Institute（伦斯勒理工学院）；Massachusetts General Hospital（麻省总医院）
Commercial iterative reconstruction techniques on modern CT scanners target radiation dose reduction but there are lingering concerns over their impact on image appearance and low contrast detectability. Recently, machine learning, especially deep learning, has been actively investigated for CT. Here we design a novel neural network architecture for low-dose CT (LDCT) and compare it with commercial iterative reconstruction methods used for standard of care CT. While popular neural networks are trained for end-to-end mapping, driven by big data, our novel neural network is intended for end-to-p…
Sichuan University（四川大学）；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）；Rensselaer Polytechnic Institute（伦斯勒理工学院）
Since 2016, deep learning (DL) has advanced tomographic imaging with remarkable successes, especially in low-dose computed tomography (LDCT) imaging. Despite being driven by big data, the LDCT denoising and pure end-to-end reconstruction networks often suffer from the black box nature and major issues such as instabilities, which is a major barrier to apply deep learning methods in low-dose CT applications. An emerging trend is to integrate imaging physics and model into deep networks, enabling a hybridization of physics/model-based and data-driven elements. %This type of hybrid methods has be…
Toward CT-Equivalent Image Quality in Low-Dose Radiotherapy Planning: Conditional Diffusion-Based CBCT-to-CT Synthesis and the Impact of CBCT Input Representation
Jordan University of Science and Technology（约旦科技大学）；University of Dundee（邓迪大学）；NHS Ninewells Dundee（NHS邓迪奈恩韦尔斯医院）；University of Glasgow（格拉斯哥大学）
We demonstrate the application of mixture density networks (MDNs) in the context of automated radiation therapy treatment planning. It is shown that an MDN can produce good predictions of dose distributions as well as reflect uncertain decision making associated with inherently conflicting clinical tradeoffs, in contrast to deterministic methods previously investigated in literature. A two-component Gaussian MDN is trained on a set of treatment plans for postoperative prostate patients with varying extents to which rectum dose sparing was prioritized over target coverage. Examination on a test…
As a means to extract biomarkers from medical imaging, radiomics has attracted increased attention from researchers. However, reproducibility and performance of radiomics in low dose CT scans are still poor, mostly due to noise. Deep learning generative models can be used to denoise these images and in turn improve radiomics' reproducibility and performance. However, most generative models are trained on paired data, which can be difficult or impossible to collect. In this article, we investigate the possibility of denoising low dose CTs using cycle generative adversarial networks (GANs) to im…
Sparse-view computed tomography (CT) can be used to reduce radiation dose greatly but is suffers from severe image artifacts. Recently, the deep learning based method for sparse-view CT reconstruction has attracted a major attention. However, neural networks often have a limited ability to remove the artifacts when they only work in the image domain. Deep learning-based sinogram processing can achieve a better anti-artifact performance, but it inevitably requires feature maps of the whole image in a video memory, which makes handling large-scale or three-dimensional (3D) images rather challeng…
