Objective: Positron Emission Tomography (PET) has been a commonly used imaging modality in broad clinical applications. One of the most important tradeoffs in PET imaging is between image quality and radiation dose: high image quality comes with high radiation exposure. Improving image quality is desirable for all clinical applications while minimizing radiation exposure is needed to reduce risk to patients. Approach: We introduce PET Consistency Model (PET-CM), an efficient diffusion-based method for generating high-quality full-dose PET images from low-dose PET images. It employs a two-step process, adding Gaussian noise to full-dose PET images in the forward diffusion, and then denoising them using a PET Shifted-window Vision Transformer (PET-VIT) network in the reverse diffusion. The PET-VIT network learns a consistency function that enables direct denoising of Gaussian noise into clean full-dose PET images. PET-CM achieves state-of-the-art image quality while requiring significantly less computation time than other methods. Results: In experiments comparing eighth-dose to full-dose images, PET-CM demonstrated impressive performance with NMAE of 1.278+/-0.122%, PSNR of 33.783+/-0.824dB, SSIM of 0.964+/-0.009, NCC of 0.968+/-0.011, HRS of 4.543, and SUV Error of 0.255+/-0.318%, with an average generation time of 62 seconds per patient. This is a significant improvement compared to the state-of-the-art diffusion-based model with PET-CM reaching this result 12x faster. Similarly, in the quarter-dose to full-dose image experiments, PET-CM delivered competitive outcomes, achieving an NMAE of 0.973+/-0.066%, PSNR of 36.172+/-0.801dB, SSIM of 0.984+/-0.004, NCC of 0.990+/-0.005, HRS of 4.428, and SUV Error of 0.151+/-0.192% using the same generation process, which underlining its high quantitative and clinical precision in both denoising scenario.
Two-Phase Multi-Dose-Level PET Image Reconstruction with Dose Level Awareness
School of Computer Science, Sichuan University（四川大学计算机学院）；School of Biomedical Engineering & State Key Laboratory of Advanced Medical Materials and Devices, ShanghaiTech University（上海科技大学生物医学工程学院 & 先进医学材料与器件国家重点实验室）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）
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）
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…
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。
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…
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）
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) 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…
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…
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…
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…
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) 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…
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）
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…
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…
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 …
This paper evaluates the performance of supervised and unsupervised deep learning models for denoising positron emission tomography (PET) images in the presence of reduced acquisition times. Our experiments consider 212 studies (56908 images), and evaluate the models using 2D (RMSE, SSIM) and 3D (SUVpeak and SUVmax error for the regions of interest) metrics. It was shown that, in contrast to previous studies, supervised models (ResNet, Unet, SwinIR) outperform unsupervised models (pix2pix GAN and CycleGAN with ResNet backbone and various auxiliary losses) in the reconstruction of 2D PET images…
PFCM: Poisson flow consistency models for low-dose CT image denoising
Stanford University（斯坦福大学）；KTH Royal Institute of Technology（瑞典皇家理工学院）；Karolinska University Hospital（卡罗林斯卡大学医院）；GE HealthCare（GE医疗）；Rensselaer Polytechnic Institute（伦斯勒理工学院）
Zhejiang University（浙江大学）；Binjiang Institute of Zhejiang University（浙江大学滨江研究院）；Hangzhou Universal Medical Imaging Diagnostic Center（杭州全景医学影像诊断中心）
18F-fluorodeoxyglucose (18F-FDG) Positron Emission Tomography (PET) imaging usually needs a full-dose radioactive tracer to obtain satisfactory diagnostic results, which raises concerns about the potential health risks of radiation exposure, especially for pediatric patients. Reconstructing the low-dose PET (L-PET) images to the high-quality full-dose PET (F-PET) ones is an effective way that both reduces the radiation exposure and remains diagnostic accuracy. In this paper, we propose a resource-efficient deep learning framework for L-PET reconstruction and analysis, referred to as transGAN-S…
Indian Institute of Technology (IIT) Bombay（印度理工学院孟买分校）；IITB-Monash Research Academy（印度理工学院孟买分校-莫纳什研究学院）；Monash University（莫纳什大学）
Radiation exposure in positron emission tomography (PET) imaging limits its usage in the studies of radiation-sensitive populations, e.g., pregnant women, children, and adults that require longitudinal imaging. Reducing the PET radiotracer dose or acquisition time reduces photon counts, which can deteriorate image quality. Recent deep-neural-network (DNN) based methods for image-to-image translation enable the mapping of low-quality PET images (acquired using substantially reduced dose), coupled with the associated magnetic resonance imaging (MRI) images, to high-quality PET images. However, s…
University of Electronic Science and Technology of China（电子科技大学）；West China Hospital, Sichuan University（四川大学华西医院）；West China No.4 Hospital, Sichuan University（四川大学华西第四医院）
Being low-level radiation exposure and less harmful to health, low-dose computed tomography (LDCT) has been widely adopted in the early screening of lung cancer and COVID-19. LDCT images inevitably suffer from the degradation problem caused by complex noises. It was reported that deep learning (DL)-based LDCT denoising methods using convolutional neural network (CNN) achieved impressive denoising performance. Although most existing DL-based methods (e.g., encoder-decoder framework) can implicitly utilize non-local and contextual information via downsampling operator and 3D CNN, the explicit mu…
Cycle-Constrained Adversarial Denoising Convolutional Network for PET Image Denoising: Multi-Dimensional Validation on Large Datasets with Reader Study and Real Low-Dose Data
Recently, Self-supervised learning methods able to perform image denoising without ground truth labels have been proposed. These methods create low-quality images by adding random or Gaussian noise to images and then train a model for denoising. Ideally, it would be beneficial if one can generate high-quality CT images with only a few training samples via self-supervision. However, the performance of CT denoising is generally limited due to the complexity of CT noise. To address this problem, we propose a novel self-supervised learning-based CT denoising method. In particular, we train pre-tra…
Gordon Center for Medical Imaging, Massachusetts General Hospital, Harvard Medical School（哈佛医学院麻省总医院戈登医学成像中心）；Center for Advanced Medical Computing and Analysis, Massachusetts General Hospital, Harvard Medical School（哈佛医学院麻省总医院高级医学计算与分析中心）；University of Texas MD Anderson Cancer Center（德克萨斯大学MD安德森癌症中心）
Due to various physical degradation factors and limited counts received, PET image quality needs further improvements. The denoising diffusion probabilistic models (DDPM) are distribution learning-based models, which try to transform a normal distribution into a specific data distribution based on iterative refinements. In this work, we proposed and evaluated different DDPM-based methods for PET image denoising. Under the DDPM framework, one way to perform PET image denoising is to provide the PET image and/or the prior image as the network input. Another way is to supply the prior image as th…
TriDo-Former: A Triple-Domain Transformer for Direct PET Reconstruction from Low-Dose Sinograms
School of Computer Science, Sichuan University（四川大学计算机学院）；School of Computer Science, Chengdu University of Information Technology（成都信息工程大学计算机学院）；School of Biomedical Engineering, ShanghaiTech University（上海科技大学生物医学工程学院）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）
Self is the Best Learner: CT-free Ultra-Low-Dose PET Organ Segmentation via Collaborating Denoising and Segmentation Learning
School of Biomedical Engineering, Southern Medical University（生物医学工程学院，南方医科大学）；School of Biomedical Engineering, Shanghai Jiao Tong University（生物医学工程学院，上海交通大学）；Nanfang PET Center, Nanfang Hospital Southern Medical University（南芳PET中心，南方医科大学南芳医院）；Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University（广东省医学图像处理重点实验室，南方医科大学）；Guangdong Province Engineering Laboratory for Medical Imaging and Diagnostic Technology, Southern Medical University（广东省医学影像与诊断技术工程实验室，南方医科大学）；Pazhou Lab（琶洲实验室）
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…
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…
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 …
Despite its tremendous value for the diagnosis, treatment monitoring and surveillance of children with cancer, whole body staging with positron emission tomography (PET) is time consuming and associated with considerable radiation exposure. 100x (1% of the standard clinical dosage) ultra-low-dose/ultra-fast whole-body PET reconstruction has the potential for cancer imaging with unprecedented speed and improved safety, but it cannot be achieved by the naive use of machine learning techniques. In this study, we utilize the global similarity between baseline and follow-up PET and magnetic resonan…
