Low-dose computed tomography (LDCT) has offered tremendous benefits in radiation-restricted applications, but the quantum noise as resulted by the insufficient number of photons could potentially harm the diagnostic performance. Current image-based denoising methods tend to produce a blur effect on the final reconstructed results especially in high noise levels. In this paper, a deep learning-based approach was proposed to mitigate this problem. An adversarially trained network and a sharpness detection network were trained to guide the training process. Experiments on both simulated and real dataset show that the results of the proposed method have very small resolution loss and achieves better performance relative to state-of-the-art methods both quantitatively and visually.
The CT sinogram represents the attenuation line integrals from the radial views and is the raw projection data in the CT scan. Since the sinogram is also a 2-D signal, traditional image processing techniques have been applied for noise reduction, such as bilateral filtering @cite_73 , structural adaptive filtering @cite_74 , etc. The filtered data can then be reconstructed to a CT image with methods like filtered back projection (FBP). Although the statistical property of the noise can be well characterized, these methods require the availability of the raw data which is not always accessible. In addition, by application of edge preservation smoothing operations (bilateral filtering), small edges would inevitably be filtered out and lead to loss of structure and spatial resolution in the reconstructed CT image.
@cite_73 @cite_74
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The patient dose in computed tomography (CT) imaging is linked to measurement noise. Various noise-reduction techniques have been developed that adapt structure preserving filters like anisotropic diffusion or bilateral filters to CT noise properties. We introduce a structure adaptive sinogram (SAS) filter that incorporates the specific properties of the CT measurement process. It uses a point-based forward projector to generate a local structure representation called ray contribution mask (RCM). The similarities between neighboring RCMs are used in an enhanced variant of the bilateral filtering concept, where the photometric similarity is replaced with the structural similarity. We evaluate the performance in four different scenarios: The robustness against reconstruction artifacts is demonstrated by a scan of a high-resolution-phantom. Without changing the modulation transfer function (MTF) nor introducing artifacts, the SAS filter reduces the noise level by 13.6 . The image sharpness and noise reduction capabilities are visually assessed on in vivo patient scans and quantitatively evaluated on a simulated phantom. Unlike a standard bilateral filter, the SAS filter preserves edge information and high-frequency components of organ textures well. It shows a homogeneous noise reduction behavior throughout the whole frequency range. The last scenario uses a simulated edge phantom to estimate the filter MTF for various contrasts: the noise reduction for the simple edge phantom exceeds 80 . For low contrasts at 55 Hounsfield units (HU), the mid-frequency range is slightly attenuated, at higher contrasts of approximately 100 HU and above, the MTF is fully preserved. Purpose: To investigate a novel locally adaptive projection space denoising algorithm for low-dose CT data. Methods: The denoising algorithm is based on bilateral filtering, which smooths values using a weighted average in a local neighborhood, with weights determined according to both spatial proximity and intensity similarity between the center pixel and the neighboring pixels. This filtering is locally adaptive and can preserve important edge information in the sinogram, thus maintaining high spatial resolution. A CTnoise model that takes into account the bowtie filter and patient-specific automatic exposure control effects is also incorporated into the denoising process. The authors evaluated the noise-resolution properties of bilateral filtering incorporating such a CTnoise model in phantom studies and preliminary patient studies with contrast-enhanced abdominal CT exams. Results: On a thin wire phantom, the noise-resolution properties were significantly improved with the denoising algorithm compared to commercial reconstruction kernels. The noise-resolution properties on low-dose (40 mA s) data after denoising approximated those of conventional reconstructions at twice the dose level. A separate contrast plate phantom showed improved depiction of low-contrast plates with the denoising algorithm over conventional reconstructions when noise levels were matched. Similar improvement in noise-resolution properties was found on CT colonography data and on five abdominal low-energy (80 kV) CT exams. In each abdominal case, a board-certified subspecialized radiologist rated the denoised 80 kV images markedly superior in image quality compared to the commercially available reconstructions, and denoising improved the image quality to the point where the 80 kV images alone were considered to be of diagnostic quality. Conclusions: The results demonstrate that bilateral filtering incorporating a CTnoise model can achieve a significantly better noise-resolution trade-off than a series of commercial reconstruction kernels. This improvement in noise-resolution properties can be used for improving image quality in CT and can be translated into substantial dose reduction. Computed tomography (CT) image recovery from low-mAs acquisitions without adequate treatment is always severely degraded due to a number of physical factors. In this paper, we formulate the low-dose CT sinogram preprocessing as a standard maximum a posteriori (MAP) estimation, which takes full consideration of the statistical properties of the two intrinsic noise sources in low-dose CT, i.e., the X-ray photon statistics and the electronic noise background. In addition, instead of using a general image prior as found in the traditional sinogram recovery models, we design a new prior formulation to more rationally encode the piecewise-linear configurations underlying a sinogram than previously used ones, like the TV prior term. As compared with the previous methods, especially the MAP-based ones, both the likelihood loss and prior regularization terms in the proposed model are ameliorated in a more accurate manner and better comply with the statistical essence of the generation mechanism of a practical sinogram. We further construct an efficient alternating direction method of multipliers algorithm to solve the proposed MAP framework. Experiments on simulated and real low-dose CT data demonstrate the superiority of the proposed method according to both visual inspection and comprehensive quantitative performance evaluation. Given the potential risk of X-ray radiation to the patient, low-dose CT has attracted a considerable interest in the medical imaging field. Currently, the main stream low-dose CT methods include vendor-specific sinogram domain filtration and iterative reconstruction algorithms, but they need to access raw data, whose formats are not transparent to most users. Due to the difficulty of modeling the statistical characteristics in the image domain, the existing methods for directly processing reconstructed images cannot eliminate image noise very well while keeping structural details. Inspired by the idea of deep learning, here we combine the autoencoder, deconvolution network, and shortcut connections into the residual encoder–decoder convolutional neural network (RED-CNN) for low-dose CT imaging. After patch-based training, the proposed RED-CNN achieves a competitive performance relative to the-state-of-art methods in both simulated and clinical cases. Especially, our method has been favorably evaluated in terms of noise suppression, structural preservation, and lesion detection.