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High radiation dose in CT scans increases a lifetime risk of cancer and has become a major clinical concern. Recently, iterative reconstruction algorithms with Total Variation (TV) regularization have been developed to reconstruct CT images from highly undersampled data acquired at low mAs levels in order to reduce the imaging dose. Nonetheless, TV regularization may lead to over-smoothed images and lost edge information. To solve this problem, in this work we develop an iterative CT reconstruction algorithm with edge-preserving TV regularization to reconstruct CT images from highly undersampled data obtained at low mAs levels. The CT image is reconstructed by minimizing an energy consisting of an edge-preserving TV norm and a data fidelity term posed by the x-ray projections. The edge-preserving TV term is proposed to preferentially perform smoothing only on non-edge part of the image in order to avoid over-smoothing, which is realized by introducing a penalty weight to the original total variation norm. Our iterative algorithm is implemented on GPU to improve its speed. We test our reconstruction algorithm on a digital NCAT phantom, a physical chest phantom, and a Catphan phantom. Reconstruction results from a conventional FBP algorithm and a TV regularization method without edge preserving penalty are also presented for comparison purpose. The experimental results illustrate that both TV-based algorithm and our edge-preserving TV algorithm outperform the conventional FBP algorithm in suppressing the streaking artifacts and image noise under the low dose context. Our edge-preserving algorithm is superior to the TV-based algorithm in that it can preserve more information of fine structures and therefore maintain acceptable spatial resolution.
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X-ray Computed Tomography (CT) is an important tool in medical imaging to obtain a direct visualization of patient anatomy. However, the x-ray radiation exposure leads to the concern of lifetime cancer risk. Low-dose CT scan can reduce the radiation exposure to patient while the image quality is usually degraded due to the appearance of noise and artifacts. Numerous studies have been conducted to regularize CT image for better image quality. Yet, exploring the underlying manifold where real CT images residing on is still an open problem. In this paper, we propose a fully data-driven manifold learning approach by incorporating the emerging deep-learning technology. An encoder-decoder convolutional neural network has been established to map a CT image to the inherent low-dimensional manifold, as well as to restore the CT image from its corresponding manifold representation. A novel reconstruction algorithm assisted by the leant manifold prior has been developed to achieve high quality low-dose CT reconstruction. In order to demonstrate the effectiveness of the proposed framework, network training, testing, and comprehensive simulation study have been performed using patient abdomen CT images. The trained encoder-decoder CNN is capable of restoring high-quality CT images with average error of ~20 HU. Furthermore, the proposed manifold prior assisted reconstruction scheme achieves high-quality low-dose CT reconstruction, with average reconstruction error of < 30 HU, more than five times and two times lower than that of filtered back projection method and total-variation based iterative reconstruction method, respectively.
Cone beam CT (CBCT) has been widely used for patient setup in image guided radiation therapy (IGRT). Radiation dose from CBCT scans has become a clinical concern. The purposes of this study are 1) to commission a GPU-based Monte Carlo (MC) dose calculation package gCTD for Varian On-Board Imaging (OBI) system and test the calculation accuracy, and 2) to quantitatively evaluate CBCT dose from the OBI system in typical IGRT scan protocols. We first conducted dose measurements in a water phantom. X-ray source model parameters used in gCTD are obtained through a commissioning process. gCTD accuracy is demonstrated by comparing calculations with measurements in water and in CTDI phantoms. 25 brain cancer patients are used to study dose in a standard-dose head protocol, and 25 prostate cancer patients are used to study dose in pelvis protocol and pelvis spotlight protocol. Mean dose to each organ is calculated. Mean dose to 2% voxels that have the highest dose is also computed to quantify the maximum dose. It is found that the mean dose value to an organ varies largely among patients. Moreover, dose distribution is highly non-homogeneous inside an organ. The maximum dose is found to be 1~3 times higher than the mean dose depending on the organ, and is up to 8 times higher for the entire body due to the very high dose region in bony structures. High computational efficiency has also been observed in our studies, such that MC dose calculation time is less than 5 min for a typical case.
In this paper we extend the state-of-the-art filtered backprojection (FBP) method with application of the concept of Total Variation regularization. We compare the performance of the new algorithm with the most common form of regularizing in the FBP image reconstruction via apodizing functions. The methods are validated in terms of cross-correlation coefficient between reconstructed and real image of radioactive tracer distribution using standard Derenzo-type phantom. We demonstrate that the proposed approach results in higher cross-correlation values with respect to the standard FBP method.
By the ALARA (As Low As Reasonably Achievable) principle, ultra-low-dose CT reconstruction is a holy grail to minimize cancer risks and genetic damages, especially for children. With the development of medical CT technologies, the iterative algorithms are widely used to reconstruct decent CT images from a low-dose scan. Recently, artificial intelligence (AI) techniques have shown a great promise in further reducing CT radiation dose to the next level. In this paper, we demonstrate that AI-powered CT reconstruction offers diagnostic image quality at an ultra-low-dose level comparable to that of radiography. Specifically, here we develop a Split Unrolled Grid-like Alternative Reconstruction (SUGAR) network, in which deep learning, physical modeling and image prior are integrated. The reconstruction results from clinical datasets show that excellent images can be reconstructed using SUGAR from 36 projections. This approach has a potential to change future healthcare.
A computer-aided detection (CAD) system for the identification of pulmonary nodules in low-dose multi-detector helical CT images with 1.25 mm slice thickness is being developed in the framework of the INFN-supported MAGIC-5 Italian project. The basic modules of our lung-CAD system, a dot enhancement filter for nodule candidate selection and a voxel-based neural classifier for false-positive finding reduction, are described. Preliminary results obtained on the so-far collected database of lung CT scans are discussed.
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