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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 the pixel gradient statistics and guides the model towards spatially-variant filters that enhance noise removal, prevent over-smoothing and preserve detailed structures for different regions in CT imaging. Extensive experiments demonstrated that our approach achieved superior performance on both synthetic and non-synthetic datasets, and better preserves structures that are highly desired in clinical screening and low-dose protocol optimization.
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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 novel Task-Oriented Denoising Network (TOD-Net) with a task-oriented loss leveraging knowledge from the downstream tasks. Comprehensive empirical analysis shows that the task-oriented loss complements other task agnostic losses by steering the denoiser to enhance the image quality in the task related regions of interest. Such enhancement in turn brings general boosts on the performance of various methods for the downstream task. The presented work may shed light on the future development of context-aware image denoising methods.
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 (differentials) from paired low/high-dose CT scans. SDCNet can effectively remove the noise in real low-dose CT scans and enhance the quality of medical images. We evaluate the proposed architecture on thousands of CT perfusion frames for both reconstructed image denoising and perfusion map quantification including cerebral blood flow (CBF) and cerebral blood volume (CBV). SDCNet achieves high performance in both visual and quantitative results with promising computational efficiency, comparing favorably with state-of-the-art approaches. textit{The code is available at url{https://github.com/cswin/RC-Nets}}.
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.
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, hence, regularize the denoising model accordingly; it often focuses either on the global structure or local details. To better regularize the LDCT denoising model, this paper proposes a novel method, termed DU-GAN, which leverages U-Net based discriminators in the GANs framework to learn both global and local difference between the denoised and normal-dose images in both image and gradient domains. The merit of such a U-Net based discriminator is that it can not only provide the per-pixel feedback to the denoising network through the outputs of the U-Net but also focus on the global structure in a semantic level through the middle layer of the U-Net. In addition to the adversarial training in the image domain, we also apply another U-Net based discriminator in the image gradient domain to alleviate the artifacts caused by photon starvation and enhance the edge of the denoised CT images. Furthermore, the CutMix technique enables the per-pixel outputs of the U-Net based discriminator to provide radiologists with a confidence map to visualize the uncertainty of the denoised results, facilitating the LDCT-based screening and diagnosis. Extensive experiments on the simulated and real-world datasets demonstrate superior performance over recently published methods both qualitatively and quantitatively.
We propose a Noise Entangled GAN (NE-GAN) for simulating low-dose computed tomography (CT) images from a higher dose CT image. First, we present two schemes to generate a clean CT image and a noise image from the high-dose CT image. Then, given these generated images, an NE-GAN is proposed to simulate different levels of low-dose CT images, where the level of generated noise can be continuously controlled by a noise factor. NE-GAN consists of a generator and a set of discriminators, and the number of discriminators is determined by the number of noise levels during training. Compared with the traditional methods based on the projection data that are usually unavailable in real applications, NE-GAN can directly learn from the real and/or simulated CT images and may create low-dose CT images quickly without the need of raw data or other proprietary CT scanner information. The experimental results show that the proposed method has the potential to simulate realistic low-dose CT images.
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