In computed tomography (CT), metal artifacts pose a persistent challenge to achieving high-quality imaging. Despite advancements in metal artifact reduction (MAR) techniques, many existing approaches have not fully leveraged the intrinsic a priori knowledge related to metal artifacts, improved model interpretability, or addressed the complex texture of CT images effectively. To address these limitations, we propose a novel and interpretable framework, the wavelet-inspired oriented adaptive dictionary network (WOADNet). WOADNet builds on sparse coding with orientational information in the wavelet domain. By exploring the discriminative features of artifacts and anatomical tissues, we adopt a high-precision filter parameterization strategy that incorporates multiangle rotations. Furthermore, we integrate a reweighted sparse constraint framework into the convolutional dictionary learning process and employ a cross-space, multiscale attention mechanism to construct an adaptive convolutional dictionary unit for the artifact feature encoder. This innovative design allows for flexible adjustment of weights and convolutional representations, resulting in significant image quality improvements. The experimental results using synthetic and clinical datasets demonstrate that WOADNet outperforms both traditional and state-of-the-art MAR methods in terms of suppressing artifacts.

4D cone-beam computed tomography (CBCT) plays a critical role in adaptive radiation therapy for lung cancer. However, extremely sparse sampling projection data will cause severe streak artifacts in 4D CBCT images. Existing deep learning (DL) methods heavily rely on large labeled training datasets which are difficult to obtain in practical scenarios. Restricted by this dilemma, DL models often struggle with simultaneously retaining dynamic motions, removing streak degradations, and recovering fine details. To address the above challenging problem, we introduce a Deep Prior Image Constrained Motion Compensation framework (DPI-MoCo) that decouples the 4D CBCT reconstruction into two sub-tasks including coarse image restoration and structural detail fine-tuning. In the first stage, the proposed DPI-MoCo combines the prior image guidance, generative adversarial network, and contrastive learning to globally suppress the artifacts while maintaining the respiratory movements. After that, to further enhance the local anatomical structures, the motion estimation and compensation technique is adopted. Notably, our framework is performed without the need for paired datasets, ensuring practicality in clinical cases. In the Monte Carlo simulation dataset, the DPI-MoCo achieves competitive quantitative performance compared to the state-of-the-art (SOTA) methods. Furthermore, we test DPI-MoCo in clinical lung cancer datasets, and experiments validate that DPI-MoCo not only restores small anatomical structures and lesions but also preserves motion information.

This work demonstrates the feasibility of two-orthogonal-projection-based CBCT (2V-CBCT) reconstruction and dose calculation for radiation therapy (RT) using real projection data, which is the first 2V-CBCT feasibility study with real projection data, to the best of our knowledge. RT treatments are often delivered in multiple fractions, for which on-board CBCT is desirable to calculate the delivered dose per fraction for the purpose of RT delivery quality assurance and adaptive RT. However, not all RT treatments/fractions have CBCT acquired, but two orthogonal projections are always available. The question to be addressed in this work is the feasibility of 2V-CBCT for the purpose of RT dose calculation. 2V-CBCT is a severely ill-posed inverse problem for which we propose a coarse-to-fine learning strategy. First, a 3D deep neural network that can extract and exploit the inter-slice and intra-slice information is adopted to predict the initial 3D volumes. Then, a 2D deep neural network is utilized to fine-tune the initial 3D volumes slice-by-slice. During the fine-tuning stage, a perceptual loss based on multi-frequency features is employed to enhance the image reconstruction. Dose calculation results from both photon and proton RT demonstrate that 2V-CBCT provides comparable accuracy with full-view CBCT based on real projection data.

Sparse-view Computed Tomography (CT) has the ability to reduce radiation dose and shorten the scan time, while the severe streak artifacts will compromise anatomical information. How to reconstruct high-quality images from sparsely sampled projections is a challenging ill-posed problem. In this context, we propose the unrolled Deep Residual Error iterAtive Minimization Network (DREAM-Net) based on a novel iterative reconstruction framework to synergize the merits of deep learning and iterative reconstruction. DREAM-Net performs constraints using deep neural networks in the projection domain, residual space, and image domain simultaneously, which is different from the routine practice in deep iterative reconstruction frameworks. First, a projection inpainting module completes the missing views to fully explore the latent relationship between projection data and reconstructed images. Then, the residual awareness module attempts to estimate the accurate residual image after transforming the projection error into the image space. Finally, the image refinement module learns a non-standard regularizer to further fine-tune the intermediate image. There is no need to empirically adjust the weights of different terms in DREAM-Net because the hyper-parameters are embedded implicitly in network modules. Qualitative and quantitative results have demonstrated the promising performance of DREAM-Net in artifact removal and structural fidelity.

4D cone-beam computed tomography (CBCT) is an important imaging modality in image-guided radiation therapy to address the motion-induced artifacts caused by organ movements during the respiratory process. However, due to the extremely sparse projection data for each temporal phase, 4D CBCT reconstructions will suffer from severe streaking artifacts. Therefore, to tackle the streak artifacts and provide high-quality images, we proposed a framework termed Prior-Regularized Iterative Optimization Reconstruction (PRIOR) for 4D CBCT. The PRIOR framework combines the physics-based model and data-driven method simultaneously, with powerful feature extracting capacity, significantly promoting the image quality compared to single model-based or deep learning-based methods. Besides, we designed a specialized deep learning model named PRIOR-Net, which can effectively excavate the static information in the prior image reconstructed from the fully-sampled projections at the encoding stage to improve the reconstruction performance for individual phase-resolved images. Both the simulated and clinical 4D CBCT datasets were performed to evaluate the performance of the PRIOR-Net and the PRIOR framework. Compared with the advanced 4D CBCT reconstruction methods, the proposed methods achieve promising results quantitatively and qualitatively in streak artifact suppression, soft tissue restoration, and tiny detail preservation.

Limited-angle CT is a challenging problem in real applications. Incomplete projection data will lead to severe artifacts and distortions in reconstruction images. To tackle this problem, we propose a novel reconstruction framework termed Deep Iterative Optimization-based Residual-learning (DIOR) for limited-angle CT. Instead of directly deploying the regularization term on image space, the DIOR combines iterative optimization and deep learning based on the residual domain, significantly improving the convergence property and generalization ability. Specifically, the asymmetric convolutional modules are adopted to strengthen the feature extraction capacity in smooth regions for deep priors. Besides, in our DIOR method, the information contained in low-frequency and high-frequency components is also evaluated by perceptual loss to improve the performance in tissue preservation. Both simulated and clinical datasets are performed to validate the performance of DIOR. Compared with existing competitive algorithms, quantitative and qualitative results show that the proposed method brings a promising improvement in artifact removal, detail restoration and edge preservation.

Deep learning has attracted rapidly increasing attention in the field of tomographic image reconstruction, especially for CT, MRI, PET/SPECT, ultrasound and optical imaging. Among various topics, sparse-view CT remains a challenge which targets a decent image reconstruction from very few projections. To address this challenge, in this article we propose a Dual-domain Residual-based Optimization NEtwork (DRONE). DRONE consists of three modules respectively for embedding, refinement, and awareness. In the embedding module, a sparse sinogram is first extended. Then, sparse-view artifacts are effectively suppressed in the image domain. After that, the refinement module recovers image details in the residual data and image domains synergistically. Finally, the results from the embedding and refinement modules in the data and image domains are regularized for optimized image quality in the awareness module, which ensures the consistency between measurements and images with the kernel awareness of compressed sensing. The DRONE network is trained, validated, and tested on preclinical and clinical datasets, demonstrating its merits in edge preservation, feature recovery, and reconstruction accuracy.

X-ray computed tomography (CT) is of great clinical significance in medical practice because it can provide anatomical information about the human body without invasion, while its radiation risk has continued to attract public concerns. Reducing the radiation dose may induce noise and artifacts to the reconstructed images, which will interfere with the judgments of radiologists. Previous studies have confirmed that deep learning (DL) is promising for improving low-dose CT imaging. However, almost all the DL-based methods suffer from subtle structure degeneration and blurring effect after aggressive denoising, which has become the general challenging issue. This paper develops the Comprehensive Learning Enabled Adversarial Reconstruction (CLEAR) method to tackle the above problems. CLEAR achieves subtle structure enhanced low-dose CT imaging through a progressive improvement strategy. First, the generator established on the comprehensive domain can extract more features than the one built on degraded CT images and directly map raw projections to high-quality CT images, which is significantly different from the routine GAN practice. Second, a multi-level loss is assigned to the generator to push all the network components to be updated towards high-quality reconstruction, preserving the consistency between generated images and gold-standard images. Finally, following the WGAN-GP modality, CLEAR can migrate the real statistical properties to the generated images to alleviate over-smoothing. Qualitative and quantitative analyses have demonstrated the competitive performance of CLEAR in terms of noise suppression, structural fidelity and visual perception improvement.