Mats Persson

Alma Eguizabal, Ozan Öktem, Mats U. Persson

Photon-counting CT (PCCT) offers improved diagnostic performance through better spatial and energy resolution, but developing high-quality image reconstruction methods that can deal with these large datasets is challenging. Model-based solutions incorporate models of the physical acquisition in order to reconstruct more accurate images, but are dependent on an accurate forward operator and present difficulties with finding good regularization. Another approach is deep-learning reconstruction, which has shown great promise in CT. However, fully data-driven solutions typically need large amounts of training data and lack interpretability. To combine the benefits of both methods, while minimizing their respective drawbacks, it is desirable to develop reconstruction algorithms that combine both model-based and data-driven approaches. In this work, we present a novel deep-learning solution for material decomposition in PCCT, based on an unrolled/unfolded iterative network. We evaluate two cases: a learned post-processing, which implicitly utilizes model knowledge, and a learned gradient-descent, which has explicit model-based components in the architecture. With our proposed techniques, we solve a challenging PCCT simulation case: three-material decomposition in abdomen imaging with low dose, iodine contrast, and a very small training sample support. In this scenario, our approach outperforms a maximum likelihood estimation, a variational method, as well as a fully-learned network.

Dennis Hein, Staffan Holmin, Timothy Szczykutowicz et al.

Diffusion and Poisson flow models have shown impressive performance in a wide range of generative tasks, including low-dose CT image denoising. However, one limitation in general, and for clinical applications in particular, is slow sampling. Due to their iterative nature, the number of function evaluations (NFE) required is usually on the order of $10-10^3$, both for conditional and unconditional generation. In this paper, we present posterior sampling Poisson flow generative models (PPFM), a novel image denoising technique for low-dose and photon-counting CT that produces excellent image quality whilst keeping NFE=1. Updating the training and sampling processes of Poisson flow generative models (PFGM)++, we learn a conditional generator which defines a trajectory between the prior noise distribution and the posterior distribution of interest. We additionally hijack and regularize the sampling process to achieve NFE=1. Our results shed light on the benefits of the PFGM++ framework compared to diffusion models. In addition, PPFM is shown to perform favorably compared to current state-of-the-art diffusion-style models with NFE=1, consistency models, as well as popular deep learning and non-deep learning-based image denoising techniques, on clinical low-dose CT images and clinical images from a prototype photon-counting CT system.