Zhan Wu

Dayang Wang, Yongshun Xu, Shuo Han et al.

Low-dose computed tomography (LDCT) offers reduced X-ray radiation exposure but at the cost of compromised image quality, characterized by increased noise and artifacts. Recently, transformer models emerged as a promising avenue to enhance LDCT image quality. However, the success of such models relies on a large amount of paired noisy and clean images, which are often scarce in clinical settings. In the fields of computer vision and natural language processing, masked autoencoders (MAE) have been recognized as an effective label-free self-pretraining method for transformers, due to their exceptional feature representation ability. However, the original pretraining and fine-tuning design fails to work in low-level vision tasks like denoising. In response to this challenge, we redesign the classical encoder-decoder learning model and facilitate a simple yet effective low-level vision MAE, referred to as LoMAE, tailored to address the LDCT denoising problem. Moreover, we introduce an MAE-GradCAM method to shed light on the latent learning mechanisms of the MAE/LoMAE. Additionally, we explore the LoMAE's robustness and generability across a variety of noise levels. Experiments results show that the proposed LoMAE can enhance the transformer's denoising performance and greatly relieve the dependence on the ground truth clean data. It also demonstrates remarkable robustness and generalizability over a spectrum of noise levels.

Yuxin Liu, Yiqing Dong, Wenxue Yu et al.

Medical image denoising (MID) lacks absolutely clean images for supervision, leading to a noisy reference problem that fundamentally limits denoising performance. Existing simulated-supervised discriminative learning (SimSDL) and simulated-supervised generative learning (SimSGL) treat noisy references as clean targets, causing suboptimal convergence or reference-biased learning, while self-supervised learning (SSL) imposes restrictive noise assumptions that are seldom satisfied in realistic MID scenarios. We propose \textbf{RelativeFlow}, a flow matching framework that learns from heterogeneous noisy references and drives inputs from arbitrary quality levels toward a unified high-quality target. RelativeFlow reformulates flow matching by decomposing the absolute noise-to-clean mapping into relative noisier-to-noisy mappings, and realizes this formulation through two key components: 1) consistent transport (CoT), a displacement map that constrains relative flows to be components of and progressively compose a unified absolute flow, and 2) simulation-based velocity field (SVF), which constructs a learnable velocity field using modality-specific degradation operators to support different medical imaging modalities. Extensive experiments on Computed Tomography (CT) and Magnetic Resonance (MR) denoising demonstrate that RelativeFlow significantly outperforms existing methods, taming MID with noisy references.

Dayang Wang, Fenglei Fan, Zhan Wu et al.

Low-dose computed tomography (LDCT) denoising is an important problem in CT research. Compared to the normal dose CT (NDCT), LDCT images are subjected to severe noise and artifacts. Recently in many studies, vision transformers have shown superior feature representation ability over convolutional neural networks (CNNs). However, unlike CNNs, the potential of vision transformers in LDCT denoising was little explored so far. To fill this gap, we propose a Convolution-free Token2Token Dilated Vision Transformer for low-dose CT denoising. The CTformer uses a more powerful token rearrangement to encompass local contextual information and thus avoids convolution. It also dilates and shifts feature maps to capture longer-range interaction. We interpret the CTformer by statically inspecting patterns of its internal attention maps and dynamically tracing the hierarchical attention flow with an explanatory graph. Furthermore, an overlapped inference mechanism is introduced to effectively eliminate the boundary artifacts that are common for encoder-decoder-based denoising models. Experimental results on Mayo LDCT dataset suggest that the CTformer outperforms the state-of-the-art denoising methods with a low computation overhead.