Dongming He

Qing Wu, Xu Guo, Lixuan Chen et al.

X-ray CT often suffers from shadowing and streaking artifacts in the presence of metallic materials, which severely degrade imaging quality. Physically, the linear attenuation coefficients (LACs) of metals vary significantly with X-ray energy, causing a nonlinear beam hardening effect (BHE) in CT measurements. Reconstructing CT images from metal-corrupted measurements consequently becomes a challenging nonlinear inverse problem. Existing state-of-the-art (SOTA) metal artifact reduction (MAR) algorithms rely on supervised learning with numerous paired CT samples. While promising, these supervised methods often assume that the unknown LACs are energy-independent, ignoring the energy-induced BHE, which results in limited generalization. Moreover, the requirement for large datasets also limits their applications in real-world scenarios. In this work, we propose Density neural representation (Diner), a novel unsupervised MAR method. Our key innovation lies in formulating MAR as an energy-independent density reconstruction problem that strictly adheres to the photon-tissue absorption physical model. This model is inherently nonlinear and complex, making it a rarely considered approach in inverse imaging problems. By introducing the water-equivalent tissues approximation and a new polychromatic model to characterize the nonlinear CT acquisition process, we directly learn the neural representation of the density map from raw measurements without using external training data. This energy-independent density reconstruction framework fundamentally resolves the nonlinear BHE, enabling superior MAR performance across a wide range of scanning scenarios. Extensive experiments on both simulated and real-world datasets demonstrate the superiority of our unsupervised Diner over popular supervised methods in terms of MAR performance and robustness.

Tianqi Yu, Xuanyu Tian, Jiawen Yang et al.

Biplanar X-ray imaging is widely used in health screening, postoperative rehabilitation evaluation of orthopedic diseases, and injury surgery due to its rapid acquisition, low radiation dose, and straightforward setup. However, 3D volume reconstruction from only two orthogonal projections represents a profoundly ill-posed inverse problem, owing to the intrinsic lack of depth information and irreducible ambiguities in soft-tissue visualization. Some existing methods can reconstruct skeletal structures and Computed Tomography (CT) volumes, they often yield incomplete bone geometry, imprecise tissue boundaries, and a lack of anatomical realism, thereby limiting their clinical utility in scenarios such as surgical planning and postoperative assessment. In this study, we introduce SPIDER, a novel supervised framework designed to reconstruct CT volumes from biplanar X-ray images. SPIDER incorporates tissue structure as prior (e.g., anatomical segmentation) into an implicit neural representation decoder in the form of joint supervision through a unified encoder-decoder architecture. This design enables the model to jointly learn image intensities and anatomical structures in a pixel-aligned fashion. To address the challenges posed by sparse input and structural ambiguity, SPIDER directly embeds anatomical constraints into the reconstruction process, thereby enhancing structural continuity and reducing soft-tissue artifacts. We conduct comprehensive experiments on clinical head CT datasets and show that SPIDER generates anatomically accurate reconstructions from only two projections. Furthermore, our approach demonstrates strong potential in downstream segmentation tasks, underscoring its utility in personalized treatment planning and image-guided surgical navigation.