Changsheng Fang

Changsheng Fang, Yongtong Liu, Bahareh Morovati et al.

In computed tomography (CT), reducing the number of projection views is an effective strategy to lower radiation exposure and/or improve temporal resolution. However, this often results in severe aliasing artifacts and loss of structural details in reconstructed images, posing significant challenges for clinical applications. Inspired by the success of the Poisson Flow Generative Model (PFGM++) in natural image generation, we propose a PoCGM (Poisson-Conditioned Generative Model) to address the challenges of sparse-view CT reconstruction. Since PFGM++ was originally designed for unconditional generation, it lacks direct applicability to medical imaging tasks that require integrating conditional inputs. To overcome this limitation, the PoCGM reformulates PFGM++ into a conditional generative framework by incorporating sparse-view data as guidance during both training and sampling phases. By modeling the posterior distribution of full-view reconstructions conditioned on sparse observations, PoCGM effectively suppresses artifacts while preserving fine structural details. Qualitative and quantitative evaluations demonstrate that PoCGM outperforms the baselines, achieving improved artifact suppression, enhanced detail preservation, and reliable performance in dose-sensitive and time-critical imaging scenarios.

Haodong Li, Shuo Han, Haiyang Mao et al.

Sparse-View CT (SVCT) reconstruction enhances temporal resolution and reduces radiation dose, yet its clinical use is hindered by artifacts due to view reduction and domain shifts from scanner, protocol, or anatomical variations, leading to performance degradation in out-of-distribution (OOD) scenarios. In this work, we propose a Cross-Distribution Diffusion Priors-Driven Iterative Reconstruction (CDPIR) framework to tackle the OOD problem in SVCT. CDPIR integrates cross-distribution diffusion priors, derived from a Scalable Interpolant Transformer (SiT), with model-based iterative reconstruction methods. Specifically, we train a SiT backbone, an extension of the Diffusion Transformer (DiT) architecture, to establish a unified stochastic interpolant framework, leveraging Classifier-Free Guidance (CFG) across multiple datasets. By randomly dropping the conditioning with a null embedding during training, the model learns both domain-specific and domain-invariant priors, enhancing generalizability. During sampling, the globally sensitive transformer-based diffusion model exploits the cross-distribution prior within the unified stochastic interpolant framework, enabling flexible and stable control over multi-distribution-to-noise interpolation paths and decoupled sampling strategies, thereby improving adaptation to OOD reconstruction. By alternating between data fidelity and sampling updates, our model achieves state-of-the-art performance with superior detail preservation in SVCT reconstructions. Extensive experiments demonstrate that CDPIR significantly outperforms existing approaches, particularly under OOD conditions, highlighting its robustness and potential clinical value in challenging imaging scenarios.

Yu Shi, Shuyi Fan, Changsheng Fang et al.

Limited-angle computed tomography (LACT) offers improved temporal resolution and reduced radiation dose for cardiac imaging, but suffers from severe artifacts due to truncated projections. To address the ill-posedness of LACT reconstruction, we propose a two-stage diffusion framework guided by structured clinical metadata. In the first stage, a transformer-based diffusion model conditioned exclusively on metadata, including acquisition parameters, patient demographics, and diagnostic impressions, generates coarse anatomical priors from noise. The second stage further refines the images by integrating both the coarse prior and metadata to produce high-fidelity results. Physics-based data consistency is enforced at each sampling step in both stages using an Alternating Direction Method of Multipliers module, ensuring alignment with the measured projections. Extensive experiments on both synthetic and real cardiac CT datasets demonstrate that incorporating metadata significantly improves reconstruction fidelity, particularly under severe angular truncation. Compared to existing metadata-free baselines, our method achieves superior performance in SSIM, PSNR, nMI, and PCC. Ablation studies confirm that different types of metadata contribute complementary benefits, particularly diagnostic and demographic priors under limited-angle conditions. These findings highlight the dual role of clinical metadata in improving both reconstruction quality and efficiency, supporting their integration into future metadata-guided medical imaging frameworks.

Juntong Fan, Shuyi Fan, Debesh Jha et al.

Accurate endoscopic image segmentation on the polyps is critical for early colorectal cancer detection. However, this task remains challenging due to low contrast with surrounding mucosa, specular highlights, and indistinct boundaries. To address these challenges, we propose FOCUS-Med, which stands for Fusion of spatial and structural graph with attentional context-aware polyp segmentation in endoscopic medical imaging. FOCUS-Med integrates a Dual Graph Convolutional Network (Dual-GCN) module to capture contextual spatial and topological structural dependencies. This graph-based representation enables the model to better distinguish polyps from background tissues by leveraging topological cues and spatial connectivity, which are often obscured in raw image intensities. It enhances the model's ability to preserve boundaries and delineate complex shapes typical of polyps. In addition, a location-fused stand-alone self-attention is employed to strengthen global context integration. To bridge the semantic gap between encoder-decoder layers, we incorporate a trainable weighted fast normalized fusion strategy for efficient multi-scale aggregation. Notably, we are the first to introduce the use of a Large Language Model (LLM) to provide detailed qualitative evaluations of segmentation quality. Extensive experiments on public benchmarks demonstrate that FOCUS-Med achieves state-of-the-art performance across five key metrics, underscoring its effectiveness and clinical potential for AI-assisted colonoscopy.

Li Zhou, Changsheng Fang, Bahareh Morovati et al.

This paper introduces $ρ$-NeRF, a self-supervised approach that sets a new standard in novel view synthesis (NVS) and computed tomography (CT) reconstruction by modeling a continuous volumetric radiance field enriched with physics-based attenuation priors. The $ρ$-NeRF represents a three-dimensional (3D) volume through a fully-connected neural network that takes a single continuous four-dimensional (4D) coordinate, spatial location $(x, y, z)$ and an initialized attenuation value ($ρ$), and outputs the attenuation coefficient at that position. By querying these 4D coordinates along X-ray paths, the classic forward projection technique is applied to integrate attenuation data across the 3D space. By matching and refining pre-initialized attenuation values derived from traditional reconstruction algorithms like Feldkamp-Davis-Kress algorithm (FDK) or conjugate gradient least squares (CGLS), the enriched schema delivers superior fidelity in both projection synthesis and image recognition.