IVCVMay 18, 2025

CTLformer: A Hybrid Denoising Model Combining Convolutional Layers and Self-Attention for Enhanced CT Image Reconstruction

arXiv:2505.12203v112 citationsh-index: 2Appl Comput Eng
Originality Incremental advance
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This addresses image quality and diagnostic accuracy in medical CT imaging, representing an incremental advance in denoising methods.

The paper tackles noise in low-dose CT images by introducing CTLformer, a hybrid model combining convolutional layers and self-attention, which significantly outperforms existing methods on the AAPM Mayo Clinic dataset, improving denoising performance and efficiency.

Low-dose CT (LDCT) images are often accompanied by significant noise, which negatively impacts image quality and subsequent diagnostic accuracy. To address the challenges of multi-scale feature fusion and diverse noise distribution patterns in LDCT denoising, this paper introduces an innovative model, CTLformer, which combines convolutional structures with transformer architecture. Two key innovations are proposed: a multi-scale attention mechanism and a dynamic attention control mechanism. The multi-scale attention mechanism, implemented through the Token2Token mechanism and self-attention interaction modules, effectively captures both fine details and global structures at different scales, enhancing relevant features and suppressing noise. The dynamic attention control mechanism adapts the attention distribution based on the noise characteristics of the input image, focusing on high-noise regions while preserving details in low-noise areas, thereby enhancing robustness and improving denoising performance. Furthermore, CTLformer integrates convolutional layers for efficient feature extraction and uses overlapping inference to mitigate boundary artifacts, further strengthening its denoising capability. Experimental results on the 2016 National Institutes of Health AAPM Mayo Clinic LDCT Challenge dataset demonstrate that CTLformer significantly outperforms existing methods in both denoising performance and model efficiency, greatly improving the quality of LDCT images. The proposed CTLformer not only provides an efficient solution for LDCT denoising but also shows broad potential in medical image analysis, especially for clinical applications dealing with complex noise patterns.

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