Noise & mottle suppression methods for cumulative Cherenkov images of radiation therapy delivery.

PURPOSE: Cherenkov imaging during radiotherapy provides a real time visualization of beam delivery on patient tissue, which can be used dynamically for incident detection or to review a summary of the delivered surface signal for treatment verification. Very few photons form the images, and one limitation is that the noise level per frame can be quite high, and mottle in the cumulative processed images can cause mild overall noise. This work focused on removing or suppressing noise via image postprocessing. APPROACH: Images were analyzed for peak-signal-to-noise and spatial frequencies present, and several established noise/mottle reduction algorithms were chosen based upon these observations. These included total variation minimization (TV-L1), non-local means filter (NLM), block-matching 3D (BM3D), alpha (adaptive) trimmed mean (ATM), and bilateral filtering. Each were applied to images acquired using a BeamSite camera (DoseOptics) imaged signal from 6x photons from a TrueBeam linac delivering dose at 600 MU/min incident on an anthropomorphic phantom and tissue slab phantom in various configurations and beam angles. The standard denoised images were tested for PSNR, noise power spectrum (NPS) and image sharpness. RESULTS: The average peak-signal-to-noise ratio (PSNR) increase was 17.4% for TV-L1. NLM denoising increased the average PSNR by 19.1%, BM3D processing increased it by12.1% and the bilateral filter increased the average PSNR by 19.0%. Lastly, the ATM filter resulted in the lowest average PSNR increase of 10.9%. Of all of these, the NLM and bilateral filters produced improved edge sharpness with, generally, the lowest NPS curve. CONCLUSION: For cumulative image Cherenkov data, NLM and the bilateral filter yielded optimal denoising with the TV-L1 algorithm giving comparable results. Single video frame Cherenkov images exhibit much higher noise levels compared to cumulative images. Noise suppression algorithms for these frame rates will likely be a different processing pipeline involving these filters incorporated with machine learning.

Optimization of Fast Non-Local Means Noise Reduction Algorithm Parameter in Computed Tomographic Phantom Images Using 3D Printing Technology.

Noise in computed tomography (CT) is inevitably generated, which lowers the accuracy of disease diagnosis. The non-local means approach, a software technique for reducing noise, is widely used in medical imaging. In this study, we propose a noise reduction algorithm based on fast non-local means (FNLMs) and apply it to CT images of a phantom created using 3D printing technology. The self-produced phantom was manufactured using filaments with similar density to human brain tissues. To quantitatively evaluate image quality, the contrast-to-noise ratio (CNR), coefficient of variation (COV), and normalized noise power spectrum (NNPS) were calculated. The results demonstrate that the optimized smoothing factors of FNLMs are 0.08, 0.16, 0.22, 0.25, and 0.32 at 0.001, 0.005, 0.01, 0.05, and 0.1 of noise intensities, respectively. In addition, we compared the optimized FNLMs with noisy, local filters and total variation algorithms. As a result, FNLMs showed superior performance compared to various denoising techniques. Particularly, comparing the optimized FNLMs to the noisy images, the CNR improved by 6.53 to 16.34 times, COV improved by 6.55 to 18.28 times, and the NNPS improved by 10-2 mm2 on average. In conclusion, our approach shows significant potential in enhancing CT image quality with anthropomorphic phantoms, thus addressing the noise issue and improving diagnostic accuracy.

Performance Evaluation of Ultrasound Images Using Non-Local Means Algorithm with Adaptive Isotropic Search Window for Improved Detection of Salivary Gland Diseases: A Pilot Study.

Speckle noise in ultrasound images (UIs) significantly reduces the accuracy of disease diagnosis. The aim of this study was to quantitatively evaluate its feasibility in salivary gland ultrasound imaging by modeling the adaptive non-local means (NLM) algorithm. UIs were obtained using an open-source device provided by SonoSkills and FUJIFILM Healthcare Europe. The adaptive NLM algorithm automates optimization by modeling the isotropic search window, eliminating the need for manual configuration in conventional NLM methods. The coefficient of variation (COV), contrast-to-noise ratio (CNR), and edge rise distance (ERD) were used as quantitative evaluation parameters. UIs of the salivary glands revealed evident visualization of the internal echo shape of the malignant tumor and calcification line using the adaptive NLM algorithm. Improved COV and CNR results (approximately 4.62 and 2.15 times, respectively) compared with noisy images were achieved. Additionally, when the adaptive NLM algorithm was applied to the UIs of patients with salivary gland sialolithiasis, the noisy images and ERD values were calculated almost similarly. In conclusion, this study demonstrated the applicability of the adaptive NLM algorithm in optimizing search window parameters for salivary gland UIs.

A novel approach for denoising electrocardiogram signals to detect cardiovascular diseases using an efficient hybrid scheme.

Background: Electrocardiogram (ECG) signals are inevitably contaminated with various kinds of noises during acquisition and transmission. The presence of noises may produce the inappropriate information on cardiac health, thereby preventing specialists from making correct analysis. Methods: In this paper, an efficient strategy is proposed to denoise ECG signals, which employs a time-frequency framework based on S-transform (ST) and combines bi-dimensional empirical mode decomposition (BEMD) and non-local means (NLM). In the method, the ST maps an ECG signal into a subspace in the time frequency domain, then the BEMD decomposes the ST-based time-frequency representation (TFR) into a series of sub-TFRs at different scales, finally the NLM removes noise and restores ECG signal characteristics based on structural self-similarity. Results: The proposed method is validated using numerous ECG signals from the MIT-BIH arrhythmia database, and several different types of noises with varying signal-to-noise (SNR) are taken into account. The experimental results show that the proposed technique is superior to the existing wavelet based approach and NLM filtering, with the higher SNR and structure similarity index measure (SSIM), the lower root mean squared error (RMSE) and percent root mean square difference (PRD). Conclusions: The proposed method not only significantly suppresses the noise presented in ECG signals, but also preserves the characteristics of ECG signals better, thus, it is more suitable for ECG signals processing.

A New Method Used to Enhance the SPAIR Image of the Spine MRI.

BACKGROUND: Magnetic resonance imaging (MRI) is a handy diagnostic tool for orthopedic disorders, particularly spinal and joint diseases. METHODS: The lumbar intervertebral disc is visible in the T1 and T2 weight sequences of the spine MRI, which aids in diagnosing lumbar disc herniation, lumbar spine tuberculosis, lumbar spine tumors, and other conditions. The lumbar intervertebral disc cannot be seen accurately in the Spectral Attenuated Inversion Recovery (SPAIR) due to weaknesses in the fat and frequency offset parameters, which is not conducive to developing the intelligence diagnosis model of medical image. RESULTS: In order to solve this problem, we propose a composite framework, which is first to use the contrast limited adaptive histogram equalization (CLAHE) method to enhance the SPAIR image contrast of the spine MRI and then use the non-local means method to remove the noise of the image to ensure that the image contrast is uniform without losing details. We employ the Information Entropy (IE), Peak signal-to-noise ratio (PSNR), and feature similarity index measure (FSIM) to quantify image quality after enhancement by the composite framework. CONCLUSION: The outcomes of the experiments' output images and quantitative data indicate that our composite framework is better than others.

Multiframe-based non-local means denoising for Raman spectra.

A method for denoising Raman spectra is presented in this paper. The approach is based on the principle that the original signal can be restored by averaging pixels based on structure similarity. Similarity searching and averaging are not limited to the neighbouring pixels but extended throughout the entire signal range across different frames. This approach is distinguished from the conventional single-frame neighbour pixel-based filtering. The effectiveness and robustness of the proposed method are demonstrated through denoising simulated and experimental Raman data sets with fixed denoising parameters. Several denoised results and statistical indicators are presented for the simulated data. Recovery of the experimental Raman spectrum from our newly developed cost-effective waveguide-enhanced Raman spectroscopy system is also presented and compared to the spectrum from a conventional expensive Raman microscope for the same analyte.

Brain tumour classification using MRI images based on lenet with golden teacher learning optimization.

Brain tumour (BT) is a dangerous neurological disorder produced by abnormal cell growth within the skull or brain. Nowadays, the death rate of people with BT is linearly growing. The finding of tumours at an early stage is crucial for giving treatment to patients, which improves the survival rate of patients. Hence, the BT classification (BTC) is done in this research using magnetic resonance imaging (MRI) images. In this research, the input MRI image is pre-processed using a non-local means (NLM) filter that denoises the input image. For attaining the effective classified result, the tumour area from the MRI image is segmented by the SegNet model. Furthermore, the BTC is accomplished by the LeNet model whose weight is optimized by the Golden Teacher Learning Optimization Algorithm (GTLO) such that the classified output produced by the LeNet model is Gliomas, Meningiomas, and Pituitary tumours. The experimental outcome displays that the GTLO-LeNet achieved an Accuracy of 0.896, Negative Predictive value (NPV) of 0.907, Positive Predictive value (PPV) of 0.821, True Negative Rate (TNR) of 0.880, and True Positive Rate (TPR) of 0.888.

Brain fiber structure estimation based on principal component analysis and RINLM filter.

Diffusion magnetic resonance imaging is a technique for non-invasive detection of microstructure in the white matter of the human brain, which is widely used in neuroscience research of the brain. However, diffusion-weighted images(DWI) are sensitive to noise, which affects the subsequent reconstruction of fiber orientation direction, microstructural parameter estimation and fiber tracking. In order to better eliminate the noise in diffusion-weighted images, this study proposes a noise reduction method combining Marchenko-Pastur principal component analysis(MPPCA) and rotation-invariant non-local means filter(RINLM) to further remove residual noise and preserve the image texture detail information. In this study, the algorithm is applied to the fiber structure and the prevailing microstructural models within the human brain voxels based on simulated and real human brain datasets. Experimental comparisons between the proposed method and the state-of-the-art methods are performed in single-fiber, multi-fiber, crossed and curved-fiber regions as well as in different microstructure estimation models. Results demonstrated the superior performance of the proposed method in denoising DWI data, which can reduce the angular error in fiber orientation reconstruction to obtain more valid fiber structure estimation and enable more complete fiber tracking trajectories with higher coverage. Meanwhile, the method reduces the estimation errors of various white matter microstructural parameters and verifies the performance of the method in white matter microstructure estimation.

Multiplane HiLo microscopy with speckle illumination and non-local means denoising.

Significance: HiLo microscopy synthesizes an optically sectioned image from two images, one obtained with uniform and another with patterned illumination, such as laser speckle. Speckle-based HiLo has the advantage of being robust to aberrations but is susceptible to residual speckle noise that is difficult to control. We present a computational method to reduce this residual noise without undermining resolution. In addition, we improve the versatility of HiLo microscopy by enabling simultaneous multiplane imaging (here nine planes). Aim: Our goal is to perform fast, high-contrast, multiplane imaging with a conventional camera-based fluorescence microscope. Approach: Multiplane HiLo imaging is achieved with the use of a single camera and z-splitter prism. Speckle noise reduction is based on the application of a non-local means (NLM) denoising method to perform ensemble averaging of speckle grains. Results: We demonstrate the capabilities of multiplane HiLo with NLM denoising both with synthesized data and by imaging cardiac and brain activity in zebrafish larvae at 40 Hz frame rates. Conclusions: Multiplane HiLo microscopy aided by NLM denoising provides a simple tool for fast optically sectioned volumetric imaging that can be of general utility for fluorescence imaging applications.

Optimization Method to Predict Optimal Noise Reduction Parameters for the Non-Local Means Algorithm Based on the Scintillator Thickness in Radiography.

The resulting image obtained from an X-ray imaging system depends significantly on the characteristics of the detector. In particular, when an X-ray image is acquired by thinning the detector, a relatively large amount of noise inevitably occurs. In addition, when a thick detector is used to reduce noise in X-ray images, blurring increases and the ability to distinguish target areas deteriorates. In this study, we aimed to derive the optimal X-ray image quality by deriving the optimal noise reduction parameters based on the non-local means (NLM) algorithm. The detectors used were of two thicknesses (96 and 140 µm), and images were acquired based on the IEC 62220-1-1:2015 RQA-5 protocol. The optimal parameters were derived by calculating the edge preservation index and signal-to-noise ratio according to the sigma value of the NLM algorithm. As a result, a sigma value of the optimized NLM algorithm (0.01) was derived, and this algorithm was applied to a relatively thin X-ray detector system to obtain appropriate noise level and spatial resolution data. The no-reference-based blind/referenceless image spatial quality evaluator value, which analyzes the overall image quality, was best when using the proposed method. In conclusion, we propose an optimized NLM algorithm based on a new method that can overcome the noise amplification problem in thin X-ray detector systems and is expected to be applied in various photon imaging fields in the future.

Enhancing RABASAR for Multi-Temporal SAR Image Despeckling through Directional Filtering and Wavelet Transform.

The presence of speckle noise severely hampers the interpretability of synthetic aperture radar (SAR) images. While research on despeckling single-temporal SAR images is well-established, there remains a significant gap in the study of despeckling multi-temporal SAR images. Addressing the limitations in the acquisition of the "superimage" and the generation of ratio images within the RABASAR despeckling framework, this paper proposes an enhanced framework. This enhanced framework proposes a direction-based segmentation approach for multi-temporal SAR non-local means filtering (DSMT-NLM) to obtain the "superimage". The DSMT-NLM incorporates the concept of directional segmentation and extends the application of the non-local means (NLM) algorithm to multi-temporal images. Simultaneously, the enhanced framework employs a weighted averaging method based on wavelet transform (WAMWT) to generate superimposed images, thereby enhancing the generation process of ratio images. Experimental results demonstrate that compared to RABASAR, Frost, and NLM, the proposed method exhibits outstanding performance. It not only effectively removes speckle noise from multi-temporal SAR images and reduces the generation of false details, but also successfully achieves the fusion of multi-temporal information, aligning with experimental expectations.

An efficient multi-level pre-processing algorithm for the enhancement of dermoscopy images in melanoma detection.

In this paper, a multi-level algorithm for pre-processing of dermoscopy images is proposed, which helps in improving the quality of the raw images, making it suitable for skin lesion detection. This multi-level pre-processing method has a positive impact on automated skin lesion segmentation using Regularized Extreme Learning Machine. Raw images are subjected to de-noising, illumination correction, contrast enhancement, sharpening, reflection removal, and virtual shaving before the skin lesion segmentation. The Non-Local Means (NLM) filter with lowest Blind Reference less Image Spatial Quality Evaluator (BRISQUE) score exhibits better de-noising of dermoscopy images. To suppress uneven illumination, gamma correction is subjected to the denoised image. The Robust Image Contrast Enhancement (RICE) algorithm is used for contrast enhancement, and produces enhanced images with better structural preservation and negligible loss of information. Unsharp masking for sharpening exhibits low BRISQUE scores for better sharpening of fine details in an image. Output images produced by the phase congruency-based method in virtual shaving show high similarity with ground truth images as the hair is removed completely from the input images. Obtained scores at each stage of pre-processing framework show that the performance is superior compared to all the existing methods, both qualitatively and quantitatively, in terms of uniform contrast, preservation of information content, removal of undesired information, and elimination of artifacts in melanoma images. The output of the proposed system is assessed qualitatively and quantitatively with and without pre-processing of dermoscopy images. From the overall evaluation results, it is found that the segmentation of skin lesion is more efficient using Regularized Extreme Learning Machine if the multi-level pre-processing steps are used in proper sequence.

A Novel Underwater Acoustic Target Identification Method Based on Spectral Characteristic Extraction via Modified Adaptive Chirp Mode Decomposition.

As is well-known, ship-radiated noise (SN) signals, which contain a large number of ship operating characteristics and condition information, are widely used in ship recognition and classification. However, it is still a great challenge to extract weak operating characteristics from SN signals because of heavy noise and non-stationarity. Therefore, a new mono-component extraction method is proposed in this paper for taxonomic purposes. First, the non-local means algorithm (NLmeans) is proposed to denoise SN signals without destroying its time-frequency structure. Second, adaptive chirp mode decomposition (ACMD) is modified and applied on denoised signals to adaptively extract mono-component modes. Finally, sub-signals are selected based on spectral kurtosis (SK) and then analyzed for ship recognition and classification. A simulation experiment and two application cases are used to verify the effectiveness of the proposed method and the results show its outstanding performance.

A region-adaptive non-local denoising algorithm for low-dose computed tomography images.

Low-dose computed tomography (LDCT) can effectively reduce radiation exposure in patients. However, with such dose reductions, large increases in speckled noise and streak artifacts occur, resulting in seriously degraded reconstructed images. The non-local means (NLM) method has shown potential for improving the quality of LDCT images. In the NLM method, similar blocks are obtained using fixed directions over a fixed range. However, the denoising performance of this method is limited. In this paper, a region-adaptive NLM method is proposed for LDCT image denoising. In the proposed method, pixels are classified into different regions according to the edge information of the image. Based on the classification results, the adaptive searching window, block size and filter smoothing parameter could be modified in different regions. Furthermore, the candidate pixels in the searching window could be filtered based on the classification results. In addition, the filter parameter could be adjusted adaptively based on intuitionistic fuzzy divergence (IFD). The experimental results showed that the proposed method performed better in LDCT image denoising than several of the related denoising methods in terms of numerical results and visual quality.

A time-frequency denoising method for single-channel event-related EEG.

Introduction: Electroencephalogram (EEG) acquisition is easily affected by various noises, including those from electrocardiogram (ECG), electrooculogram (EOG), and electromyogram (EMG). Because noise interference can significantly limit the study and analysis of brain signals, there is a significant need for the development of improved methods to remove this interference for more accurate measurement of EEG signals. Methods: Based on the non-linear and non-stationary characteristics of brain signals, a strategy was developed to denoise brain signals using a time-frequency denoising algorithm framework of short-time Fourier transform (STFT), bidimensional empirical mode decomposition (BEMD), and non-local means (NLM). Time-frequency analysis can reveal the signal frequency component and its evolution process, allowing the elimination of noise according to the signal and noise distribution. BEMD can be used to decompose the time-frequency signals into sub-time-frequency signals for noise removal at different scales. NLM relies on structural self-similarity to locally smooth an image to remove noise and restore its main geometric structure, making this method appropriate for time-frequency signal denoising. Results: The experimental results show that the proposed method can effectively suppress the high-frequency components of brain signals, resulting in a smoother brain signal waveform after denoising. The correlation coefficient of the reference signal, a superposition average of multiple trial signals, and the original single trial signal was determined, and then correlation coefficients were calculated between the reference signal and single trial signals processed by time-frequency denoising, ensemble empirical mode decomposition (EEMD)-independent component analysis (ICA), EEMD-canonical correlation analysis (CCA), and wavelet threshold denoising methods. The correlation coefficient was highest for the signal processed by the time-frequency denoising method and the reference signal, indicating that the single trial signal after time-frequency denoising was most similar to the waveform of the reference signal and suggesting this is a feasible strategy to effectively reduce noise and more accurately determine signals. Discussion: The proposed time-frequency denoising method exhibits excellent performance with promising potential for practical application.

Improvement of Ultrasound Image Quality Using Non-Local Means Noise-Reduction Approach for Precise Quality Control and Accurate Diagnosis of Thyroid Nodules.

This study aimed to improve the quality of ultrasound images by modeling an algorithm using a non-local means (NLM) noise-reduction approach to achieve precise quality control and accurate diagnosis of thyroid nodules. An ATS-539 multipurpose phantom was used to scan the dynamic range and gray-scale measurement regions, which are most closely related to the noise level. A convex-type 3.5-MHz frequency probe is used for scanning according to ATS regulations. In addition, ultrasound images of human thyroid nodules were obtained using a linear probe. An algorithm based on the NLM noise-reduction approach was modeled based on the intensity and relative distance of adjacent pixels in the image, and conventional filtering methods for image quality improvement were designed as a comparison group. When the NLM algorithm was applied to the image, the contrast-to-noise ratio and coefficient of variation values improved by 28.62% and 19.54 times, respectively, compared with those of the noisy images. In addition, the image improvement efficiency of the NLM algorithm was superior to that of conventional filtering methods. Finally, the applicability of the NLM algorithm to human thyroid images using a high-frequency linear probe was validated. We demonstrated the efficiency of the proposed algorithm in ultrasound images and the possibility of capturing improved images in the dynamic range and gray-scale region for quality control parameters.

Multi-Scale Attention-Guided Non-Local Network for HDR Image Reconstruction.

High-dynamic-range (HDR) image reconstruction methods are designed to fuse multiple Low-dynamic-range (LDR) images captured with different exposure values into a single HDR image. Recent CNN-based methods mostly perform local attention- or alignment-based fusion of multiple LDR images to create HDR contents. Depending on a single attention mechanism or alignment causes failure in compensating ghosting artifacts, which can arise in the synthesized HDR images due to the motion of objects or camera movement across different LDR image inputs. In this study, we propose a multi-scale attention-guided non-local network called MSANLnet for efficient HDR image reconstruction. To mitigate the ghosting artifacts, the proposed MSANLnet performs implicit alignment of LDR image features with multi-scale spatial attention modules and then reconstructs pixel intensity values using long-range dependencies through non-local means-based fusion. These modules adaptively select useful information that is not damaged by an object's movement or unfavorable lighting conditions for image pixel fusion. Quantitative evaluations against several current state-of-the-art methods show that the proposed approach achieves higher performance than the existing methods. Moreover, comparative visual results show the effectiveness of the proposed method in restoring saturated information from original input images and mitigating ghosting artifacts caused by large movement of objects. Ablation studies show the effectiveness of the proposed method, architectural choices, and modules for efficient HDR reconstruction.

De-Speckling Breast Cancer Ultrasound Images Using a Rotationally Invariant Block Matching Based Non-Local Means (RIBM-NLM) Method.

The ultrasonic technique is an indispensable imaging modality for diagnosis of breast cancer in young women due to its ability in efficiently capturing the tissue properties, and decreasing nega-tive recognition rate thereby avoiding non-essential biopsies. Despite the advantages, ultrasound images are affected by speckle noise, generating fine-false structures that decrease the contrast of the images and diminish the actual boundaries of tissues on ultrasound image. Moreover, speckle noise negatively impacts the subsequent stages in image processing pipeline, such as edge detec-tion, segmentation, feature extraction, and classification. Previous studies have formulated vari-ous speckle reduction methods in ultrasound images; however, these methods suffer from being unable to retain finer edge details and require more processing time. In this study, we propose a breast ultrasound de-speckling method based on rotational invariant block matching non-local means (RIBM-NLM) filtering. The effectiveness of our method has been demonstrated by com-paring our results with three established de-speckling techniques, the switching bilateral filter (SBF), the non-local means filter (NLMF), and the optimized non-local means filter (ONLMF) on 250 images from public dataset and 6 images from private dataset. Evaluation metrics, including Self-Similarity Index Measure (SSIM), Peak Signal to Noise Ratio (PSNR), and Mean Square Error (MSE) were utilized to measure performance. With the proposed method, we were able to record average SSIM of 0.8915, PSNR of 65.97, MSE of 0.014, RMSE of 0.119, and computational speed of 82 seconds at noise variance of 20dB using the public dataset, all with p-value of less than 0.001 compared against NLMF, ONLMF, and SBF. Similarly, the proposed method achieved av-erage SSIM of 0.83, PSNR of 66.26, MSE of 0.015, RMSE of 0.124, and computational speed of 83 seconds at noise variance of 20dB using the private dataset, all with p-value of less than 0.001 compared against NLMF, ONLMF, and SBF.

Automatic Muscle Artifacts Identification and Removal from Single-Channel EEG Using Wavelet Transform with Meta-Heuristically Optimized Non-Local Means Filter.

Electroencephalogram (EEG) signals may get easily contaminated by muscle artifacts, which may lead to wrong interpretation in the brain-computer interface (BCI) system as well as in various medical diagnoses. The main objective of this paper is to remove muscle artifacts without distorting the information contained in the EEG. A novel multi-stage EEG denoising method is proposed for the first time in which wavelet packet decomposition (WPD) is combined with a modified non-local means (NLM) algorithm. At first, the artifact EEG signal is identified through a pre-trained classifier. Next, the identified EEG signal is decomposed into wavelet coefficients and corrected through a modified NLM filter. Finally, the artifact-free EEG is reconstructed from corrected wavelet coefficients through inverse WPD. To optimize the filter parameters, two meta-heuristic algorithms are used in this paper for the first time. The proposed system is first validated on simulated EEG data and then tested on real EEG data. The proposed approach achieved average mutual information (MI) as 2.9684 ± 0.7045 on real EEG data. The result reveals that the proposed system outperforms recently developed denoising techniques with higher average MI, which indicates that the proposed approach is better in terms of quality of reconstruction and is fully automatic.

Patch tensor decomposition and non-local means filter-based hybrid ASL image denoising.

BACKGROUND: Arterial spin labeling magnetic resonance imaging (ASL MRI) is a noninvasive technique to measure cerebral blood flow (CBF). It is widely used in the study of neurodegenerative diseases. Image denoising is an important step in ASL image processing because the signal-to-noise ratio (SNR) of an ASL CBF perfusion image is very small. NEW METHOD: We propose a new ASL image denoising method that exploits patch-based low-rank and sparse tensor decomposition and a non-local means filter. COMPARISON WITH EXISTING METHODS: The proposed method was compared with two existing ASL denoising methods: component-based noise correction method (CompCor) and low-rank and sparse matrix decomposition-based ASL image denoising method (LS-ASLd). RESULTS: Various image quality measures, namely SNR, tSNR and ASL CBF variance, show that the proposed method is more effective than existing ASL denoising methods. The proposed method was used to denoise images from a resting state ASL dataset to compute brain functional connectivity (FC) and images from a task-related ASL dataset to identify brain activation. The results show that the proposed denoising method is more effective to enhance the sensitivity of ASL CBF series when undertaking CBF time series-based FC analysis and task activation detection. CONCLUSIONS: Assessment of the performance of the proposed hybrid ASL CBF image denoising method confirms that it is especially well-suited to FC analysis and sensorimotor task analysis.