Noise Reduction in CT Using Learned Wavelet-Frame Shrinkage Networks.

Encoding-decoding (ED) CNNs have demonstrated state-of-the-art performance for noise reduction over the past years. This has triggered the pursuit of better understanding the inner workings of such architectures, which has led to the theory of deep convolutional framelets (TDCF), revealing important links between signal processing and CNNs. Specifically, the TDCF demonstrates that ReLU CNNs induce low-rankness, since these models often do not satisfy the necessary redundancy to achieve perfect reconstruction (PR). In contrast, this paper explores CNNs that do meet the PR conditions. We demonstrate that in these type of CNNs soft shrinkage and PR can be assumed. Furthermore, based on our explorations we propose the learned wavelet-frame shrinkage network, or LWFSN and its residual counterpart, the rLWFSN. The ED path of the (r)LWFSN complies with the PR conditions, while the shrinkage stage is based on the linear expansion of thresholds proposed Blu and Luisier. In addition, the LWFSN has only a fraction of the training parameters (<1%) of conventional CNNs, very small inference times, low memory footprint, while still achieving performance close to state-of-the-art alternatives, such as the tight frame (TF) U-Net and FBPConvNet, in low-dose CT denoising.

Conditional Generative Adversarial Networks for low-dose CT image denoising aiming at preservation of critical image content.

X-ray Computed Tomography (CT) is an imaging modality where patients are exposed to potentially harmful ionizing radiation. To limit patient risk, reduced-dose protocols are desirable, which inherently lead to an increased noise level in the reconstructed CT scans. Consequently, noise reduction algorithms are indispensable in the reconstruction processing chain. In this paper, we propose to leverage a conditional Generative Adversarial Networks (cGAN) model, to translate CT images from low-to-routine dose. However, when aiming to produce realistic images, such generative models may alter critical image content. Therefore, we propose to employ a frequency-based separation of the input prior to applying the cGAN model, in order to limit the cGAN to high-frequency bands, while leaving low-frequency bands untouched. The results of the proposed method are compared to a state-of-the-art model within the cGAN model as well as in a single-network setting. The proposed method generates visually superior results compared to the single-network model and the cGAN model in terms of quality of texture and preservation of fine structural details. It also appeared that the PSNR, SSIM and TV metrics are less important than a careful visual evaluation of the results. The obtained results demonstrate the relevance of defining and separating the input image into desired and undesired content, rather than blindly denoising entire images. This study shows promising results for further investigation of generative models towards finding a reliable deep learning-based noise reduction algorithm for low-dose CT acquisition.

Detection of electrophysiology catheters in noisy fluoroscopy images.

Cardiac catheter ablation is a minimally invasive medical procedure to treat patients with heart rhythm disorders. It is useful to know the positions of the catheters and electrodes during the intervention, e.g. for the automatization of cardiac mapping. Our goal is therefore to develop a robust image analysis method that can detect the catheters in X-ray fluoroscopy images. Our method uses steerable tensor voting in combination with a catheter-specific multi-step extraction algorithm. The evaluation on clinical fluoroscopy images shows that especially the extraction of the catheter tip is successful and that the use of tensor voting accounts for a large increase in performance.