A Cross-Domain Metal Trace Restoring Network for Reducing X-Ray CT Metal Artifacts.

Metal artifacts commonly appear in computed tomography (CT) images of the patient body with metal implants and can affect disease diagnosis. Known deep learning and traditional metal trace restoring methods did not effectively restore details and sinogram consistency information in X-ray CT sinograms, hence often causing considerable secondary artifacts in CT images. In this paper, we propose a new cross-domain metal trace restoring network which promotes sinogram consistency while reducing metal artifacts and recovering tissue details in CT images. Our new approach includes a cross-domain procedure that ensures information exchange between the image domain and the sinogram domain in order to help them promote and complement each other. Under this cross-domain structure, we develop a hierarchical analytic network (HAN) to recover fine details of metal trace, and utilize the perceptual loss to guide HAN to concentrate on the absorption of sinogram consistency information of metal trace. To allow our entire cross-domain network to be trained end-to-end efficiently and reduce the graphic memory usage and time cost, we propose effective and differentiable forward projection (FP) and filtered back-projection (FBP) layers based on FP and FBP algorithms. We use both simulated and clinical datasets in three different clinical scenarios to evaluate our proposed network's practicality and universality. Both quantitative and qualitative evaluation results show that our new network outperforms state-of-the-art metal artifact reduction methods. In addition, the elapsed time analysis shows that our proposed method meets the clinical time requirement.