Abstract

With the increasing concern regarding the radiation exposure of patients undergoing computed tomography (CT) scans, researchers have been using deep learning techniques to improve the quality of denoised low-dose CT (LDCT) images. In this paper, a cascaded dilated residual network (ResNet) with integrated attention modules, specifically spatial- and channel- attention modules, is proposed. This experiment demonstrated how these attention modules improved the denoised CT image by testing a simple ResNet with and without the modules. Further, an investigation regarding the effectiveness of per-pixel loss, perceptual loss via VGG16-Net, and structural dissimilarity loss functions is also covered through an ablation experiment. By knowing how these loss functions affect the output denoised images, a combination of the these loss function is then proposed which aims to prevent edge over-smoothing, enhance textural details and finally, preserve structural details on the denoised images. Finally, a bench testing was also done by comparing the visual and quantitative results of the proposed model with the state-of-the-art models such as block matching 3D (BM3D), patch-GAN and dilated convolution with edge detection layer (DRL-E-MP) for accuracy.

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