Abstract

Computed tomography (CT) is one of the most common and beneficial medical imaging schemes, but the associated high radiation dose injurious to the patient is always a concern. Therefore, postprocessing-based enhancement of a CT reconstructed image acquired using a reduced dose is an active research area. Amoeba- (or spatially variant kernel-) based filtering is a strong candidate scheme for postprocessing of the CT image, which adapts its shape according to the image contents. In the reported research work, the amoeba filtering is customized for postprocessing of CT images acquired at a reduced X-ray dose. The proposed scheme modifies both the pilot image formation and amoeba shaping mechanism of the conventional amoeba implementation. The proposed scheme uses a Wiener filter-based pilot image, while region-based segmentation is used for amoeba shaping instead of the conventional amoeba distance-based approach. The merits of the proposed scheme include being more suitable for CT images because of the similar region-based and symmetric nature of the human body anatomy, image smoothing without compromising on the edge details, and being adaptive in nature and more robust to noise. The performance of the proposed amoeba scheme is compared to the traditional amoeba kernel in the image denoising application for CT images using filtered back projection (FBP) on sparse-view projections. The scheme is supported by computer simulations using fan-beam projections of clinically reconstructed and simulated head CT phantoms. The scheme is tested using multiple image quality matrices, in the presence of additive projection noise. The scheme implementation significantly improves the image quality visually and statistically, providing better contrast and image smoothing without compromising on edge details. Promising results indicate the efficacy of the proposed scheme.

Highlights

  • Computed tomography (CT) has served as a fundamental tool for human internal anatomy visualization since its development and subsequent commercialization; with considerable benefits for mankind [1,2,3,4,5,6]

  • This paper presents an efficient and novel postprocessing scheme for CT radiation dose reduction and enhancement of filtered back projection (FBP) reconstructed image from sparse-view noisy CT scans

  • Region-based segmentation (RBS) using multilevel thresholding was used in the amoeba kernel shaping, which is more effective in medical imaging applications as it is similar to the symmetric and region-based nature of the human body anatomy

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Summary

Introduction

Computed tomography (CT) has served as a fundamental tool for human internal anatomy visualization since its development and subsequent commercialization; with considerable benefits for mankind [1,2,3,4,5,6]. CT uses projections from multiple cross-sectional views; patients are subjected to extensive radiation exposure. The reduction of radiation dose degrades the reconstructed image quality in most commonly used CT reconstruction algorithms. Developing techniques for CT reconstruction with reduced radiation dose is an active research area. Various strategies have been adopted to reduce the radiation dose, such as automatic exposure control, adjusting kV with respect to the patient or organ-specific dose, protocol optimization, postprocessing, advanced reconstruction techniques, limited data, and few-view techniques, etc. Many advanced CT scanner designs have been developed to support dose reduction, such as interior CT, low-dose CT, and sparse-view CT [17,18,19]

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