Conventional strategies aimed at mitigating beam-hardening artifacts in computed tomography (CT) can be categorized into two main approaches: (1) postprocessing following conventional reconstruction and (2) iterative reconstruction incorporating a beam-hardening model. While the former fails in low-dose and/or limited-data cases, the latter substantially increases computational cost. Although deep learning-based methods have been proposed for several cases of limited-data CT, few works in the literature have dealt with beam-hardening artifacts, and none have addressed the problems caused by randomly selected projections and a highly limited span. We propose the deep learning-based prior image constrained (PICDL) framework, a hybrid method used to yield CT images free from beam-hardening artifacts in different limited-data scenarios based on the combination of a modified version of the Prior Image Constrained Compressed Sensing (PICCS) algorithm that incorporates the L2 norm (L2-PICCS) with a prior image generated from a preliminary FDK reconstruction with a deep learning (DL) algorithm. The model is based on a modification of the U-Net architecture, incorporating ResNet-34 as a replacement of the original encoder. Evaluation with rodent head studies in a small-animal CT scanner showed that the proposed method was able to correct beam-hardening artifacts, recover patient contours, and compensate streak and deformation artifacts in scenarios with a limited span and a limited number of projections randomly selected. Hallucinations present in the prior image caused by the deep learning model were eliminated, while the target information was effectively recovered by the L2-PICCS algorithm.
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