Objective. Despite recent advancements in quantum computing, the limited number of available qubits has hindered progress in CT reconstruction. This study investigates the feasibility of utilizing quantum annealing-based computed tomography (QACT) with current quantum bit levels. Approach. The QACT algorithm aims to precisely solve quadratic unconstrained binary optimization problems. Furthermore, a novel approach is proposed to reconstruct images by approximating real numbers using the variational method. This approach allows for accurate CT image reconstruction using a small number of qubits. The study examines the impact of projection data quantity and noise on various image sizes ranging from 4 × 4 to 24 × 24 pixels. The reconstructed results are compared against conventional reconstruction algorithms, namely maximum likelihood expectation maximization (MLEM) and filtered back projection (FBP). Main result. By employing the variational approach and utilizing two qubits for each pixel of the image, accurate reconstruction was achieved with an adequate number of projections. Under conditions of abundant projections and lower noise levels, the image quality in QACT algorithm outperformed that of MLEM and FBP algorithms. However, in situations with limited projection data and in the presence of noise, the image quality in QACT was inferior to that in MLEM. Significance. This study developed the QACT reconstruction algorithm using the variational approach for real-number reconstruction. Remarkably, only 2 qubits were required for each pixel representation, demonstrating their sufficiency for accurate reconstruction.
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