The reconstruction of computed tomography (CT) images is an active area of research. Following the rise of deep learning methods, many data-driven models have been proposed in recent years. In this work, we present the results of a data challenge that we organized, bringing together algorithm experts from different institutes to jointly work on quantitative evaluation of several data-driven methods on two large, public datasets during a ten day sprint. We focus on two applications of CT, namely, low-dose CT and sparse-angle CT. This enables us to fairly compare different methods using standardized settings. As a general result, we observe that the deep learning-based methods are able to improve the reconstruction quality metrics in both CT applications while the top performing methods show only minor differences in terms of peak signal-to-noise ratio (PSNR) and structural similarity (SSIM). We further discuss a number of other important criteria that should be taken into account when selecting a method, such as the availability of training data, the knowledge of the physical measurement model and the reconstruction speed.

Over recent years, deep learning methods have become an increasingly popular choice for solving tasks from the field of inverse problems. Many of these new data-driven methods have produced impressive results, although most only give point estimates for the reconstruction. However, especially in the analysis of ill-posed inverse problems, the study of uncertainties is essential. In our work, we apply generative flow-based models based on invertible neural networks to two challenging medical imaging tasks, i.e., low-dose computed tomography and accelerated medical resonance imaging. We test different architectures of invertible neural networks and provide extensive ablation studies. In most applications, a standard Gaussian is used as the base distribution for a flow-based model. Our results show that the choice of a radial distribution can improve the quality of reconstructions.

Learning neural networks using only few available information is an important ongoing research topic with tremendous potential for applications. In this paper, we introduce a powerful regularizer for the variational modeling of inverse problems in imaging. Our regularizer, called patch normalizing flow regularizer (patchNR), involves a normalizing flow learned on small patches of very few images. In particular, the training is independent of the considered inverse problem such that the same regularizer can be applied for different forward operators acting on the same class of images. By investigating the distribution of patches versus those of the whole image class, we prove that our model is indeed a maximum a posteriori approach. Numerical examples for low-dose and limited-angle computed tomography (CT) as well as superresolution of material images demonstrate that our method provides very high quality results. The training set consists of just six images for CT and one image for superresolution. Finally, we combine our patchNR with ideas from internal learning for performing superresolution of natural images directly from the low-resolution observation without knowledge of any high-resolution image.

Score-based generative models have demonstrated highly promising results for medical image reconstruction tasks in magnetic resonance imaging or computed tomography. However, their application to Positron Emission Tomography (PET) is still largely unexplored. PET image reconstruction involves a variety of challenges, including Poisson noise with high variance and a wide dynamic range. To address these challenges, we propose several PET-specific adaptations of score-based generative models. The proposed framework is developed for both 2D and 3D PET. In addition, we provide an extension to guided reconstruction using magnetic resonance images. We validate the approach through extensive 2D and 3D in-silico experiments with a model trained on patient-realistic data without lesions, and evaluate on data without lesions as well as out-of-distribution data with lesions. This demonstrates the proposed method’s robustness and significant potential for improved PET reconstruction.

Denoising diffusion models have emerged as the go-to generative framework for solving inverse problems in imaging. A critical concern regarding these models is their performance on out-of-distribution tasks, which remains an under-explored challenge. Using a diffusion model on an out-of-distribution dataset, realistic reconstructions can be generated, but with hallucinating image features that are uniquely present in the training dataset. To address this discrepancy and improve reconstruction accuracy, we introduce a novel test-time adaptation sampling framework called Steerable Conditional Diffusion. Specifically, this framework adapts the diffusion model, concurrently with image reconstruction, based solely on the information provided by the available measurement. Utilising the proposed method, we achieve substantial enhancements in out-of-distribution performance across diverse imaging modalities, advancing the robust deployment of denoising diffusion models in real-world applications.

Learned inverse problem solvers exhibit remarkable performance in applications like image reconstruction tasks. These data-driven reconstruction methods often follow a two-step procedure. First, one trains the often neural network-based reconstruction scheme via a dataset. Second, one applies the scheme to new measurements to obtain reconstructions. We follow these steps but parameterize the reconstruction scheme with invertible residual networks (iResNets). We demonstrate that the invertibility enables investigating the influence of the training and architecture choices on the resulting reconstruction scheme. For example, assuming local approximation properties of the network, we show that these schemes become convergent regularizations. In addition, the investigations reveal a formal link to the linear regularization theory of linear inverse problems and provide a nonlinear spectral regularization for particular architecture classes. On the numerical side, we investigate the local approximation property of selected trained architectures and present a series of experiments on the MNIST dataset that underpin and extend our theoretical findings.