Noise in computed tomography (CT) is inevitably generated, which lowers the accuracy of disease diagnosis. The non-local means approach, a software technique for reducing noise, is widely used in medical imaging. In this study, we propose a noise reduction algorithm based on fast non-local means (FNLMs) and apply it to CT images of a phantom created using 3D printing technology. The self-produced phantom was manufactured using filaments with similar density to human brain tissues. To quantitatively evaluate image quality, the contrast-to-noise ratio (CNR), coefficient of variation (COV), and normalized noise power spectrum (NNPS) were calculated. The results demonstrate that the optimized smoothing factors of FNLMs are 0.08, 0.16, 0.22, 0.25, and 0.32 at 0.001, 0.005, 0.01, 0.05, and 0.1 of noise intensities, respectively. In addition, we compared the optimized FNLMs with noisy, local filters and total variation algorithms. As a result, FNLMs showed superior performance compared to various denoising techniques. Particularly, comparing the optimized FNLMs to the noisy images, the CNR improved by 6.53 to 16.34 times, COV improved by 6.55 to 18.28 times, and the NNPS improved by 10⁻² mm² on average. In conclusion, our approach shows significant potential in enhancing CT image quality with anthropomorphic phantoms, thus addressing the noise issue and improving diagnostic accuracy.

In low-dose computed tomography (LDCT), lung segmentation effectively improves the accuracy of lung cancer diagnosis. However, excessive noise is inevitable in LDCT, which can decrease lung segmentation accuracy. To address this problem, it is necessary to derive an optimized kernel size when using the median modified Wiener filter (MMWF) for noise reduction. Incorrect application of the kernel size can result in inadequate noise removal or blurring, degrading segmentation accuracy. Therefore, various kernel sizes of the MMWF were applied in this study, followed by region-growing-based segmentation and quantitative evaluation. In addition to evaluating the segmentation performance, we conducted a similarity assessment. Our results indicate that the greatest improvement in segmentation performance and similarity was at a kernel size 5 × 5. Compared with the noisy image, the accuracy, F1-score, intersection over union, root mean square error, and peak signal-to-noise ratio using the optimized MMWF were improved by factors of 1.38, 33.20, 64.86, 7.82, and 1.30 times, respectively. In conclusion, we have demonstrated that by applying the MMWF with an appropriate kernel size, the optimization of noise and blur reduction can enhance segmentation performance.

Low-dose exposure and work convenience are required for mobile X-ray systems during the COVID-19 pandemic. We investigated a novel X-ray detector (FXRD-4343FAW, VIEWORKS, Anyang, Korea) composed of a thin-film transistor based on amorphous silicon with a flexible plastic substrate. This detector is composed of a thallium-doped cesium iodide scintillator with a pixel size of 99 μm, pixel matrix of 4316 × 4316, and weight of 2.95 kg. The proposed detector has the advantages of high-noise characteristics and low weight, which provide patients and workers with an advantage in terms of the dose and work efficiency, respectively. We performed a quantitative evaluation and an experiment to demonstrate its viability. The modulation transfer function, noise power spectrum, and detective quantum efficiency were identified using the proposed and comparative detectors, according to the International Electrotechnical Commission protocol. Additionally, the contrast-to-noise ratio and coefficient of variation were investigated using a human-like phantom. Our results indicate that the proposed detector efficiently increases the image performance in terms of noise characteristics. The detailed performance evaluation demonstrated that the outcomes of the use of the proposed detector confirmed the viability of mobile X-ray devices that require low doses. Consequently, the novel FXRD-4343FAW X-ray detector is expected to improve the image quality and work convenience in extended radiography.

In this study, we optimized the $\mathsf{\sigma }$-values of a block matching and 3D filtering (BM3D) algorithm to reduce noise in magnetic resonance images. Brain T2-weighted images (T2WIs) were obtained using the BrainWeb simulation program and Rician noise with intensities of 0.05, 0.10, and 0.15. The BM3D algorithm was applied to the optimized BM3D algorithm and compared with conventional noise reduction algorithms using Gaussian, median, and Wiener filters. The clinical feasibility was assessed using real brain T2WIs from the Alzheimer’s Disease Neuroimaging Initiative. Quantitative evaluation was performed using the contrast-to-noise ratio, coefficient of variation, structural similarity index measurement, and root mean square error. The simulation results showed optimal image characteristics and similarity at a σ-value of 0.12, demonstrating superior noise reduction performance. The optimized BM3D algorithm showed the greatest improvement in the clinical study. In conclusion, applying the optimized BM3D algorithm with a σ-value of 0.12 achieved efficient noise reduction.

Background: Noise reduction in low-dose pediatric computed tomography (CT) requires effective suppression of quantum noise without compromising subtle anatomical structures. This study compared three bilateral-based noise reduction algorithms, namely the conventional bilateral filter (BF), adaptive BF (ABF), and trainable BF (TBF), using eight low-dose pediatric abdominal CT cases. Methods: Denoising performance was evaluated in the axial and coronal planes through visual assessment and quantitative measurements of the coefficient of variation (CV) within the liver parenchyma and the contrast-to-noise ratio (CNR) between the liver and portal vein. Statistical comparisons were performed using the Friedman test, followed by the Wilcoxon signed-rank tests with Holm-adjustment. All three methods reduced the visible noise present in the original images. Results: ABF improved uniformity in homogeneous liver regions while preserving anatomical detail, whereas TBF produced the strongest apparent noise suppression but introduced greater blurring and occasional ambiguous structures. Quantitatively, the CV decreased progressively from BF to ABF and TBF. The TBF method achieved the lowest average CV and the highest average CNR. Significant differences were observed among the four conditions for both metrics in each imaging plane. However, CNR differences between the three denoising methods were less consistent, particularly for comparisons involving TBF. Conclusions: Overall, ABF provided a favorable balance between noise reduction and structural preservation, whereas TBF offered stronger image specific denoising with additional concerns regarding signal fidelity and reproducibility. Further refinement is required to ensure clinical reliability without compromising quantitative accuracy or anatomical details.