Volume reconstruction techniques are gaining increasing interest in medical domains due to their potential to learn complex 3D structural information from sparse 2D images. Recently, neural radiance fields (NeRF), which implicitly model continuous radiance fields based on multi-layer perceptrons to enable volume reconstruction of objects at arbitrary resolution, have gained traction in natural image volume reconstruction. However, the direct application of NeRF to medical volume reconstruction presents unique challenges due to differences in imaging principles, internal structure requirements, and boundary delineation. In this paper, we evaluate different NeRF techniques developed for natural images, including sampling strategies, feature encoding, and the use of complimentary features, by applying them to medical images. We evaluate three state-of-the-art NeRF techniques on four datasets of medical images of different complexity. Our goal is to identify the strengths, limitations, and future directions for integrating NeRF into the medical domain.

Sparse-view computed tomography (CT) reconstruction aims to recover high-quality CT volumes from a limited number of X-ray projection images, thereby reducing radiation exposure during image acquisition. However, this problem is inherently ill-posed because each projection provides only indirect line-integral supervision, and different attenuation distributions can explain similar sparse measurements. Existing analytic and iterative methods often suffer from streak artifacts and unstable solutions, while supervised learning-based methods require paired training data and may generalize poorly across anatomical regions or acquisition settings. Neural Radiance Field (NeRF)-based methods have recently shown promise by representing the attenuation field as a continuous coordinate-based function optimized directly from projection images. Nevertheless, these methods mainly enforce projection consistency and do not explicitly use volume-domain uncertainty to guide subsequent reconstruction. In this work, we propose EpiC-NeRF, a CT-specific closed-loop framework that actively feeds estimated epistemic uncertainty back into sparse-view reconstruction. EpiC-NeRF adapts evidential uncertainty estimation and aggregation to the X-ray CT line-integral formulation and maintains the resulting spatial uncertainty in a persistent three-dimensional Epistemic Grid Map. The accumulated uncertainty is used by Epistemic-Adaptive Layer Normalization to modulate intermediate features and by dual active sampling to guide ray- and point-level sample allocation. The newly estimated uncertainty then updates the grid map and guides subsequent optimization iterations, forming a unified feedback loop between uncertainty estimation and CT reconstruction. Experiments on four CT volume datasets demonstrate that EpiC-NeRF achieves improved reconstruction fidelity over existing analytic, iterative, and neural implicit reconstruction methods.