X-ray computed tomography (CT) is of great clinical significance in medical practice because it can provide anatomical information about the human body without invasion, while its radiation risk has continued to attract public concerns. Reducing the radiation dose may induce noise and artifacts to the reconstructed images, which will interfere with the judgments of radiologists. Previous studies have confirmed that deep learning (DL) is promising for improving low-dose CT imaging. However, almost all the DL-based methods suffer from subtle structure degeneration and blurring effect after aggressive denoising, which has become the general challenging issue. This paper develops the Comprehensive Learning Enabled Adversarial Reconstruction (CLEAR) method to tackle the above problems. CLEAR achieves subtle structure enhanced low-dose CT imaging through a progressive improvement strategy. First, the generator established on the comprehensive domain can extract more features than the one built on degraded CT images and directly map raw projections to high-quality CT images, which is significantly different from the routine GAN practice. Second, a multi-level loss is assigned to the generator to push all the network components to be updated towards high-quality reconstruction, preserving the consistency between generated images and gold-standard images. Finally, following the WGAN-GP modality, CLEAR can migrate the real statistical properties to the generated images to alleviate over-smoothing. Qualitative and quantitative analyses have demonstrated the competitive performance of CLEAR in terms of noise suppression, structural fidelity and visual perception improvement.

Limited-angle CT is a challenging problem in real applications. Incomplete projection data will lead to severe artifacts and distortions in reconstruction images. To tackle this problem, we propose a novel reconstruction framework termed Deep Iterative Optimization-based Residual-learning (DIOR) for limited-angle CT. Instead of directly deploying the regularization term on image space, the DIOR combines iterative optimization and deep learning based on the residual domain, significantly improving the convergence property and generalization ability. Specifically, the asymmetric convolutional modules are adopted to strengthen the feature extraction capacity in smooth regions for deep priors. Besides, in our DIOR method, the information contained in low-frequency and high-frequency components is also evaluated by perceptual loss to improve the performance in tissue preservation. Both simulated and clinical datasets are performed to validate the performance of DIOR. Compared with existing competitive algorithms, quantitative and qualitative results show that the proposed method brings a promising improvement in artifact removal, detail restoration and edge preservation.

Sparse-view Computed Tomography (CT) has the ability to reduce radiation dose and shorten the scan time, while the severe streak artifacts will compromise anatomical information. How to reconstruct high-quality images from sparsely sampled projections is a challenging ill-posed problem. In this context, we propose the unrolled Deep Residual Error iterAtive Minimization Network (DREAM-Net) based on a novel iterative reconstruction framework to synergize the merits of deep learning and iterative reconstruction. DREAM-Net performs constraints using deep neural networks in the projection domain, residual space, and image domain simultaneously, which is different from the routine practice in deep iterative reconstruction frameworks. First, a projection inpainting module completes the missing views to fully explore the latent relationship between projection data and reconstructed images. Then, the residual awareness module attempts to estimate the accurate residual image after transforming the projection error into the image space. Finally, the image refinement module learns a non-standard regularizer to further fine-tune the intermediate image. There is no need to empirically adjust the weights of different terms in DREAM-Net because the hyper-parameters are embedded implicitly in network modules. Qualitative and quantitative results have demonstrated the promising performance of DREAM-Net in artifact removal and structural fidelity.

Limited-angle CT is an indispensable tool for some practical applications when the projection data can be only collected within a limited-angle range due to the constraints of scanning conditions. However, the limited-angle scanning mode will lead to severely degraded images with excessive artifacts. Meanwhile, existing methods fail to reconstruct satisfactory images in limited-angle CT because of the unguaranteed measurement consistency caused by serious projection missing. In this paper, we developed a method termed Single-shot Projection Error Correction Integrated Adversarial Learning (SPECIAL) progressive-improvement strategy, which could effectively combine the complementary information contained in the image domain and projection domain, and greatly improve the reconstructions at the expense of small computational cost. Specifically, enhanced adversarial learning is used in different stages to remove artifacts without losing high-frequency component. A projection error correction module is used to boost the performance in high-attenuation tissue restoration. Compared with other competitive algorithms, quantitative and qualitative results show that the proposed method could make a promising improvement on artifact removal, edge preservation and tiny structure restoration.