DuDo-RAC: Dual-domain optimization for ring artifact correction in photon counting CT.

Photon-counting computed tomography (Photon counting CT) utilizes photon-counting detectors to precisely count incident photons and measure their energy. These detectors, compared to traditional energy integration detectors, provide better image contrast and material differentiation. However, Photon counting CT tends to show more noticeable ring artifacts due to limited photon counts and detector response variations, unlike conventional spiral CT. To comprehensively address this issue, we propose a novel feature shared multi-decoder network (FSMDN) that utilizes complementary learning to suppress ring artifacts in Photon counting CT images. Specifically, we employ a feature-sharing encoder to extract context and ring artifact features, facilitating effective feature sharing. These shared features are also independently processed by separate decoders dedicated to the context and ring artifact channels, working in parallel. Through complementary learning, this approach achieves superior performance in terms of artifact suppression while preserving tissue details. We conducted numerous experiments on Photon counting CT images with three-intensity ring artifacts. Both qualitative and quantitative results demonstrate that our network model performs exceptionally well in correcting ring artifacts at different levels while exhibiting superior stability and robustness compared to the comparison methods. In this paper, we have introduced a novel deep learning network designed to mitigate ring artifacts in Photon counting CT images. The results illustrate the viability and efficacy of our proposed network model as a new deep learning-based method for suppressing ring artifacts.

Ring artifacts in computed tomography (CT) images degrade image quality and obscure the true shapes of objects. While several correction methods have been developed, their performances are often task-dependent and not generally applicable. Here, we propose a novel method to reduce ring artifacts by calculating the ratio of adjacent detector elements in the projection data, termed the line-ratio. Our method estimates the sensitivity of each detector element and equalizes them in sinogram space. As a result, the stripe pattern can be effectively removed from sinogram data, thereby also removing ring artifacts from the reconstructed CT image. Numerical simulations were performed to evaluate and compare the performance of our method with that of conventional methods. We also tested our method experimentally and demonstrated that our method has superior performance to other methods.

Ring artifacts usually appear in photon counting computed tomography (PCCT) images, which may compromise image quality and cause non-uniformity bias. This study proposed a fast ring artifacts removal method by exploring the correlation from projections with different views for PCCT. This method has three advantages. First, our method only employ mean projection of current scan to correct projections without additional scans. Second, our method can correct the inconsistency of all detector pixels simultaneously without locating the inconsistent response pixels. Third, it can preserve reconstructed image details well without extra computational cost. Both numerical and preclinical experiments demonstrate the proposed method can suppress the ring artifacts very well than the competitors.

In Computed Tomography (CT) imaging, the ring artifacts caused by the inconsistent detector response can significantly degrade the reconstructed images, having negative impacts on the subsequent applications. The new generation of CT systems based on photon-counting detectors are affected by ring artifacts more severely. The flexibility and variety of detector responses make it difficult to build a well-defined model to characterize the ring artifacts. In this context, this study proposes the global dependency-enhanced dual-domain parallel neural network for Ring Artifact Removal (RAR). First, based on the fact that the features of ring artifacts are different in Cartesian and Polar coordinates, the parallel architecture is adopted to construct the deep neural network so that it can extract and exploit the latent features from different domains to improve the performance of ring artifact removal. Besides, the ring artifacts are globally relevant whether in Cartesian or Polar coordinate systems, but convolutional neural networks show inherent shortcomings in modeling long-range dependency. To tackle this problem, this study introduces the novel Mamba mechanism to achieve a global receptive field without incurring high computational complexity. It enables effective capture of the long-range dependency, thereby enhancing the model performance in image restoration and artifact reduction. The experiments on the simulated data validate the effectiveness of the dual-domain parallel neural network and the Mamba mechanism, and the results on two unseen real datasets demonstrate the promising performance of the proposed RAR algorithm in eliminating ring artifacts and recovering image details.

Photon-counting spectral CT is a novel technology with a lot of promise. However, one common issue is detector inhomogeneity which results in streak artifacts in the sinogram domain and ring artifacts in the image domain. These rings are very conspicuous and limit the clinical usefulness of the images. We propose a deep learning based image processing technique for ring artifact correction in the sinogram domain. In particular, we train a UNet using a perceptual loss function with VGG16 as feature extractor to remove streak artifacts in the basis sinograms. Our results show that this method can successfully produce ring-corrected virtual monoenergetic images at a range of energy levels.

Raw-data–based material decomposition in spectral CT using photon–counting energy–selective detectors relies on a precise forward model that predicts a count–rate given intersection lengths for each material. This re- quires extensive system–specific measurements or calibration techniques. Existing calibrations either estimate a detected spectrum and are able to account for spectrally distorted assumptions or correct the predicted count rate using a correction function and can accommodate for count rate–dependent effects such as pulse pileup. We propose a calibration method that uses transmission measurements to optimize a correction function that, unlike existing methods, depends both on the photon energy and the count rate. It is thus able to correct for both kinds of distortions. In a simulated material decomposition into water and iodine, the error was reduced by 96 % compared to the best performing reference method if only pulse pileup was present and reduced by 23 % if additionally spectral distortions were taken into account. In phantom measurements using a Dectris SANTIS prototype detector, the proposed method allowed to reduce the error by 29 % compared to the best performing reference method. Artifacts were below the noise level for the proposed method, while the reference methods either showed an offset in the water region or ring artifacts.

In practice, mis-calibrated detector pixels give rise to wide and faint ring artifacts in the reconstruction image of the In-line phase-contrast computed tomography (IL-PC-CT). Ring artifacts correction is essential in IL-PC-CT. In this study, a novel method of wide and faint ring artifacts correction was presented based on combining TV-L1 model with guided image filtering (GIF) in the reconstruction image domain. The new correction method includes two main steps namely, the GIF step and the TV-L1 step. To validate the performance of this method, simulation data and real experimental synchrotron data are provided. The results demonstrate that TV-L1 model with GIF step can effectively correct the wide and faint ring artifacts for IL-PC-CT.

Purpose: Defective pixels in a flat panel detector may be characterized by a nonlinear signal response drastically different from those in the neighboring pixels. They could lead to ring artifacts in cone beam CT. In this presentation, we will describe and demonstrate the use of a filter based calibration technique to detect these pixels. In addition, we will employ this technique as a flat field correction method to correct nonlinear signal response. Methods and Materials: To force the signal responses of all pixels to vary smoothly without sudden changes, we acquired images at fixed mAs but with various filtrations. Each filtered image is fitted to a smooth surface whose values are close to those of normal pixels but vary smoothly in the image. The ratios of the surface fit values to the original values were then computed on a pixel‐by‐pixel basis and used to map pixel values during subsequent image acquisition. This mapping would compensate for the nonlinear signal response associated with the defective pixels thus eliminating the ring artifacts. Using the surface fits as the reference, defective pixels were detected by automatic thresholding. Results: Using filter based calibration, defective (∼0.035 %) pixels were successfully detected and corrected for. Therefore, ring artifacts were largely eliminated in cone beam CT images. A reduction in patterned noise artifacts in the projection images was also observed. The automated surface fitting procedure was found to be robust. Conclusions: Although the conventional flat field correction addresses non‐uniform response across the detector, artifacts may still form as the pixel response varies with the beam quality and signal intensity. The filter based calibration procedure was successfully used to detect and correct for these artifacts.This work was supported in part by a research grant EB00117 from the NIH‐NIBIB and a research grant CA104759 from the NIH‐NCI.

Ring artifacts are a major obstacle that prevent the easy adoption of photon counting detectors (PCDs) into next-generation CT scanners. PCDs use a direct conversion semiconductor rather than an indirect conversion scintillator, but the stability of common direct conversion semiconductors (CdTe, CZT) remains limited. Small changes in sensitivity between neighboring pixels are amplified in CT reconstruction and result in ring artifacts in PCD CT images. To reduce these artifacts, we propose that pixels be dynamically autocalibrated to each other during the scan. This is done by measuring line integrals with two neighboring detector pixels and building a model of the differences between these two pixels. This can be done practically using flying focal spot, which minimizes the temporal offset between the two datasets. In this work, we demonstrate the proof of principle with a detector shift. The two resulting sinograms are used in an optimization problem that estimates gain factors on a per-pixel level. Preliminary results in a chicken thigh specimen and resolution phantom show strong reductions in ring artifact by about 75%.

Objective. Computed tomography (CT) is a widely employed imaging technology for disease detection. However, CT images often suffer from ring artifacts, which may result from hardware defects and other factors. These artifacts compromise image quality and impede diagnosis. To address this challenge, we propose a novel method based on dual contrast learning image style transformation network model (DCLGAN) that effectively eliminates ring artifacts from CT images while preserving texture details. Approach. Our method involves simulating ring artifacts on real CT data to generate the uncorrected CT (uCT) data and transforming them into strip artifacts. Subsequently, the DCLGAN synthetic network is applied in the polar coordinate system to remove the strip artifacts and generate a synthetic CT (sCT). We compare the uCT and sCT images to obtain a residual image, which is then filtered to extract the strip artifacts. An inverse polar transformation is performed to obtain the ring artifacts, which are subtracted from the original CT image to produce a corrected image. Main results. To validate the effectiveness of our approach, we tested it using real CT data, simulated data, and cone beam computed tomography images of the patient’s brain. The corrected CT images showed a reduction in mean absolute error by 12.36 Hounsfield units (HU), a decrease in root mean square error by 18.94 HU, an increase in peak signal-to-noise ratio by 3.53 decibels (dB), and an improvement in structural similarity index by 9.24%. Significance. These results demonstrate the efficacy of our method in eliminating ring artifacts and preserving image details, making it a valuable tool for CT imaging.


Photon-counting detectors (PCDs) for CT imaging use energy thresholds to simultaneously acquire projections at multiple energies, making them suitable for spectral imaging and material decomposition. Unfortunately, setting multiple energy thresholds results in noisy analytical reconstructions due to low photon counts in high-energy bins. Iterative reconstruction provides high quality photon-counting CT (PCCT) images but requires enormous computation time for 5D (3D + energy + time) in vivo cardiac imaging. 

Approach. 
We recently introduced UnetU, a deep learning (DL) approach that accurately denoises axial slices from 4D (3D + energy) PCCT reconstructions at various acquisition settings. In this study, we explore UnetU configurations for 5D cardiac PCCT denoising, focusing on singular value decomposition (SVD) modifications along the energy and time dimensions and alternate network architectures such as 3D U-net, FastDVDNet, and Swin Transformer UNet. We compare our networks to multi-energy non-local means (ME NLM), an established PCCT denoising algorithm. 

Main results. 
Our evaluation, using real mouse data and the digital MOBY phantom, revealed that all DL methods were more than 16 times faster than iterative reconstruction. DL denoising with SVD along the energy dimension was most effective, consistently providing low root mean square error and spatio-temporal reduced reference entropic difference, alongside strong qualitative agreement with iterative reconstruction. This superiority was attributed to lower effective rank along the energy dimension than the time dimension in 5D cardiac PCCT reconstructions. ME NLM sometimes outperformed DL with time SVD or time and energy SVD, but lagged behind iterative reconstruction and DL with energy SVD. Among alternate DL architectures with energy SVD, none consistently outperformed UnetU Energy (2D). 

Significance. 
Our study establishes UnetU Energy as an accurate and efficient method for 5D cardiac PCCT denoising, offering a 32-fold speed increase from iterative reconstruction. This advancement sets a new benchmark for DL applications in cardiovascular imaging.

Objective. Photon counting CT (PCCT) has been a research focus in the last two decades. Recent studies and advancements have demonstrated that systems using semiconductor-based photon counting detectors (PCDs) have the potential to provide better contrast, noise and spatial resolution performance compared to conventional scintillator-based systems. With multi-energy threshold detection, PCD can simultaneously provide the photon energy measurement and enable material decomposition for spectral imaging. In this work, we report a performance evaluation of our first CdZnTe-based prototype full-size PCCT system through various phantom imaging studies. Approach. This prototype system supports a 500 mm scan field-of-view and 10 mm z-coverage at isocenter. Phantom scans were acquired using 120 kVp from 50 to 400 mAs to assess the imaging performance on: CT number accuracy, uniformity, noise, spatial resolution, material differentiation and quantification. Main results. Both qualitative and quantitative evaluations show that PCCT, under the tested conditions, has superior imaging performance with lower noise and improved spatial resolution compared to conventional energy integrating detector (EID)-CT. Using projection domain material decomposition approach with multiple energy bin measurements, PCCT virtual monoenergetic images have lower noise, and good accuracy in quantifying iodine and calcium concentrations. These results lead to increased contrast-to-noise ratio (CNR) for both high and low contrast study objects compared to EID-CT at matched dose and spatial resolution. PCCT can also generate super-high resolution images using much smaller detector pixel size than EID-CT and greatly improve image spatial resolution. Significance. Improved spatial resolution and quantification accuracy with reduced image noise of the PCCT images can potentially lead to better diagnosis at reduced radiation dose compared to conventional EID-CT. Increased CNR achieved by PCCT suggests potential reduction in iodine contrast media load, resulting in better patient safety and reduced cost.

Photon-counting computed tomography (PCCT) is a promising new technology with the potential to fundamentally change today's workflows in the daily routine and to provide new quantitative imaging information to improve clinical decision-making and patient management. The content of this review is based on an unrestricted literature search on PubMed and Google Scholar using the search terms "Photon-Counting CT", "Photon-Counting detector", "spectral CT", "Computed Tomography" as well as on the authors' experience. The fundamental difference with respect to the currently established energy-integrating CT detectors is that PCCT allows counting of every single photon at the detector level. Based on the identified literature, PCCT phantom measurements and initial clinical studies have demonstrated that the new technology allows improved spatial resolution, reduced image noise, and new possibilities for advanced quantitative image postprocessing. For clinical practice, the potential benefits include fewer beam hardening artifacts, radiation dose reduction, and the use of new contrast agents. In this review, we will discuss basic technical principles and potential clinical benefits and demonstrate first clinical use cases. · Photon-counting computed tomography (PCCT) has been implemented in the clinical routine. · Compared to energy-integrating detector CT, PCCT allows the reduction of electronic image noise. · PCCT provides increased spatial resolution and a higher contrast-to-noise ratio. · The novel detector technology allows the quantification of spectral information. · Stein T, Rau A, Russe MF et al. Photon-Counting Computed Tomography - Basic Principles, Potenzial Benefits, and Initial Clinical Experience. Fortschr Röntgenstr 2023; 195: 691 - 698.

Demonstration of multiple contrast agent imaging for the next generation color X-ray CT

Photon counting computed tomography (PCCT) has the ability to identify individual photons, resulting in quantitative material identification. Meanwhile, several technical challenges still exist in current PCCT imaging systems, including increased noise and suboptimal bin selection. These nonideal effects can substantially degrade the reconstruction performance and material estimation accuracy. To address these issues, in this work, we present a novel system for high-performance spectral PCCT imaging, which is a combination of multiple dynamic modulations, interpolation-based measurements processing strategy and advanced reconstruction method. For simplicity, this new PCCT imaging system is referred to as "MDM-PCCT". Specifically, the multiple dynamic modulations consist of dynamic kVp modulation, dynamic spectrum modulation and dynamic energy threshold modulation. In the dynamic kVp modulation, three kVp values, i.e., 80, 110 and 140, are included, and the tube voltage waveform follows a sinusoidal curve which is more practical than the rectangular curve in the fast kV switching mode. In the dynamic spectrum modulation, the X-ray spectra are processed by selective spatial-spectral filters to balance the X-ray fluxes and increase the spectral separation. In the dynamic energy threshold modulation, the energy threshold is adaptively changed to determine the optimal bin selection. Furthermore, we propose an energy threshold determination method and interpolation-based measurements processing strategy to address the issue of non-uniform and sparse-view PCCT measurements, respectively. In addition, by considering the intrinsic characteristics of the MDM-PCCT images, we utilize an enhanced total variation regularized model for images reconstruction. Finally, numerical and preclinical studies demonstrate that the presented MDM-PCCT imaging system is capable of yielding uniform and high-fidelity PCCT measurements with noise consistency, and the presented reconstruction method further improves the image quality and material decomposition accuracy.