Deep generative models have recently emerged as powerful priors for solving ill-posed inverse problems in CT, with diffusion-based approaches achieving state-of-the-art reconstruction performance. However, diffusion models typically rely on stochastic sampling procedures, long inference trajectories, and carefully tuned noise schedules, which can limit computational efficiency and numerical stability, especially at high spatial resolutions. In this work, we investigate Flow Matching as an alternative generative prior for CT reconstruction. We train a high-resolution Rectified Flow Matching model on 256x256 chest images from the Mayo Clinic Low-Dose CT dataset. To mitigate overfitting and limited anatomical variability, we employ a two-stage training strategy consisting of an initial phase with strong, anatomically informed data augmentation, followed by a fine-tuning phase with reduced or no augmentation to refine structural fidelity. The resulting model is capable of generating high-quality and anatomically coherent CT-like images, serving as a strong learned prior. We then evaluate multiple reconstruction methods specifically designed for Flow Matching models, including Plug-and-Play Flow, FlowDPS, Flower, and Flow-Priors (ICTM), and compare them against state-of-the-art diffusion-based reconstruction algorithms such as DDRM, DPS, and DiffPIR. Experimental results across several CT inverse problem settings show that Flow Matching-based approaches consistently outperform diffusion-based methods in terms of PSNR, SSIM, and perceptual quality, while requiring fewer sampling steps. Finally, we publicly release the trained Flow Matching model and accompanying code to facilitate reproducibility and future research. Overall, this work demonstrates that Flow Matching provides a stable, efficient, and effective alternative to diffusion models for high-resolution CT image reconstruction.
Sparse-view spectral computed tomography (CT) reconstructs energy-resolved attenuation volumes from limited projection views, requiring simultaneous handling of angular undersampling and spectral coupling. We propose a SharedStructure 4D Spectral Gaussian Representation (4D-SG) that learns shared Gaussian geometry from full spectrum structural projections and uses a Gaussian-wise Spectral Density Curve Network (GSC-Net) to predict Gaussian raw density transformations. This factorization separates shared spatial structure from spectral attenuation variation, avoids independent channel geometry optimization, and establishes a continuous 4D-SG representation from discrete spectral measurements for unobserved spectral channel queries. Experiments on six synthesized, simulated projection, and real projection datasets with 50 views demonstrate the best average performance. Compared with the strongest Gaussian baseline, 4D-SG improves PSNR from 35.56 dB to 36.61 dB, increases SSIM from 0.909 to 0.914, and reduces LPIPS from 0.208 to 0.194, demonstrating its effectiveness for sparse-view spectral CT reconstruction.
Here we introduce ELECTRIC (Evidential Learning-Enhanced CT Reconstruction via Iterative Correction), a physics-guided Bayesian formulation. An evidential neural network provides an image proposal and an error-predictive epistemic-uncertainty surrogate. The latter is converted into an adaptive precision field and inserted into a Poisson-weighted MAP update. The resulting image-evidence-precision-reconstruction loop treats prior confidence as a learned state variable of iterative reconstruction. In addition to the formulation and theoretical analysis, we report two simulation studies on image slices from the AAPM Mayo Clinic Low-Dose CT dataset: a mechanism-validation pilot using transparent surrogate estimators, and a feasibility study in which a trained Normal-Inverse-Gamma evidential network drives the full closed loop. On held-out patients, the learned prior mean reduces reconstruction error by roughly 70 percent relative to filtered back-projection, the learned epistemic uncertainty is error-predictive and supports selective trust, and the physics-guided update restores measurement consistency while the adaptive-precision reconstruction matches or exceeds a validation-tuned fixed prior and remains markedly more robust to prior-strength misspecification. Together these results demonstrate the complete ELECTRIC closed-loop pipeline, while identifying formal uncertainty calibration and joint training as the principal directions for future work.
Andreas Maier, Lucas Kachelriess, Siming Bayer +4physics.med-ph cs.AI cs.CV
Comparing CT reconstruction methods fairly is labor-intensive and largely manual, and many benchmarks use idealized data. We ask whether a large language model (LLM) agent can do the labor of reconstruction research on its own, and whether a ranking measured on ideal data predicts behavior under realistic noise. We built an agentic loop: the agent edits a solver, runs a short cluster job, reads one frozen metric, and revises. The metric is a calibrated headroom score against the FBP baseline, inside the field of view; every method shares the same differentiable fan-beam projector. We benchmarked 26 methods on Mayo low-dose CT (noise-limited) and a 128-view sparse-view breast task from the noiseless DL-Sparse-View Challenge, with validation-selected iterations scored on a held-out test set. Every trained breast model was then re-scored on noisy inputs (I_0 = 10^5 photons) without retraining, and separately retrained on matched noise. The agent independently implemented, tuned, and benchmarked all 26 methods, and recombined them into a compact solver of 969 parameters that ties the top Mayo tier at the 1% level using 0.4% of the champion's parameters. Benchmarking gives a tier of statistically indistinguishable top methods, not one winner. Mild input noise nearly inverts the breast ranking: the noiseless champion (a supervised image denoiser, hr 0.89) collapses to 0.00, while a learned primal-dual method rises to champion (0.72 to 0.93). An ideal-data leaderboard therefore does not predict robustness. The inversion is a transfer effect, not a permanent deficit: retraining on matched noise restores much of the clean ranking (Spearman rho 0.04 to 0.61). Noise is only the easiest confounder in an open-ended set (beam hardening, scatter, anatomy, disease), so no single-factor challenge certifies generality. Benchmarks should model a broad spectrum of realistic factors at once.
Objective. Existing quadratic unconstrained binary optimization (QUBO)-based sparse-view computed tomography (CT) reconstruction neglects photon-counting statistics and anatomical heterogeneity. We address both limitations within the QUBO framework.Approach. We propose a quantum compressed-sensing CT method combining penalized weighted least squares (PWLS) and guided total variation (GTV). PWLS weights projection residuals by photon-count reliability, whereas GTV uses gradients from a prior image reconstructed by the simultaneous algebraic reconstruction technique (SART) to preserve edges and suppress noise in homogeneous regions. After binary encoding, both terms form a unified QUBO model. Experiments used four 40 times 40 CT images under a 10-view fan-beam geometry with Poisson noise. Comparisons included conventional reconstruction methods, QUBO variants, gradient descent, simulated annealing, and a D-Wave hybrid quantum-classical solver.Main results. PWLS-GTV achieved the best reconstruction quality across all cases. In the representative chest case, it reached a peak signal-to-noise ratio (PSNR) of 36.64 dB, compared with 22.48 dB for SART, the best conventional baseline. GTV consistently outperformed conventional total variation. Simulated annealing and the D-Wave hybrid solver produced similar reconstructions, whereas gradient descent was ineffective. Repeated hybrid-solver runs showed stable performance.Significance. The framework incorporates photon-statistical weighting and structure-guided regularization into QUBO-based CT reconstruction without changing its quadratic form, providing a proof of concept for quantum-assisted sparse-view CT reconstruction.
Antti Sällinen, Siiri Rautio, Santeri Kaupinmäki +1eess.IV cs.LG math.OC
X-ray computed tomography reconstruction is an ill-posed inverse problem, particularly in low-dose and sparse-angle settings where measurements are noisy and incomplete. While learned reconstruction methods such as the Learned Primal-Dual algorithm achieve strong performance, they typically rely on supervised training with access to ground-truth data, which is often unavailable in practice. In this work, we propose a self-supervised reconstruction method by extending the Noise2Inverse framework to the Learned Primal-Dual algorithm. The resulting approach, called Noise2Inverse Learned Primal-Dual (N2I-LPD), enables training of a learned iterative reconstruction operator without ground-truth images by exploiting the statistical independence of noise in distinct measurements with respect to angular rotation of the CT-scan. We compare the proposed method with classical reconstruction methods, as well as neural network-based approaches such as a U-Net trained within the same N2I framework. The results demonstrate that N2I-LPD achieves improved reconstruction quality, highlighting the potential of combining learned reconstruction operators with self-supervised training strategies for practical CT imaging scenarios where ground-truth data is unavailable.
Dong Yeong Kim, Jaewon Choi, Youmin Shin +5cs.CV cs.AI
Computed Tomography (CT) is essential for diagnosing pediatric craniofacial abnormalities, yet poses radiation risks to developing anatomies. Reconstructing 3D CT from sparse bi-planar X-rays offers a low-dose alternative but is severely ill-posed. Existing methods employ geometry-agnostic feature lifting, naively projecting 2D features into 3D without explicit spatial modeling, causing depth ambiguity and degraded osseous boundaries. We present PSCT-Net, a geometry-aware framework with differentiable back-projection. Differentiable back-projection establishes a spatially faithful volumetric prior, alleviating depth ambiguity. An Attention-Guided Projection (AGP-3D) module then learns non-linear voxel-wise correspondences between 2D regions and 3D locations. A Bidirectional Mamba (BiM-3D) module captures long-range volumetric dependencies with linear complexity. We further curate a private institutional pediatric skull CT cohort, PedSkull-CT, comprising normal and pathological cases for internal evaluation, addressing the gap in adult-centric, trunk-focused datasets.
Sparse-view CT reduces radiation dose and scanning time by acquiring fewer projection views, but angular undersampling makes reconstruction severely ill-posed, causing streak artifacts, structural blurring, and loss of fine details. Existing supervised methods are often tied to specific sampling settings, whereas generative methods may introduce anatomically inconsistent hallucination-like structures under severe undersampling. We propose Lucid, a sparsity-adaptive, consistency-guided reconstruction framework based on a Flow Matching generative prior for sparse-view CT. Lucid is trained only on high-quality CT images to learn a continuous transport between a Gaussian distribution and the high-quality CT image distribution, independent of view sampling. During inference, the sampling sparsity level is explicitly incorporated to adapt the generative trajectory of a single pretrained model. Specifically, Lucid constructs a degradation-matched initial state by sparsity-weighted fusion of the sparse-view FBP image and Gaussian noise, performs sparsity-modulated Flow Matching updates, and applies projection-domain data-consistency correction after each prior update. Experiments under multiple sparse-view settings show that Lucid achieves stable reconstruction performance across different sampling densities, improves image quality and structural fidelity, and reduces the risk of hallucination-like structures in generative sparse-view CT reconstruction.