Diffusion MRI requires repeated k-space acquisitions over multiple diffusion-encoding directions, making acquisition time dependent on both spatial and angular sampling. Existing joint k-q methods either associate directional parameters with fixed voxels or separate spatial reconstruction from angular completion. However, diffusion-weighted images acquired under different directions share the same anatomical organization, while their local signal intensities vary with diffusion encoding. Existing formulations do not fully exploit the complementarity between shared anatomy and direction-dependent signal variation. Consequently, residual spatial errors may be misinterpreted as genuine angular variation and propagated to unobserved directions. We propose a subject-specific spatial-angular Gaussian field for self-supervised joint k-q dMRI reconstruction. Shared 3D Gaussian primitives provide local spatial support, with each primitive carrying a continuous q-conditioned tensor-residual response. The signal at each location is synthesized from multiple overlapping primitive responses, coupling neighboring spatial regions and diffusion directions. The field is progressively optimized from undersampled k-space measurements of observed directions, without fully sampled targets or held-out-direction supervision. Experiments on three HCP diffusion shells under multiple acceleration settings demonstrated consistent improvements in missing-direction DWI reconstruction, tensor-derived metrics, and principal diffusion orientation estimation.
Jiarui Ge, Jintao Ma, Bangxu Fan +4cs.CV physics.med-ph
Photoacoustic computed tomography (PACT) combines optical absorption contrast with acoustic detection for high-resolution deep-tissue imaging. A persistent challenge is that unknown speed-of-sound (SoS) heterogeneity changes acoustic time-of-flight, causing defocusing artifacts when reconstruction assumes a uniform SoS. Existing SoS-adaptive methods either rely on calibrated acoustic priors or optimize dense physical medium models, which becomes expensive and difficult to scale in 3D. We propose PAGS, a differentiable framework for blind autofocusing PACT via speed-of-sound-adaptive Gaussian splatting. PAGS represents the initial pressure field with sparse Gaussian photoacoustic (PA) sources and replaces explicit medium recovery with a compact anisotropic path-averaged SoS (ASoS) field parameterized by spherical harmonic probes. This latent propagation field directly controls source-to-transducer arrival-time alignment, while an analytic Gaussian acoustic projection maps the source representation to transducer signals efficiently. The resulting closed-loop signal-domain optimization jointly updates the Gaussian PA source parameters and the ASoS field from measured data, without calibrated SoS priors. Experiments on simulated and physical phantom data demonstrate improved reconstruction sharpness under heterogeneous acoustic media, robustness to sparse-view sampling, and computational benefits from the analytic Gaussian projection.
Generative models have shown strong potential for positron emission tomography (PET) image reconstruction. Although diffusion model-based reconstruction methods have demonstrated promising performance, they often require many reverse sampling steps with data-consistency updates incorporated into the sampling process. Flow matching offers an attractive alternative because it can directly estimate clean images from intermediate states, allowing data-consistency refinement to be separated from flow propagation. In this work, we proposed flow matching-based PET image reconstruction methods. We first established PET-FlowDPS by incorporating Poisson likelihood guidance with an expectation-maximization (EM)-based preconditioner into the FlowDPS framework. We then proposed a model-based PET reconstruction method that used a pretrained flow matching model as a prior, in which the flow-based prior, PET data refinement, and stochastic propagation were interpreted within an approximate Bayesian framework. Experimental results using [$^{\text{18}}\text{F}$]FDG brain PET datasets showed that the proposed method achieved better bias-variance trade-offs across different dose levels compared with other reference methods. These results demonstrated the potential of flow matching as a generative prior for quantitative PET image reconstruction.
Arnaud Boutillon, Naomi Clarke, Tomas Woodgate +8cs.CV
Fetal cardiac MRI (fCMR) provides valuable diagnostic information complementary to echocardiography, particularly for complex congenital heart disease (CHD). Dynamic cine imaging captures cardiac motion essential for assessment of cardiac function; however, the reconstruction of 3D+time cine volumes from 2D+time acquired slices remains challenging due to unpredictable fetal motion and the absence of automated and robust processing tools suitable for clinical deployment. We present the SPARC pipeline (Slice-to-volume Pipeline for Automated Reconstruction of gated 3D+time fetal Cardiac MRI) which combines physics-informed slice-to-volume reconstruction (SVR) of Doppler ultrasound (DUS) gated stacks of slices, assisted by deep learning (DL) models for thoracic segmentation and anatomical reorientation. The proposed SVR algorithm achieves a tenfold reduction in reconstruction time relative to existing frame-wise approaches ($4.8 \pm 1.0$ vs $49.0 \pm 14.1$ min, $p < 0.0001$) while improving the reconstruction quality. Thoracic segmentation performance using ensemble aggregation exceeded inter-rater agreement (Dice $84.7 \pm 3.9\%$ vs $81.4 \pm 7.7\%$, $p<0.05$), while anatomical reorientation achieved a success rate of $90.1\%$. End-to-end evaluation on a large held-out clinical cohort ($n = 121$) demonstrated fully automatic processing in $82.6\%$ of cases with a mean runtime of $7.1 \pm 1.3$ min, compatible with clinical deployment. The complete SPARC pipeline is publicly available as a Docker container https://hub.docker.com/r/aboutill/sparc and is currently deployed at our institution as a clinical research tool.
Missing or degraded sequences can limit prostate multiparametric MRI. We developed MSCNet, a sequence-conditioned cross-modal generative framework for reconstructing unavailable contrasts and restoring degraded acquisitions. Across ten completion tasks, task-specific MSCNet achieved mean structural similarity of 0.818 versus 0.798 for the strongest task-matched comparators; matched-capacity analyses showed larger differences in lesion fidelity and boundary preservation. In a blinded 1,000-case reader study, overall image quality met the prespecified non-inferiority criterion for DWI, ADC and T2W completion, but not T1W. In a separate 200-case diagnostic assessment, AUCs for clinically significant cancer were 0.860 with acquired images, 0.841 with MSCNet and 0.797 with baseline-generated images. A locked 186-case three-hospital cohort supported multicentre transportability. These retrospective results support quality-controlled cross-modal reconstruction as an adjunct to acquired prostate MRI.
Unsupervised medical anomaly detection learns normal anatomical patterns from healthy training images and identifies deviations at test time. Reconstruction-based and diffusion-based methods commonly use the difference between an input image and its reconstruction as anomaly evidence. However, this residual can be ambiguous. Expressive models may preserve pathological structures, while benign anatomical variation, imaging noise, and acquisition differences may also produce large reconstruction errors. We propose discriminative mask-guided diffusion (DMD), a medical anomaly detection framework that complements residual-based localization with reconstruction-shift discrimination. DMD first learns a compact quantized latent representation of normal images. Localized masks then perturb selected latent regions, and a latent diffusion model reconstructs the perturbed representations. The resulting reconstructions are paired with their original normal images to define a self-supervised classification task. At inference, the classifier provides a learned image-level anomaly score, while the residual between the input and its diffusion-based reconstruction yields a pixel-level anomaly map. Experiments on five datasets spanning brain MRI, breast ultrasound, and chest radiography show that DMD achieves the best overall performance among the state-of-the-art baseline methods.
In X-ray CT, metallic objects cause beam hardening, photon starvation, and scattering, leading to projection inconsistency, streaks, dark bands, and structural distortions that compromise clinical diagnosis and quantitative analysis. Existing metal artifact reduction (MAR) methods remain limited: optimization-based methods may leave residual artifacts or blur structures, regression networks may generalize poorly across scenarios, and generative models without sample-specific structural guidance and physical constraints may produce anatomically inconsistent structures. Flow Matching learns a continuous-time velocity field that deterministically transports a source distribution to a target distribution, providing a flexible MAR prior. However, standard unconditional Flow Matching does not exploit sample-specific structure, spatially nonuniform metal-induced degradation, or measured projections. To address these limitations, we propose SCMA, a structure-conditioned and metal-aware Flow Matching framework. First, a linear-interpolation-corrected image is fed into the velocity network with the intermediate state as a sample-specific structural condition, guiding inference toward artifact-free CT images while preserving anatomy. Second, time-varying spatial weights from the metal mask and its distance transform are incorporated into the Flow Matching loss to emphasize severe degradation within and around metal regions. Finally, conditional Flow Matching updates alternate with projection-consistency correction during inference, allowing reliable measurements outside metal traces to constrain predictions. Experiments on simulated and real CT data demonstrate that SCMA more effectively suppresses metal artifacts, preserves local anatomical structures, and reduces hallucination-like structures inconsistent with projection measurements than representative MAR methods.
L. Raczynski, W. Krzemien, A. Coussat +5physics.med-ph cs.CV physics.comp-ph
PET provides functional images relying on two-photon coincidences from positron-electron annihilation. In human tissue, about 40\% of annihilations are preceded by Ps formation, of which o-Ps component partially decays into three photons, with the remainder annihilating via pick-off or spin-exchange into two photons. This three-photon channel carries additional information about the surrounding micro-environment, including the three-to-two-photon yield ratio as a potential diagnostic marker. We propose the TRIO algorithm, a novel three-photon event-by-event image reconstruction algorithm formulated as a Bayesian maximum a posteriori inference problem. TRIO unifies time-based trilateration, energy-based reconstruction and, for the first time, a physics-informed prior derived from the QED description of Ps decay within a single probabilistic framework. In contrast to positronium lifetime imaging, which requires a prompt photon and is therefore restricted to specific radionuclides, TRIO relies solely on the three photons and is fully compatible with standard radionuclides such as 18F. Monte Carlo simulation modelled after the Siemens Biograph Quadra scanner demonstrates a mean position error of 1.62~cm, improving by approximately a factor of two over the time-based trilateration (3.05 cm) and by about an order of magnitude over energy-based reconstruction alone (18 cm). More importantly, the proposed Bayesian approach is compatible with existing TOF-PET scanners that can register three-photon annihilation coincidences.
Photoacoustic tomography (PAT) combines the optical absorption contrast of biological tissue with the spatial resolution of ultrasound, yet recovering the initial pressure distribution from sparse-view sensor measurements remains an ill-posed inverse problem. Iterative compressive-sensing solvers and unrolled deep networks both retain a dependence on the system matrix at inference, which leaves real-time clinical reconstruction computationally expensive. This paper proposes the Sensor Attention Network (SAN), a Transformer-based architecture that treats the full time series of each sensor as a token and maps raw measurements directly to the reconstructed image without invoking the system matrix at inference. For training and benchmarking, an analytical k-space H-matrix is constructed and validated against the k-Wave pseudo-spectral solver under matched geometry, achieving a mean per-sensor Pearson correlation of 0.919 +/- 0.049, with k-space apodization and Gaussian temporal damping acting synergistically to reduce the energy-normalized mismatch by 49%. Trained with a vessel-weighted loss on 488 augmented samples and evaluated on 46 held-out samples against ISTA, split-Bregman total variation (SBTV), and learned ISTA (LISTA), SAN attains the highest mean SSIM (0.522) and PSNR (22.09 dB) and the lowest NMSE (0.233). Paired t-tests and Wilcoxon signed-rank tests confirm the superiority of SAN over LISTA on PSNR, NMSE, and Pearson correlation at p < 1e-8, and over ISTA and SBTV on all fidelity metrics. By bypassing the H-matrix at inference, SAN reduces reconstruction time by at least an order of magnitude, supporting real-time PAT reconstruction.
Chinmay Nema, Hari Om Aggrawal, Dipam Goswami +2eess.IV cs.CV eess.SP
Microscopic urinalysis is a routine diagnostic test at hospitals. Recent studies have demonstrated the effectiveness of deep learning methods to automate microscopic urinalysis. These methods rely on high-quality images of the urine samples in which each cell is clearly identifiable. However, in practice, the urine sample on a glass slide has a multi-layer structure; hence, all the cells are not clearly visible within the depth of field of a lens focused at a particular focal plane. It demands acquiring multiple images at different focal planes to correctly identify each cell in a given urine sample, which is a time-consuming task. In this paper, we propose to simplify the task by recording a video, in place of acquiring multiple images, while gradually changing the focus of the lens manually by hand. A typical length of the video is from 2 to 14 seconds. We reconstruct an all-in-focus image from the recorded video frames and apply a deep learning model to detect and classify urine sediments. As a proof of concept, we conduct experiments on 14 videos acquired by a trained lab technician in a usual diagnostic lab environment and show the effectiveness of the proposed automated urinalysis pipeline with our novel reconstruction algorithm.
Medical imaging systems such as CT, MRI, PET, and SPECT do not directly acquire images. Instead, they measure physical signals that encode anatomical or physiological information, and image reconstruction recovers the underlying image by solving an inverse problem. Although these imaging modalities are governed by different imaging physics, they share a common computational framework that naturally connects medical physics, linear algebra, probability, numerical optimization, and efficient computing. As medical imaging systems acquire increasingly large and higher-dimensional datasets, image reconstruction has become one of the primary computational bottlenecks in modern medical imaging. Advanced reconstruction methods, including analytical reconstruction, iterative optimization, and statistical model-based reconstruction, substantially improve image quality while reducing radiation dose or scan time, but at significantly increased computational cost. Efficient computing has therefore become essential for achieving clinically practical reconstruction times. This chapter presents a unified computational perspective on medical image acquisition and reconstruction across CT, MRI, PET, and SPECT. It first reviews the imaging physics and data acquisition process for each modality and derives a generalized mathematical framework for image reconstruction. Building on this framework, the chapter discusses analytical, iterative, and statistical reconstruction methods together with their computational characteristics. Finally, it examines efficient computing considerations, including optimization algorithms, physics-aware forward operators, memory-efficient implementations, and parallel computing strategies. Together, these topics demonstrate how the integration of imaging physics, mathematical modeling, and efficient computing enables accurate and scalable medical image reconstruction.
Limited-angle digital breast tomosynthesis (DBT) reconstructs a volume from a few low-dose projections over a narrow arc. At a representative nine-view, $25^{\circ}$ protocol more than 98% of image space is unmeasured, so a learned prior must supply structure in the missing wedge. Conditional diffusion priors achieve strong perceptual quality here but leave three clinical obstacles: inexact data consistency, unlocalized hallucination, and uncalibrated uncertainty. We enforce measurements exactly by replacing the per-step proximal update of a conditional diffusion sampler with exact Euclidean projection onto the data-consistent set, computed via an $m$-dimensional dual system with a one-time Gram matrix $AA^{\top}$ factorization. This projection costs 4.5 ms per step (a $248\times$ speedup) and drives the data residual to the double-precision floor ($2.4\times10^{-13}$). We prove it is the $ρ\to0$ limit of the proximal step, provide a no-harm theorem, and show that exactly consistent sample ensembles have variance supported on null($A$). Thus, the mean's entire error lies in the unmeasured subspace covered by the uncertainty map. On patient-derived breast phantoms, this improves fidelity at no depth-resolution cost. Conversely, a proximal step applied post-update degrades quality, isolating the consistency step's placement as decisive. Isotonic recalibration brings the ensemble spread to a calibrated error scale (expected calibration error $0.029\to0.008$; standardized error $4.7\to0.96$), ranking errors better than the pure prior. We also repair a 20.3% adjoint mismatch in a deployed projector via a materialized operator of record. This is the first data-consistent, uncertainty-calibrated learned reconstruction for limited-angle DBT. The solver naturally relaxes to discrepancy-ball and maximum-a-posteriori modes for noisy measurements.
Photoacoustic Computed Tomography (PACT) often faces severe challenges from reconstruction artifacts due to sparse detection conditions. In this work, based on the distinct differences in artifact patterns between back-projection-based and Fourier-based reconstruction algorithms, we propose a self-supervised artifact removal framework that employs a lightweight Siamese Neural Network and a composite loss function integrating cross-domain fidelity and uncertainty-weighted consistency, effectively decoupling dual-domain features and filtering artifacts. Comprehensive validations using simulations, phantoms, in vivo rat and human experimental data demonstrate that the proposed method can significantly suppress image artifacts. Furthermore, enabled by the acceleration of the spatial-domain and frequency-domain inverse operator, this end-to-end approach also achieves exceptional computational efficiency.
EEG-to-image evaluation should distinguish visual fidelity from recoverable meaning. Yet EEG-derived reconstructions are blurry, distorted, and low-detail, causing SSIM, LPIPS, and CLIP to penalize semantically recoverable outputs or reward plausible but incorrect ones. We analyze 6,855 ground-truth/reconstruction pairs from ATM, ENIGMA, BrainVis, and DreamDiffusion using semantic probes, caption harshness and blind-spot rates, and controlled degradations. Pixel metrics show near-zero correlation with semantic consistency, while representation metrics conflate perceptual and semantic errors. We therefore introduce a BCI-aware framework in which four VLMs assess image pairs through structured questions, producing Tolerant Perceptual Alignment Scores (T-PAS) and Tolerant Semantic Alignment Scores (T-SAS). Their consensus is distilled into the BCI-Coherence Score (BCS), a compact evaluator achieving a T-PAS MAE of 0.079 (r = 0.700) and a T-SAS MAE of 0.082 (r = 0.850) on our data. Human validation shows highly reliable joint coherence judgments, with Cohen's kappa = 0.882 +/- 0.174 and Krippendorff's alpha = 0.882, supporting perceptual-semantic recoverability over generic visual similarity. Code and resources are available at https://sukt03.github.io/BCS/.
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.
Md Imam Ahasan, Guangchao Yang, A F M Abdun Noor +3cs.CV cs.LG
Computed tomography (CT) is a critical imaging modality for clinical diagnosis, but reducing radiation dose inevitably introduces severe noise and structured artifacts that degrade image quality. Existing deep learning-based low-dose CT (LDCT) reconstruction methods are typically optimized for fixed dose levels or specific anatomical regions, limiting their robustness and generalization in realistic clinical settings. We propose GenDiff, a generalizable diffusion-based framework for LDCT reconstruction that jointly models continuous radiation dose and anatomical information within a unified reconstruction network. The proposed framework integrates a Dose-Anatomy Encoder to learn acquisition-aware embeddings, a dose- and anatomy-conditioned cold diffusion backbone for iterative refinement, a physics-consistency update to enforce fidelity to the CT forward model, and a Structural Prior Refinement Module (SPRM) that preserves anatomical structures while suppressing dose-dependent artifacts. Extensive experiments on multi-anatomy clinical datasets, including unseen ultra-low-dose conditions as well as out-of-distribution phantom and animal datasets, demonstrate that GenDiff consistently outperforms state-of-the-art convolutional neural network and diffusion-based reconstruction methods. The proposed approach achieves superior reconstruction quality while maintaining strong robustness across different dose levels, anatomical regions, and acquisition domains, making it a promising solution for practical low-dose CT imaging.
Dexuan Li, Yupeng Wu, Chenglong Wang +4cs.LG cs.AI physics.med-ph
Multi-Pool Chemical Exchange Saturation Transfer (CEST) MRI provides valuable metabolic information but is clinically limited by long acquisition times. Although sparse sampling reduces scanning time, reconstructing high-resolution Z-spectra from limited data remains an ill-posed inverse problem. Conventional interpolation and generic Implicit Neural Rep-resentations (INRs) often lack physical constraints, leading to spectral artifacts and physically invalid signals. To address this, we propose Lorentz Encoding (LE), a physics-informed framework that formulates CEST reconstruction as a self-supervised reconstruction task via implicit continuous coordinate learning. Unlike generic positional encodings, LE regularizes the continuous spectral mapping by projecting sparse coordinates into a physically constrained space governed by a combination of parametric Lorentzian profiles with learnable basis functions. This mechanism effectively reduces noise and enforces consistency with physical models. Experiments on in vivo human brain data demonstrate that LE significantly outperforms state-of-the-art methods. Specifically, under a 39-point sampling strategy, LE achieves a PSNR of 57.58 dB and an SSIM of 0.9994. Furthermore, the learned physics-informed encodings form a continuous, geometrically ordered trajectory in the latent space, ensuring accurate quantitative metabo-lite mapping (APT, NOE, MT).
Computed Tomography (CT) is indispensable in clinical diagnostics, yet minimizing radiation dose without compromising image quality remains a critical challenge. Conventional low-dose protocols often rely on fixed, uniform angular sampling, independent of the underlying structural complexity of organs of individual patients. We propose ``Stochastic Adaptive Variance-Driven Exploration and Reconstruction'' (SAVER), an adaptive data acquisition framework that selects projection angles in real-time based on the statistical variance of acquired data. Utilizing a Softmax-based stochastic scheduling scheme with simulated annealing, SAVER prioritizes directions with high structural information while maintaining necessary exploration. Numerical experiments across 8 diverse phantoms demonstrate that SAVER achieves consistently higher reconstruction fidelity than conventional random sampling, particularly for objects with high structural anisotropy. Furthermore, the proposed method exhibits robust performance under significant measurement noise. By dynamically reallocating radiation dose to the most informative projections, SAVER provides a mathematically-grounded approach to maximize diagnostic quality per unit of radiation dose, marking a shift toward sample-dependent, data-driven CT acquisition.
Positron emission tomography (PET) provides essential functional information for disease assessment, however reducing injected activity or acquisition time produces low-dose (LD) PET with stronger count dependent noise and less reliable uptake quantification. Diffusion models offer a promising solution for PET denoising by progressively recovering high-dose (HD) PET images from LD inputs. However, LD-to-HD PET denoising is still challenging due to insufficient anatomical guidance, unstable multi-scale feature propagation, and uncertain frequency domain uptake recovery. We propose AnF-DiffPET, an anatomy- and frequency-guided diffusion framework for computed tomography (CT) conditioned LD PET denoising. The framework integrates Anatomical-Frequency Guidance (AFG), Multi-Scale Cross-Transformer Reconstruction (MSCTR), and Frequency-Contrastive Hard Mining (FCHM) to enhance anatomy aware feature modulation and frequency domain consistency during denoising. Experimental results across four PET/CT datasets show that the proposed method improves image fidelity, anatomical consistency, and quantitative fidelity over representative CNN-based, GAN-based, transformer-based, and diffusion-based methods. The code and trained models will be publicly released upon acceptance.
Djahid Abdelmoumene, Ishak Ayad, Maï K. Nguyen +1cs.CV cs.AI
Multi-Frequency Electrical Impedance Tomography (MF-EIT) is a non-invasive, low-cost modality that reconstructs electrical property distributions from boundary voltages. For stroke imaging, progress in 3D deep-learning reconstruction is limited by the lack of large-scale datasets with paired ground-truth (GT) volumes and by non-standardized pipelines for data generation, simulation, and evaluation. We introduce BREIT, a modular framework for 3D MF-EIT stroke reconstruction providing: (i) a neuroimaging-to-EIT pipeline that converts CT/MRI into frequency-dependent GT admittivity volumes; (ii) a self-contained Python 3D Complete Electrode Model (CEM) forward solver for simulating MF-EIT voltages; and (iii) a 3D D-bar implementation supporting non-uniform electrode layouts. Building on BREIT, we propose dFNO-bar, which integrates Fourier Neural Operators into D-bar by learning a mapping from scattering data $t(ξ)$ to conductivity $σ(x){=}\Re\{γ\}$. We evaluate dFNO-bar against D-bar, Deep D-bar, and Gauss--Newton reconstructions on UCLH-matched synthetic data, and observe higher brain SSIM with comparable CC across noise settings.
Computed tomography (CT) plays a crucial role in medical diagnosis, but minimizing radiation exposure while maintaining image quality remains a critical challenge. Low-dose CT (LDCT) protocols reduce radiation risks but inevitably suffer from severe noise and artifacts that compromise diagnostic accuracy. While existing deep learning methods have achieved promising results, there remains a continuous quest for generative paradigms that intrinsically capture global-to-local structural dependencies to better preserve fine anatomical details. To this end, we propose DeVAR, a novel generative framework that applies visual autoregressive modeling (VAR) to LDCT denoising for the first time. Conditioned on global context provided by LDCT prefix tokens, DeVAR progressively generates discrete token maps of the target normal-dose CT (NDCT) via next-scale prediction. Because quantization inherently discards high-frequency information, we introduce a residual refiner to capture subtle anatomical structures beyond the capacity of a discrete codebook. Finally, empowered by a dual-representation hybrid training strategy, our hybrid NDCT decoder seamlessly integrates continuous and discrete latents to reconstruct high-fidelity, detail-preserved images. Extensive experiments on two public datasets demonstrate that DeVAR consistently achieves superior qualitative and quantitative performance compared to state-of-the-art LDCT denoising methods.
Joao Batista Florindo, Amanda Pontes de Oliveira Ornelascs.CV
Deep learning models for medical image classification usually achieve promising results but typically rely on large, annotated datasets or standard transfer learning from ImageNet. Self-Supervised Learning (SSL) has emerged as a powerful alternative, yet common methods like masked autoencoders (MAEs) may inadvertently destroy fine-grained diagnostic features by using random masking. In this paper, we propose a novel SSL pre-training strategy, the Chaotic Denoising Autoencoder (CDAE). Instead of masking, we apply a chaotic transformation to the input image, tasking an autoencoder to reconstruct the original. We hypothesize this forces the encoder to learn robust, domain-specific features by "inverting the chaos". Furthermore, we propose an attentive fusion mechanism that combines features from our CDAE-trained encoder with a standard encoder, leveraging the strengths of both general and domain-specific representations. Our method is evaluated on two public medical datasets: ISIC 2018 (skin lesions) and APTOS 2019 (diabetic retinopathy). The proposed model achieves high performance, with an accuracy of 0.9221 and an F1-macro of 0.8530 on ISIC 2018, and an accuracy of 0.8644 and F1-macro of 0.7433 on APTOS 2019, demonstrating the efficacy of our approach.
Patris Valera, Magdalena Wysocki, Felix Duelmer +4cs.CV
Wide Field-of-View (WFoV) reconstruction enhances 3D ultrasound imaging by providing valuable anatomical context for segmentation models and visualization. Clinical ultrasound volumes are predominantly acquired using convex probes, which generate expanding, diverging acoustic beams to maximize anatomical coverage. Stitching these sweeps together traditionally introduces significant compounding artifacts and aliasing due to depth-dependent resolution changes. Here, we introduce Ultra-Wide-NeRF, a Multivariate 3D Gaussian (MVG) NeRF-based method for WFoV ultrasound reconstruction. By explicitly modeling the complex beam geometry using distance-dependent convex volumetric sampling and anisotropic 3D Gaussians, our method inherently mitigates these compounding artifacts and provides anti-aliasing. Beyond simply reconstructing a static 3D grid, our NeRF-based approach yields a continuous neural representation of the tissue, enabling the synthesis of high-fidelity novel views from arbitrary virtual trajectories. We validate Ultra-Wide-NeRF for intracardiac echocardiography on phantom and porcine datasets, demonstrating that our method expands the spatial context important in intraoperative navigation. Code will be open-sourced upon publication.