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.
Dual-energy CT (DECT) exploits attenuation differences across different X-ray spectra to provide richer material information and has been widely used in medical imaging. While sparse-view acquisition can lower radiation exposure, it makes DECT material decomposition even more challenging, as the problem is nonlinear and ill-posed. Existing deep unrolling approaches generally do not explicitly incorporate the Jacobian operator induced by the nonlinear forward model, and their sparsity priors are still mainly built on conventional convolutions, which are insufficient for modeling global structural information. This study addresses the challenge of DECT multi-material decomposition in sparse-view settings by representing it as a sparse-regularized nonlinear least-squares problem. To solve it, we propose an iterative dual-domain refinement network (DECT-DRNet). In each iteration, the filtered back-projection (FBP)-based Jacobian approximation module is used first to generate an intermediate material decomposition result. Here, we characterize the forward process of material decomposition using a nonlinear operator, and then construct a theoretically grounded learnable approximation of the adjoint Jacobian operator by integrating the FBP algorithm with a U-Net into the backward process. In addition, to address the limitation of existing deep learning-based decomposition methods in globally suppressing noise and artifacts, we introduce a learnable sparse dual domain regularization term that incorporates Fourier convolutional residual blocks. This refinement block combines geometric feature extraction in the image domain with noise suppression in the frequency domain, allowing the model to capture both global and local features while maintaining structural details. DECT-DRNet demonstrates its ability to achieve more accurate material decomposition under sparse-view conditions.
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.
While 3D Gaussian splatting (3DGS) offers explicit and efficient scene representations for cone-beam computed tomography reconstruction, conventional photometric optimization inherently suffers from spectral bias under ultra sparse-view conditions, leading to over-smoothing and a loss of high-frequency anatomical details. Since wavelet transforms provide rich high-frequency information and have been widely utilized to enhance sparse reconstruction, this work integrates wavelet multi-resolution analysis with 3DGS. To circumvent the mathematical mismatch between the strict non-negativity of physical X-ray attenuation and the bipolar nature of high-frequency wavelet coefficients, we propose Residual Gaussian Splatting (RGS). Methodologically, we introduce a spectrally-decoupled Gaussian representation that stratifies the volumetric field into a geometric base component and a residual detail component. This decomposition systematically transforms explicit high-frequency fitting into a physically consistent, implicit residual compensation task. Furthermore, we devise a spectral-spatial collaborative optimization strategy to coordinate the interplay between geometric anchoring and texture refinement, effectively preventing spectral crosstalk. Extensive experiments on clinical datasets demonstrate that RGS enables the reconstructed images to capture highly refined geometric textures. It successfully resolves the trade-off between artifact suppression and detail preservation, yielding superior visual fidelity in complex trabecular and vascular structures compared to existing neural rendering baselines.