SCOUT: Fast Spectral CT Imaging in Ultra LOw-data Regimes via PseUdo-label GeneraTion

Despite extensive research on computed tomography (CT) denoising, few studies exploit projection-domain data characteristics to mitigate noise correlation. To bridge this gap, this work proposes FrequencyCT, the first zero-shot self-supervised method for pseudo-sample generation in the frequency domain for low-dose CT denoising. Specifically, by exploiting the distinct frequency-domain distributions of noise and true signal, a regional low-frequency anchoring technique is proposed. Applying phase-preserving noise and mask perturbations to the high-frequency region generates pseudo-samples for self-supervision. Driven by the exponential correlation between noise variance of noisy projections and the underlying true signal, consistent data truncation is applied to the generated samples to stabilize optimization gradients. Evaluation results on multiple public and real datasets confirm the clinical application potential of this research, which provides an innovative perspective for the field of denoising. The code is available at: https://github.com/yqx7150/FrequencyCT.

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.

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.