ILV: Iterative Latent Volumes for Fast and Accurate Sparse-View CT Reconstruction

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.

Computed Tomography (CT) is a widely used imaging modality in medical and industrial applications. To limit radiation exposure and measurement time, there is a growing interest in sparse-view CT, where the number of projection views is significantly reduced. Deep neural networks have shown great promise in improving reconstruction quality in sparse-view CT, especially generative diffusion models. However, these methods struggle to scale to large 3D volumes due to several reasons: (i) the high memory and computational requirements of 3D models, (ii) the lack of large 3D training datasets, and (iii) the inconsistencies across slices when using 2D models independently on each slice. We overcome these limitations and scale diffusion-based sparse-view CT reconstruction to large 3D volumes by combining conditional diffusion with explicit data consistency. We propose Conditional Diffusion Posterior Alignment (CDPA) to enable scalable 3D sparse-view CT reconstruction. A 2D U-Net diffusion model is conditioned on an initial 3D reconstruction to improve inter-slice consistency, combined with data-consistency alignment to match measured projections. Experiments on synthetic and real Cone Beam CT (CBCT) data show state-of-the-art performance, with ablations that confirm the synergistic effects of the proposed pipeline. Finally, we show that the same principles also strengthen fast denoising U-Nets, yielding near-diffusion quality at a fraction of the computational cost.

Multi-source stationary computed tomography (CT) has recently attracted attention for its ability to achieve rapid image reconstruction, making it suitable for time-sensitive clinical and industrial applications. However, practical systems are often constrained by ultra-sparse-view sampling, which significantly degrades reconstruction quality. Traditional methods struggle under ultra-sparse-view settings, where interpolation becomes inaccurate and the resulting reconstructions are unsatisfactory. To address this challenge, this study proposes Diffusion-Refined Neural Attenuation Fields (Diff-NAF), an iterative framework tailored for multi-source stationary CT under ultra-sparse-view conditions. Diff-NAF combines a Neural Attenuation Field representation with a dual-branch conditional diffusion model. The process begins by training an initial NAF using ultra-sparse-view projections. New projections are then generated through an Angle-Prior Guided Projection Synthesis strategy that exploits inter view priors, and are subsequently refined by a Diffusion-driven Reuse Projection Refinement Module. The refined projections are incorporated as pseudo-labels into the training set for the next iteration. Through iterative refinement, Diff-NAF progressively enhances projection completeness and reconstruction fidelity under ultra-sparse-view conditions, ultimately yielding high-quality CT reconstructions. Experimental results on multiple simulated 3D CT volumes and real projection data demonstrate that Diff-NAF achieves the best performance under ultra-sparse-view conditions.