Neighbor2Inverse: Self-Supervised Denoising for Low-Dose Region-of-Interest Phase Contrast CT
Authors: Johannes B. Thalhammer, Lorenzo D'Amico, Lucy Costello, Sebastian Peterhansl, Daniel Frey, Tina Dorosti, Florian Schaff, Jannis Ahlers, +6 more
Abstract
Propagation-based X-ray phase-contrast imaging (PBI) enables high-contrast visualization of lung structures and holds strong medical potential. However, safe translation to the clinic will require a substantial radiation dose reduction, which inevitably increases image noise. Supervised convolutional-neural-network-based denoising can restore image quality but depends on paired low- and high-dose datasets, which are rarely available in practice. Self-supervised methods avoid this limitation, yet most are not well adapted to the inverse problem of PBI computed tomography (CT). We introduce Neighbor2Inverse, a self-supervised denoising framework designed for low-dose PBI-CT that generalizes to clinical CT. Building on the Neighbor2Neighbor principle, each noisy projection is subsampled into two variants that preserve structural information but contain independent noise realizations. These are reconstructed separately, and the resulting pairs are used to train a denoising network directly in the image domain. We benchmark the proposed method against established analytical and self-supervised denoising approaches. In region-of-interest PBI CT experiments, Neighbor2Inverse achieves superior noise suppression while preserving fine structural details, as demonstrated by improved contrast-to-noise ratio, spatial resolution, and composite image quality metrics. Competitive performance is also observed on clinical CT data under simulated low-dose conditions. This work has been submitted to the IEEE for possible publication. Copyright may be transferred without notice, after which this version may no longer be accessible. Code, data, and interactive figures are available at https://github.com/J-3TO/Neighbor2Inverse.
Low-dose computed tomography (LDCT) measurements contain mixed Poisson-Gaussian noise. However, most self-supervised methods rely on generic image statistics and do not explicitly model this noise, which may limit their ability to effectively suppress realistic LDCT noise. To address this issue, we propose a physics-driven framework with cross-domain iteration for self-supervised LDCT denoising. The proposed framework proceeds in three main steps. First, a learned sinogram prior and the LDCT noise model guide posterior inference of photon counts, enabling separation of the Poisson and Gaussian components. Second, the separated Poisson and Gaussian components are respectively processed by binomial thinning and Gaussian data thinning to construct two branches, and residual scaling matches each branch's noise level to that of the observation, yielding a training pair with approximately independent noise realizations from one low-dose measurement. Finally, the pair is used to train an image-domain network whose forward-projected outputs update the prior. Through cross-domain iteration, the prior and the training pair are progressively refined while maintaining consistency with CT acquisition physics. Experiments on simulated data from AAPM, LIDC-IDRI, and LoDoPaB-CT and on real LDCT data show consistent gains over the evaluated self-supervised baselines across dose levels, with performance comparable to the evaluated supervised baseline.
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.
Antti Sällinen, Siiri Rautio, Santeri Kaupinmäki +1