CT-DegradBench: A Physics-Informed Benchmark for CT Degradation Detection and Severity Estimation
Authors: Yousra Nabila Taifour, Marouane Tliba, Zuheng Ming, Marie Luong, Nour Aburaed, Aladine Chetouani, Gorkem Durak, Alessandro Bruno, +4 more
Organizations: 1Université Sorbonne Paris Nord · University of Dubai · 3Northwestern University · 4IULM University · 5Norwegian University of Science and Technology · University of Geneva
Abstract
Computed tomography (CT) images are frequently degraded by acquisition artifacts, including noise, blur, streaking, aliasing, and metal artifacts. Yet CT enhancement is still largely evaluated using image quality metrics with limited perceptual and clinical validity, while existing datasets remain focused on isolated restoration tasks, hindering unified benchmarking across diverse degradation types. We present CT-DegradBench, a dataset and benchmark for CT degradation detection and severity estimation under controlled single- and mixed-artifact settings. CT-DegradBench enables systematic evaluation across multiple degradation families and severity levels within a common experimental framework. We further propose SeSpeCT (Semantic-Spectral CT degradation estimation), a framework that combines semantic priors from medical vision-language models with complementary frequency-domain cues for artifact analysis. SeSpeCT constructs a training-free semantic quality axis in the multimodal embedding space using radiology-informed text prompts, without task-specific fine-tuning, and combines it with spectral features that capture degradation-specific frequency patterns. The resulting representation enables joint prediction of artifact type and severity. Experimental results show that SeSpeCT consistently outperforms the evaluated baselines under both single- and mixed-degradation settings. The framework is available at https://github.com/yousranb/CT-DEGRADBENCH.
Image degradations can occur during acquisition, processing, and transmission, altering visual appearance and affecting downstream vision tasks. They are studied in several communities, including synthetic corruption benchmarks for robustness evaluation, perceptual image quality assessment, and physically grounded analyses of imaging systems or real camera failures. Although these areas address closely related phenomena, they often use incompatible grouping schemes and backend specific severity definitions, making results difficult to compare across datasets, degradation sources, and tasks. We propose a causally grounded framework for organizing and interpreting image degradations across these settings. Instead of introducing new degradations or redefining existing benchmarks, we provide an interpretive representation and measurement layer that makes implicit assumptions explicit. Each degradation is described along two orthogonal axes: its dominant causal source in the imaging pipeline (environment, sensor/optics, ISP/renderer/codec, or transfer/system), and its resulting perceptual effect. This dual axis abstraction yields a compact taxonomy spanning algorithmic corruptions, perceptual distortions, and physically motivated imaging artifacts. To address inconsistent severity semantics without changing existing implementations, we introduce a lightweight severity measurement layer. For every degradation and each native severity level of a given backend, we quantify degradation strength using full reference image quality metrics: PSNR, SSIM, and LPIPS. This makes severity observable and comparable across sources while preserving native parameterizations. We demonstrate the framework through COCO Degradation, a taxonomy aligned benchmark for evaluating object detector robustness under diverse imaging conditions.
Recent advances in generative AI have made synthetic Computed Tomography (CT) images increasingly realistic, enabling promising applications in medical data augmentation while raising serious concerns about clinical safety and data trustworthiness. Detecting AI-generated CT images remains challenging for two key reasons: existing benchmarks cover only limited generation sources, and many detectors are adapted from natural-image forensics without explicitly modeling CT-specific imaging properties. In this paper, we introduce CTForensics, a dataset for detecting AI-generated CT images. CTForensics contains 75,990 2D CT images, including a dedicated test benchmark of 29,990 balanced authentic and generated samples from ten representative CT generative models spanning GAN-based and diffusion-based paradigms. We further propose the Enhanced Spatial-Frequency CT Forgery Detector (ESF-CTFD), a CT-oriented CNN framework built around a Wavelet-Enhanced Central Stem, Multi-Scale Spatial Aggregation, and a Frequency-Aware Prediction Block. The Wavelet-Enhanced Central Stem enhances local intensity correlations and high-frequency residuals, Multi-Scale Spatial Aggregation aligns anatomical features across resolutions with lightweight residual units, and the Frequency-Aware Prediction Block models global spectral artifacts. Extensive experiments on CTForensics show that ESF-CTFD achieves 96.01% mAcc and 99.96% mAP, outperforming existing methods and maintaining strong robustness under realistic perturbations with only a 0.99% average drop. Codes will be available at https://github.com/liyih/CTForensics.
Deep learning-based CT segmentation systems often achieve high accuracy on clean benchmark images, but their performance may degrade under heterogeneous clinical imaging conditions such as noise, resolution loss, contrast variation, intensity shift, and artifacts. This instability can limit reliable deployment in real-world medical imaging workflows. We propose Robustness via Augmented Multi-corruption Pipeline (RAMP), a robustness-oriented augmentation framework for CT segmentation. RAMP combines anatomically constrained spatial perturbations, CT intensity transformations, and stochastic multi-corruption composition to expose models to clinically plausible image degradation during training. Across two CT segmentation evaluation settings, RAMP achieved the strongest corrupted-image performance and the smallest clean-to-corrupted robustness gap. In the five-organ noisy evaluation benchmark, RAMP improved mean corrupted Dice from 0.610 to 0.753 and reduced the robustness gap from 0.264 to 0.064 compared with the nnU-Net baseline. In Abdomen1K, RAMP improved mean corrupted Dice from 0.633 to 0.789 and reduced the robustness gap from 0.290 to 0.070. Although RAMP did not achieve the highest clean-image Dice, it substantially mitigated worst-case segmentation collapse under severe image degradation. These results suggest that multi-corruption augmentation can serve as a practical pre-deployment strategy for improving the reliability of CT segmentation systems in heterogeneous clinical environments.