Gradient Step Plug-and-Play Model for Dental Cone-Beam CT Reconstruction

While deep learning-based denoising has become widely adopted in low-dose CT, conventional models use generic architectures designed for natural images, failing to account for non-stationary and spatially correlated CT noise characteristics. To address this, we propose an Efficient Noise COntext-aware REpresentation (ENCORE) framework that explicitly leverages CT noise characteristics and anatomical features. First, we reformulate the noise synthesis procedure based on a realistic noise distribution beyond the conventional Gaussian approximation, establishing a rigorous foundation for training pair generation. Next, we extract local noise power and correlation contexts to guide the denoising process. To fully leverage the potential of noise context, we propose a FlyingConv module, which adaptively changes convolution weights for each local image region. Notably, our approach demonstrates substantial gains in both denoising quality and computational efficiency. Furthermore, manipulating the intensity of the noise context maps at inference time enables zero-shot conditional denoising, allowing for dynamic control over the output image texture. The entire pipeline is available at https://github.com/minwoo-yu/ENCORE.git

Volume denoising is a foundational problem in computational imaging, as many 3D imaging inverse problems face high levels of measurement noise. Inspired by the strong 2D image denoising properties of Field of Junctions (ICCV 2021), we propose a novel, fully volumetric 3D Field of Junctions (3D FoJ) representation that optimizes a junction of 3D wedges that best explain each 3D patch of a full volume, while encouraging consistency between overlapping patches. In addition to direct volume denoising, we leverage our 3D FoJ representation as a structural prior that: (i) requires no training data, and thus precludes the risk of hallucination, (ii) preserves and enhances sharp edge and corner structures in 3D, even under low signal to noise ratio (SNR), and (iii) can be used as a drop-in denoising representation via projected or proximal gradient descent for any volumetric inverse problem with low SNR. We demonstrate successful volume reconstruction and denoising with 3D FoJ across three diverse 3D imaging tasks with low-SNR measurements: low-dose X-ray computed tomography (CT), cryogenic electron tomography (cryo-ET), and denoising point clouds such as those from lidar in adverse weather. Across these challenging low-SNR volumetric imaging problems, 3D FoJ outperforms the evaluated classical denoisers, untrained neural denoisers, and denoisers trained only on noisy examples. Code is available at https://github.com/voilalab/3D-Field-of-Junctions.

Limited-angle digital breast tomosynthesis (DBT) reconstructs a volume from a few low-dose projections over a narrow arc. At a representative nine-view, $25^{\circ}$ protocol more than 98% of image space is unmeasured, so a learned prior must supply structure in the missing wedge. Conditional diffusion priors achieve strong perceptual quality here but leave three clinical obstacles: inexact data consistency, unlocalized hallucination, and uncalibrated uncertainty. We enforce measurements exactly by replacing the per-step proximal update of a conditional diffusion sampler with exact Euclidean projection onto the data-consistent set, computed via an $m$-dimensional dual system with a one-time Gram matrix $AA^{\top}$ factorization. This projection costs 4.5 ms per step (a $248\times$ speedup) and drives the data residual to the double-precision floor ($2.4\times10^{-13}$). We prove it is the $ρ\to0$ limit of the proximal step, provide a no-harm theorem, and show that exactly consistent sample ensembles have variance supported on null($A$). Thus, the mean's entire error lies in the unmeasured subspace covered by the uncertainty map. On patient-derived breast phantoms, this improves fidelity at no depth-resolution cost. Conversely, a proximal step applied post-update degrades quality, isolating the consistency step's placement as decisive. Isotonic recalibration brings the ensemble spread to a calibrated error scale (expected calibration error $0.029\to0.008$; standardized error $4.7\to0.96$), ranking errors better than the pure prior. We also repair a 20.3% adjoint mismatch in a deployed projector via a materialized operator of record. This is the first data-consistent, uncertainty-calibrated learned reconstruction for limited-angle DBT. The solver naturally relaxes to discrepancy-ball and maximum-a-posteriori modes for noisy measurements.