Computed Tomography

Also known as CT

Overview

Computed tomography (CT) research studies how to reconstruct internal structure from X-ray measurements and extract useful clinical or scientific information from scans. Approaches range from physics-based iterative reconstruction and learned unrolling to diffusion and flow-matching priors, CNN and Transformer segmentation, and vision-language systems for image interpretation and reporting. Work spans low-dose, sparse-view, cone-beam, and spectral CT, with evaluations on benchmarks such as AAPM Mayo, LoDoPaB-CT, and CT-RATE as well as multi-center cohorts. A central challenge is balancing speed and image quality with data consistency, anatomical fidelity, robustness across scanners and populations, and clinically meaningful evaluation.

Latest papers

275 papers27 papers in the last four weeks, up 35% on the four weeks before. 0.2% of all new papers.

Aug 25, 2025

InSituRes: A Physics-Informed Same-Grid Model for Enhanced Dynamic X-ray Micro-CT Reconstructions

X-ray micro-computed tomography (micro-CT) provides non-destructive three-dimensional (3D) imaging of porous material microstructures. In situ experiments, including mechanical loading and reactive transport, increasingly require dynamic four-dimensional (4D) imaging with volumes repeatedly acquired during experiments. However, rapid acquisition typically requires fewer projections, shorter exposures, or reduced fields of view, producing reconstructions with noise, blur, and artifacts that obscure pores, microcracks, and interfaces. To address this challenge, this study introduces InSituRes, a physics-informed same-grid volumetric enhancement framework for fast dynamic X-ray micro-CT imaging of temporally evolving materials. InSituRes maps fast-acquisition volumes to higher-quality long-acquisition reconstructions using paired scans of the same specimens. The model integrates 3D convolutional feature extraction with slice-wise transformer attention to capture local and broader in-plane context. A learnable forward degradation model approximates rapid acquisition effects, including spatial blurring, intensity scaling differences, and signal-dependent noise. During training, reconstructed volumes should match high-quality reference scans and reproduce observed fast acquisition data after propagation through the forward model, imposing a physics-guided consistency constraint. Experiments on unseen micro-CT datasets demonstrate improved reconstruction fidelity and enhanced visibility of fine microstructural features relative to conventional interpolation and learning-based enhancement approaches. The framework supports quantitative interpretation of fast 4D X-ray micro-CT scans of evolving materials.
Aug 24, 2025

FoundDiff: Foundational Diffusion Model for Generalizable Low-Dose CT Denoising

Low-dose computed tomography (CT) denoising is crucial for reduced radiation exposure while ensuring diagnostically acceptable image quality. Despite significant advancements driven by deep learning (DL) in recent years, existing DL-based methods, typically trained on a specific dose level and anatomical region, struggle to handle diverse noise characteristics and anatomical heterogeneity during varied scanning conditions, limiting their generalizability and robustness in clinical scenarios. In this paper, we propose FoundDiff, a foundational diffusion model for unified and generalizable LDCT denoising across various dose levels and anatomical regions. FoundDiff employs a two-stage strategy: (i) dose-anatomy perception and (ii) adaptive denoising. First, we develop a dose- and anatomy-aware contrastive language-image pre-training model (DA-CLIP) to achieve robust dose and anatomy perception by leveraging specialized contrastive learning strategies to learn continuous representations that quantify ordinal dose variations and identify salient anatomical regions. Second, we design a dose- and anatomy-aware diffusion model (DA-Diff) to perform adaptive and generalizable denoising by synergistically integrating the learned dose and anatomy embeddings from DA-CLIP into diffusion process via a novel dose and anatomy conditional block (DACB) based on Mamba. Extensive experiments on a large simulated multi-dose CT dataset spanning three anatomical regions, together with cross-dataset evaluations on Mayo-2016, CQ500, and piglet datasets, demonstrate superior denoising performance and strong generalization to unseen dose levels and anatomical regions. The codes and models are available at https: //github.com/hao1635/FoundDiff.
Aug 15, 2025

Subcortical Masks Generation in CT Images via Ensemble-Based Cross-Domain Label Transfer

Subcortical segmentation in neuroimages plays an important role in understanding brain anatomy and facilitating computer-aided diagnosis of traumatic brain injuries and neurodegenerative disorders. However, training accurate automatic models requires large amounts of labelled data. Despite the availability of publicly available subcortical segmentation datasets for Magnetic Resonance Imaging (MRI), a significant gap exists for Computed Tomography (CT). This paper proposes an automatic ensemble framework to generate high-quality subcortical segmentation labels for CT scans by leveraging existing MRI-based models. We introduce a robust ensembling pipeline to integrate them and apply it to unannotated paired MRI-CT data, resulting in a comprehensive CT subcortical segmentation dataset. Extensive experiments on multiple public datasets demonstrate the superior performance of our proposed framework. Furthermore, using our generated CT dataset, we train segmentation models that achieve improved performance on related segmentation tasks. To facilitate future research, we make our source code, generated dataset, and trained models publicly available at https://github.com/alxw0671/CT_Subcortical_Segmentation, marking the first open-source release for CT subcortical segmentation to the best of our knowledge.
May 31, 2025

From Alignment to Synthesis: Contrastive Volumetric Grounding for Text-to-CT Generation

Generating semantically controllable 3D CT volumes from radiology reports requires more than a rich text encoder, it requires vision-language alignment grounded in volumetric space. Existing Text-to-CT approaches condition generation on encoders pretrained with language only or 2D vision-language objectives, providing conditioning signals that are linguistically expressive but volumetrically blind. We argue this is a structural limitation: the quality of 3D vision-language alignment, not the richness of the text encoder, is the primary bottleneck for semantic controllability in volumetric diffusion models. To address this, we propose a generation-oriented 3D-CLIP encoder trained with structured hard negatives that operate exclusively at the text level. This design increases contrastive difficulty without any additional 3D memory cost, overcoming the small-batch constraints inherent to volumetric encoders. The resulting encoder conditions a fully end-to-end latent diffusion model that operates directly in 3D latent space, eliminating the spatial artifacts and cross-slice inconsistencies introduced by super-resolution pipelines. Through systematic ablations, we establish a clear empirical link between grounding quality and downstream generative controllability. Evaluated on CT-RATE across 18 pathological conditions, our method achieves state-of-the-art performance on both image fidelity and factual correctness, while requiring less inference time and GPU memory than all competing methods. Code is at https://github.com/danielemolino/Text2CT.
May 22, 2025

Render-FM: Feedforward Model for Real-time Photorealistic Volumetric Rendering

Photorealistic volumetric rendering of CT scans greatly benefits clinical workflows, yet neural approaches such as Neural Radiance Fields (NeRF) and 3D Gaussian Splatting (3DGS) require prohibitive per-scan optimization (hours for NeRF, about 30 minutes for 3DGS), making them impractical in clinical settings. We propose Render-FM, a feedforward model that eliminates this bottleneck by directly regressing 6D Gaussian Splatting (6DGS) parameters from a CT volume in a single 2.8-second forward pass, a 500x speedup over per-scan optimization. To bridge the domain gap between natural scene reconstruction and medical volumetric rendering, we introduce Anatomy-Guided Priming (AGP), which incorporates segmentation masks and transfer functions as structural and appearance priors, information that existing Gaussian splatting methods overlook. Built on an nnU-Net-inspired 3D U-Net trained on diverse CT scans, Render-FM predicts per-voxel 6DGS parameters and supports immediate real-time rendering. Unlike per-scan methods, it generalizes to unseen anatomies, novel transfer functions, and enables compositional organ visualization with zero additional preparation time. Optional 89-second fine-tuning further improves quality, surpassing per-scan optimized baselines. Project page: https://gaozhongpai.github.io/renderfm/.