Computed Tomography

Also known as CT

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18 papers in the last four weeks, up 80% on the four weeks before. 0.2% of all new papers.

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Latest papers 186

May 3, 2026cs.CV

MedScribe: Clinically Grounded CT Reporting through Agentic Workflows

Vision-language models (VLMs) have shown potential for automated radiology report generation, yet existing approaches rely on global embedding compression of volumetric data, often leading to hallucinated findings and limited anatomical grounding in 3D CT imaging. We introduce MedScribe, a hypothesis-driven framework that reformulates report generation as an iterative evidence acquisition process rather than a single-pass encoding task. MedScribe models reporting as a sequential decision process in which a large language model dynamically invokes pathology-specific diagnostic tools to extract localized volumetric features. These structured features are used to query a multidimensional retrieval space aligned with pathology-specific textual evidence. By explicitly accumulating quantitative evidence prior to synthesis, the framework enforces fine-grained grounding and reduces unsupported claims. Without task-specific fine-tuning, MedScribe improves clinical accuracy, factual consistency, and interpretability on CT-RATE and RadChestCT compared to state-of-the-art 2D and 3D VLMs, demonstrating the value of hypothesis-driven reasoning for reliable medical image reporting.

Giuseppe A. Orlando, Paolo Papotti, Maria A. Zuluaga +2

Inria Centre at Université Côte d’Azur Sophia Antipolis, France · EURECOM Biot, France · Dep. of Nuclear Medicine, Centre Antoine Lacassagne Nice, France Université Côte d’Azur, CNRS, Inserm, iBV

Radiology Report Generation Healthcare 3D Medical Imaging VLM Hallucination Agentic Workflows Medical Image Grounding+1

May 1, 2026cs.CV

Neighbor2Inverse: Self-Supervised Denoising for Low-Dose Region-of-Interest Phase Contrast CT

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.

Johannes B. Thalhammer, Lorenzo D'Amico, Lucy Costello +11

Chair of Biomedical Physics, Department of Physics, School of Natural Sciences, TU Munich · Munich Institute of Biomedical Engineering, TU Munich · Institute for Diagnostic and Interventional Radiology, TUM Klinikum +3

Self-Supervised Image Denoising Computed Tomography LDCT Denoising Image Denoising

May 1, 2026eess.IV

Unsupervised Denoising of Real Clinical Low Dose Liver CT with Perceptual Attention Networks

With the development of deep learning, medical image processing has been widely used to assist clinical research. This paper focuses on the denoising problem of low-dose computed tomography using deep learning. Although low-dose computed tomography reduces radiation exposure to patients, it also introduces more noise, which may interfere with visual interpretation by physicians and affect diagnostic results. To address this problem, inspired by Cycle-GAN for unsupervised learning, this paper proposes an end-to-end unsupervised low-dose computed tomography denoising framework. The proposed framework combines a U-Net structure for multi-scale feature extraction, an attention mechanism for feature fusion, and a residual network for feature transformation. It also introduces perceptual loss to improve the network for the characteristics of medical images. In addition, we construct a real low-dose computed tomography dataset and design a large number of comparative experiments to validate the proposed method, using both image-based evaluation metrics and medical evaluation criteria. Compared with classical methods, the main advantage of this paper is that it addresses the limitation that real clinical data cannot be directly used for supervised learning, while still achieving excellent performance. The experimental results are also professionally evaluated by imaging physicians and meet clinical needs.

Zhilin Guan, Wei Zhang

Department of Computing Harbin Institute of Technology Harbin, China

Computed Tomography LDCT Denoising Image Denoising

May 1, 2026eess.IV

Reconstruction Interval Z-Phase Dependence of AI Detection Sensitivity in CT Lung Nodule Screening

Background: Sensitivity of AI-assisted lung nodule detection systems is known to vary with CT acquisition parameters including radiation dose, reconstruction kernel, and slice thickness. However, the dependence of detection probability on nodule position within the reconstruction cycle -- the z-phase -- has not, to the author's knowledge, been characterized for deep learning-based detection systems. Methods: A retrospective analysis was performed using the LIDC-IDRI dataset. Detection results from a previously validated 154-case perturbation study were re-analyzed. For each consensus nodule (>=4-reader agreement), z-phase was defined as the fractional position of the nodule center within the reconstruction cycle, folded to [0, 0.5]. Detection sensitivity was stratified by z-phase bin, reconstruction interval (1mm, 3mm, 5mm), and by the ratio of reconstruction interval to nodule diameter (d/D). Results: At 5mm reconstruction interval, sensitivity was 71.6% vs 84.8% at 1mm baseline. Within the 5mm condition, sensitivity varied by 17.6 percentage points across z-phase bins. Stratified by d/D ratio, sensitivity was 92.4% for d/D < 0.5, 78.0% for 0.5 <= d/D < 1.0, and 61.4% for d/D >= 1.0, with a systematic z-phase effect present only in the d/D >= 1.0 stratum. Conclusions: AI detection sensitivity depends on the ratio of reconstruction interval to nodule diameter. When this ratio approaches or exceeds 1.0 -- as occurs for 3-6mm nodules at 5mm reconstruction -- z-phase becomes the dominant source of per-study detection variance. This stochastic effect is invisible to protocol-level quality metrics and not reflected in AI confidence scores.

Dan Soliman

GammaMetric Medical Physics, Independent Medical Physics Consultancy

Medical Image Anomaly Detection Computed Tomography Medical Image Localization

May 1, 2026cs.CV

Learning from Compressed CT: Feature Attention Style Transfer and Structured Factorized Projections for Resource-Efficient Medical Image Analysis

The deployment of artificial intelligence in medical imaging is hindered by high computational complexity and resource-intensive processing of volumetric data. Although chest computed tomography (CT) volumes offer richer diagnostic information than projection radiography, their use in AI-based diagnosis remains limited due to the computational burden of processing uncompressed volumetric images (typically stored in NIfTI or DICOM format). Addressing the growing need for low-resource deployment and efficient electronic data transfer, we investigate the utilization of JPEG-compressed chest CT volumes for thoracic abnormality detection. We propose Feature Attention Style Transfer (FAST), a novel distillation framework that transfers both activation patterns and structural relationships from high-fidelity CT representations to a spatiotemporal visual encoder operating on compressed inputs. By combining Gram-matrix-based attention style preservation with dual-attention feature alignment, FAST enables robust feature extraction from degraded volumes. Furthermore, we introduce Structured Factorized Projection (SFP), leveraging Block Tensor Train decomposition as a parameter-efficient alternative to dense projection layers, reducing projection-head parameters by almost half. Our contrastive learning pipeline, CT-Lite, integrates these components with a SigLIP-based multimodal alignment objective. Experiments on CT-RATE, NIDCH, and Rad-ChestCT demonstrate that CT-Lite achieves AUROC within 5-7% of the uncompressed-input baseline across all three datasets, despite operating on compressed inputs with significantly fewer parameters, paving the way for AI-based clinical evaluation under resource constraints.

Shadid Yousuf, S. M. Mahbubur Rahman, Mohammed Imamul Hassan Bhuiyan

Department of Electrical and Electronic Engineering, Bangladesh University of Engineering and Technology

Model Compression Medical Image Analysis Medical Image Anomaly Detection Computed Tomography Knowledge Distillation

Apr 30, 2026eess.IV

A Proof-of-Concept Study of Multitask Learning for Cranial Synthetic CT Generation Across Heterogeneous MRI Field Strengths

Accurate synthesis of computed tomography (CT) images from magnetic resonance imaging (MRI) is clinically valuable for cranial applications such as attenuation correction, radiotherapy planning, and image-guided interventions. However, heterogeneity across MRI field strengths and acquisition protocols limits the generalizability of existing methods. In this study, we formulate cranial CT synthesis as a modular, structurally coupled problem and propose a deep learning framework to improve robustness across heterogeneous MRI conditions. The model is designed to adapt to variations in field strength and imaging protocols while preserving anatomical consistency. Experiments on multi-site datasets demonstrate improved performance and generalization compared with conventional approaches. The proposed method enables reliable CT synthesis across heterogeneous MRI settings, supporting broader clinical translation.

Zhuoyao Xin, Yiren Zhang, Christopher Wu +6

F.M. Kirby Research Center for Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, 21205, United States. · Neurosection, Division of MR Research, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21287, United States. · Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, 21218, United States. +6

Domain Generalization Multi-Task Learning Magnetic Resonance Imaging Medical Image Synthesis Computed Tomography

Apr 28, 2026cs.CV

RA-CMF: Region-Adaptive Conditional MeanFlow for CT Image Reconstruction

The use of CT imaging is important for screening, diagnosis, therapy planning, and prognosis of lung cancers. Unfortunately, due to differences in imaging protocols and scanner models, CT images acquired by different means may show large differences in noise statistics, contrast, and texture. In this study, we develop a novel conditional MeanFlow pipeline for CT image reconstruction. We introduce a conditional MeanFlow network that models the enhancement trajectory by predicting image-conditioned flow fields given intermediate image states. The image enhancement network is trained with a MeanFlow consistency loss along with the image reconstruction loss. In order to provide an adaptive refinement process in terms of spatial location of enhancements, we integrate a regional reinforcement learning-driven policy network into our approach. The policy network receives information about the MeanFlow rollouts and provides predictions in terms of tile-wise refinement budgets, stopping criteria, and total budget allocation of enhancement processes. Our policy network is trained through reinforcement learning in a policy gradient framework, where the goal of the training reward is to maximize improvement of enhancements while minimizing unnecessary computations and avoiding instabilities. In this way, our approach combines conditional flow-based enhancement with reinforcement learning-based spatial enhancement control. This allows our approach to focus more attention on enhancing difficult areas while stabilizing areas already showing sufficient quality. Our results show high accuracy in the tumor ROI, with the average radiomic feature CCC being 0.96, an average PSNR of 31.30

\pm

4.16, and average SSIM of 0.94

\pm

0.07. Moreover, there is an improvement in the overall quality of images, with an average PSNR of 34.23

\pm

1.71 and average SSIM of 0.95

\pm

0.01.

Md Shifatul Ahsan Apurba, Md Selim, Jin Chen

Biomedical Informatics and Data Science University of Alabama at Birmingham Birmingham, AL, United States · Computer Science Florida Polytechnic University Lakeland, FL, United States

Image Restoration Computed Tomography

Apr 28, 2026eess.IV

Robustness Evaluation of a Foundation Segmentation Model Under Simulated Domain Shifts in Abdominal CT: Implications for Health Digital Twin Deployment

Foundation segmentation models such as the Segment Anything Model (SAM) have demonstrated strong generalization across natural images; however, their robustness under clinically realistic medical imaging domain shifts remains insufficiently quantified. We present a systematic slice-level robustness audit of SAM (ViT-B) for spleen segmentation in abdominal CT using 1,051 nonempty slices from 41 volumes in the Medical Segmentation Decathlon. A standardized ground-truth-derived bounding-box protocol was used to isolate encoder robustness from prompt uncertainty. Controlled perturbations simulating inter-scanner variability, including Gaussian noise, blur, contrast scaling, gamma correction, and resolution mismatch, were applied across ten conditions. The clean baseline achieved a mean Dice score of 0.9145 (95% CI: [0.909, 0.919]) with a failure rate of 0.67%. Across all perturbations, the absolute mean ΔDice remained below 0.01. Paired Wilcoxon signed-rank tests with Benjamini-Hochberg false discovery rate correction identified statistically significant but small-magnitude changes under selected conditions, while McNemar analysis showed no significant increase in failure probability. These findings indicate that SAM exhibits stable segmentation behavior under moderate CT domain shifts, supporting its role as a robust foundation baseline for medical image segmentation research. As health digital twins increasingly incorporate foundation segmentation models for anatomical modeling and organ-level monitoring, formal characterization of robustness under real-world imaging variability is a necessary step toward trustworthy deployment.

Sanghati Basu

Healthcare Informatics, University of Illinois Springfield

Distribution Shift Robustness Image Segmentation Medical Imaging Foundation Models Image Corruption Robustness Medical Image Segmentation Computed Tomography+1

Apr 27, 2026cs.CV

EXACT: an explainable anomaly-aware vision foundation model for analysis of 3D chest CT

Chest computed tomography (CT) is central to the detection and management of thoracic disease, yet the growing scale and complexity of volumetric imaging increasingly exceed what can be addressed by scan-level prediction alone. Clinically useful AI for CT must not only recognize disease across the whole volume, but also localize abnormalities and provide interpretable visual evidence. Existing vision-language foundation models typically compress scans and reports into global image-text representations, limiting their ability to preserve spatial evidence and support clinically meaningful interpretation. Here we developed EXACT, an explainable anomaly-aware foundation model for three-dimensional chest CT that learns spatially resolved representations from paired clinical scans and radiology reports. EXACT was pre-trained on 25,692 CT-reports pairs using anatomy-aware weak supervision, jointly learning organ segmentation and multi-instance anomaly localization without manual voxel-level annotations. The resulting organ-specific anomaly-aware maps assign each voxel a disease-specific anomaly score confined to its corresponding anatomy, jointly encoding lesion extent and organ-level context. In retrospective multinational and multi-center evaluations, EXACT showed broad and consistent improvements across clinically relevant CT tasks, spanning multi-disease diagnosis, zero-shot anomaly localization, downstream adaptation, and visually grounded report generation, outperforming existing three-dimensional medical foundation models. By transforming routine clinical CT scans and free-text reports into explainable voxel-level representations, EXACT establishes a scalable paradigm for trustworthy volumetric medical AI.

Xuguang Bai, Mingxuan Liu, Tongxi Song +6

School of Biomedical Engineering, Tsinghua University, Beijing, China. · Department of Radiology, Mianyang Central Hospital, Mianyang, China. · Center for Biomedical Imaging Research, Tsinghua University, 30 Shuangqing Road, Haidian District, Beijing, China, 100084

Medical Imaging Foundation Models Radiology VLMs 3D Medical Imaging Medical Image Anomaly Detection Explainable Medical Image Analysis Computed Tomography

Apr 27, 2026cs.AI

CT-FineBench: A Diagnostic Fidelity Benchmark for Fine-Grained Evaluation of CT Report Generation

The evaluation of generated reports remains a critical challenge in Computed Tomography (CT) report generation, due to the large volume of text, the diversity and complexity of findings, and the presence of fine-grained, disease-oriented attributes. Conventional evaluation metrics offer only coarse measures of lexical overlap or entity matching and fail to reflect the granular diagnostic accuracy required for clinical use. To address this gap, we propose CT-FineBench, a benchmark built from CT-RATE and Merlin to evaluate the fine-grained factual consistency of CT reports, constructed from CT-RATE and Merlin. Our benchmark is constructed through a meticulous, Question-Answering (QA) based process: first, we identify and structure key, finding-specific clinical attributes (like location, size, margin). Second, we systematically transform these attributes into a QA dataset, where questions probe for specific clinical details grounded in gold-standard reports. The evaluation protocol for CT-FineBench involves using this QA dataset to query a machine-generated report and scoring the correctness of the answers. This allows for a comprehensive, interpretable, and clinically-relevant assessment, moving beyond superficial lexical overlap to pinpoint specific clinical errors. Experiments show that CT-FineBench correlates better with expert clinical assessment and is substantially more sensitive to fine-grained factual errors than prior metrics.

Ruifeng Yuan, Wanxing Chang, Weiwei Cao +4

DAMO Academy, Alibaba Group, China · Hupan Lab, 310023, China · Fudan University, China +2

Radiology Report Generation Medical Report Generation Factual Consistency Evaluation Computed Tomography Medical Image Benchmarks Radiology Report Evaluation

Apr 23, 2026eess.IV

DiffNR: Diffusion-Enhanced Neural Representation Optimization for Sparse-View 3D Tomographic Reconstruction

Neural representations (NRs), such as neural fields and 3D Gaussians, effectively model volumetric data in computed tomography (CT) but suffer from severe artifacts under sparse-view settings. To address this, we propose DiffNR, a novel framework that enhances NR optimization with diffusion priors. At its core is SliceFixer, a single-step diffusion model designed to correct artifacts in degraded slices. We integrate specialized conditioning layers into the network and develop tailored data curation strategies to support model finetuning. During reconstruction, SliceFixer periodically generates pseudo-reference volumes, providing auxiliary 3D perceptual supervision to fix underconstrained regions. Compared to prior methods that embed CT solvers into time-consuming iterative denoising, our repair-and-augment strategy avoids frequent diffusion model queries, leading to better runtime performance. Extensive experiments show that DiffNR improves PSNR by 3.99 dB on average, generalizes well across domains, and maintains efficient optimization.

Shiyan Su, Ruyi Zha, Danli Shi +2

1Monash University · 2The Australian National University · 3Hong Kong Polytechnic University

Diffusion Models for Image Restoration Sparse-View CT Reconstruction Diffusion Model Fine-Tuning Computed Tomography

Apr 22, 2026q-bio.QM

PanGuide3D: Cohort-Robust Pancreas Tumor Segmentation via Probabilistic Pancreas Conditioning and a Transformer Bottleneck

Pancreatic tumor segmentation in contrast-enhanced computed tomography (CT) is clinically important yet technically challenging: lesions are often small, heterogeneous, and easily confused with surrounding soft tissue, and models that perform well on one cohort frequently degrade under cohort shift. Our goal is to improve cross-cohort generalization while keeping the model architecture simple, efficient, and practical for 3D CT segmentation. We introduce PanGuide3D, a cohort-robust architecture with a shared 3D encoder, a pancreas decoder that predicts a probabilistic pancreas map, and a tumor decoder that is explicitly conditioned on this pancreas probability at multiple scales via differentiable soft gating. To capture long-range context under distribution shift, we further add a lightweight Transformer bottleneck in the U-Net bottleneck representation. We evaluate cohort transfer by training on the PanTS (Pancreatic Tumor Segmentation) cohort and testing both in-cohort (PanTS) and out-of-cohort on MSD (Medical Segmentation Decathlon) Task07 Pancreas, using matched preprocessing and training protocols across strong baselines. We collect voxel-level segmentation metrics, patient-level tumor detection, subgroup analyses by tumor size and anatomical location, volume-conditioned performance analyses, and calibration measurements to assess reliability. Across the evaluated models, PanGuide3D achieves the best overall tumor performance and shows improved cross-cohort generalization, particularly for small tumors and challenging anatomical locations, while reducing anatomically implausible false positives. These findings support probabilistic anatomical conditioning as a practical strategy for improving cross-cohort robustness in an end-to-end model and suggest potential utility for contouring support, treatment planning, and multi-institutional studies.

Sunny Joy Ma, Xiang Ma

Trailridge School, Waukee, IA, 50263, USA · Department of Biochemistry, Grand View University, Des Moines, IA 50316, USA · Department of Computer Science, Iowa State University, Ames, IA 50011, USA

Medical Image Segmentation Computed Tomography

Apr 20, 2026cs.CV

Medical Image Understanding Improves Survival Prediction via Visual Instruction Tuning

Accurate prognostication and risk estimation are essential for guiding clinical decision-making and optimizing patient management. While radiologist-assessed features from CT scans provide valuable indicators of disease severity and outcomes, interpreting such images requires expert knowledge, and translating rich visual information into textual summaries inevitably leads to information loss. In this work, we propose a vision-language framework for 3D CT image understanding that leverages large-scale open-sourced CT images paired with radiology reports through visual instruction tuning. This pre-training enables the model to learn clinically meaningful visual-textual representations, which can then be adapted to downstream survival prediction tasks. By incorporating a survival prediction head on top of the pre-trained model, our approach improves survival prediction from CT images and clinical data while generating clinically meaningful language responses to predefined questions. Experimental results demonstrate that our method outperforms baseline methods in survival prediction, particularly, when clinical data alone is less predictive. The code will be released upon acceptance.

Xixi Liu, Jorge Lazo, Andreas Hallqvist +8

Chalmers University of Technology, Gothenburg, Sweden

Clinical Outcome Prediction Medical VLMs Multimodal Survival Analysis Computed Tomography Mortality Prediction Multimodal Instruction Tuning+1

Apr 17, 2026cs.CV

SPLIT: Self-supervised Partitioning for Learned Inversion in Nonlinear Tomography

Machine learning has achieved impressive performance in tomographic reconstruction, but supervised training requires paired measurements and ground-truth images that are often unavailable. This has motivated self-supervised approaches, which have primarily addressed denoising and, more recently, linear inverse problems. We address nonlinear inverse problems and introduce SPLIT (Self-supervised Partitioning for Learned Inversion in Nonlinear Tomography), a self-supervised machine-learning framework for reconstructing images from nonlinear, incomplete, and noisy projection data without any samples of ground-truth images. SPLIT enforces cross-partition consistency and measurement-domain fidelity while exploiting complementary information across multiple partitions. Our main theoretical result shows that, under mild conditions, the proposed self-supervised objective is equivalent to its supervised counterpart in expectation. We regularize training with an automatic stopping rule that halts optimization when a no-reference image-quality surrogate saturates. As a concrete application, we derive SPLIT variants for multispectral computed tomography. Experiments on sparse-view acquisitions demonstrate high reconstruction quality and robustness to noise, surpassing classical iterative reconstruction and recent self-supervised baselines.

Markus Haltmeier, Lukas Neumann, Nadja Gruber +1

Self-Supervised Learning Sparse-View CT Reconstruction Computed Tomography Inverse Problems Image Inverse Problems

Apr 16, 2026eess.IV

CTSCAN: Evaluation Leakage in Chest CT Segmentation and a Reproducible Patient-Disjoint Benchmark

Reported chest CT segmentation performance can be strongly inflated when train and test partitions mix slices from the same study. We present CTSCAN, a reproducible multi-source chest CT benchmark and research stack designed to measure what survives under patient-disjoint evaluation. The current four-class artifact aggregates 89 cases from PleThora, MedSeg SIRM, and LongCIU, and we show that the original slice-PNG workflow induces near-complete case reuse across train, validation, and test. Using the playground environment, we run a multi-seed protocol sweep with the same FPN plus EfficientNet-B0 control configuration under slice-mixed and case-disjoint evaluation. Across 3 seeds and 12 epochs per seed, the slice-mixed protocol reaches 0.6665 foreground Dice and 0.5031 foreground IoU, whereas the case-disjoint protocol reaches 0.2066 Dice and 0.1181 IoU. Removing patient reuse therefore reduces foreground Dice by 0.4599 absolute (69.00% relative) and foreground IoU by 0.3850 absolute (76.52% relative). CTSCAN packages the corrected benchmark with deterministic split manifests, explicit weak-supervision controls, a scripted multi-seed protocol sweep, and reproducible figure generation, providing a reusable basis for patient-disjoint chest CT evaluation.

Anton Ivchenko

Data Leakage Image Segmentation Medical Image Segmentation Computed Tomography Medical Image Benchmarks

Apr 16, 2026cs.AI

RadAgent: A tool-using AI agent for stepwise interpretation of chest computed tomography

Vision-language models (VLM) have markedly advanced AI-driven interpretation and reporting of complex medical imaging, such as computed tomography (CT). Yet, existing methods largely relegate clinicians to passive observers of final outputs, offering no interpretable reasoning trace for them to inspect, validate, or refine. To address this, we introduce RadAgent, a tool-using AI agent that generates CT reports through a stepwise and interpretable process. Each resulting report is accompanied by a fully inspectable trace of intermediate decisions and tool interactions, allowing clinicians to examine how the reported findings are derived. In our experiments, we observe that RadAgent improves chest CT report generation over its 3D VLM counterpart, CT-Chat, across three dimensions. Clinical accuracy improves by 5.8 points (35.4% relative) in macro-F1 and 5.1 points (18.6% relative) in micro-F1. Robustness under adversarial conditions improves by 24.7 points (41.9% relative). Furthermore, RadAgent achieves 37.0% in faithfulness, a new capability entirely absent in its 3D VLM counterpart. By structuring the interpretation of chest CT as an explicit, tool-augmented and iterative reasoning trace, RadAgent brings us closer toward transparent and reliable AI for radiology.

Mélanie Roschewitz, Kenneth Styppa, Yitian Tao +10

Department of Biosystems Science and Engineering, ETH Zurich, Basel, Switzerland · ETH AI Center, Zurich, Switzerland · Department of Computer Science, ETH Zurich, Zurich, Switzerland +5

Radiology Report Generation Healthcare Tool-Using Vision-Language Agents Explainable Medical Image Analysis Computed Tomography

Mar 27, 2026cs.CV

Conditional Diffusion for 3D CT Volume Reconstruction from 2D X-rays

Computed tomography (CT) provides rich 3D anatomical detail but is often constrained by high radiation exposure, substantial costs, and limited availability. Standard chest X-rays are cost-effective and widely accessible, but provide only 2D projections with limited pathological information. Reconstructing 3D CT volumes from 2D X-rays could markedly increase diagnostic accessibility, yet existing methods rely predominantly on synthetic X-ray projections, limiting clinical generalization. We propose AXON, a multi-stage diffusion-based framework that reconstructs 3D CT volumes directly from real X-rays with substantially improved fidelity over existing approaches. AXON follows a coarse-to-fine paradigm: a Brownian Bridge diffusion model first captures global anatomical structure, and a ControlNet-guided refinement stage then enhances local intensity detail and anatomical realism. To alleviate the depth ambiguity inherent in 2D-to-3D reconstruction, AXON incorporates bi-planar X-ray views, enabling more accurate spatial reasoning and structural recovery. A dedicated super-resolution module further increases the spatial resolution of the generated volumes. Experiments on public and external datasets show that AXON consistently surpasses state-of-the-art approaches while generalizing across diverse clinical distributions. At our highest-resolution bi-planar setting, AXON achieves an 11.9% improvement in PSNR and an 11.0% increase in SSIM over the strongest baseline evaluated at that resolution. In the

128^3

single-planar setting, it maintains a lead of 7.8% in PSNR on LIDC-IDRI, with larger margins on the external clinical dataset of 8.0% in PSNR and 16.9% in SSIM. Our code is available at https://github.com/ai-med/AXON/.

Martin Rath, Morteza Ghahremani, Yitong Li +3

Technical University of Munich (TUM), Germany · Munich Center for Machine Learning (MCML), Germany · University of Western Australia (UWA), Australia

3D Reconstruction Medical Image Synthesis Conditional Diffusion Models Computed Tomography

Mar 25, 2026cs.CV

CORA: Generalizable coronary artery disease assessment and risk stratification from coronary CT angiography using pathology-centric representation learning

Coronary artery disease, a leading cause of cardiovascular mortality worldwide, can be assessed non-invasively by coronary computed tomography angiography (CCTA). Although deep learning has advanced automated CCTA analysis, clinical translation remains constrained by the scarcity of expert-annotated data and by the spatial sparsity of coronary pathology, which occupies only a small fraction of each scan. Widely used label-free pretraining strategies, such as masked image modeling and contrastive learning, optimize for global anatomical reconstruction and tend to under-represent these tiny localized pathological features. Here we present CORA, an annotation-efficient model for comprehensive coronary artery disease assessment. Rather than reconstructing background anatomy, CORA learns from volumetric CCTA through a synthesis-driven self-supervised strategy: an anatomy-guided engine inserts diverse synthetic calcified and non-calcified lesions into unlabeled scans, reframing pretraining as an abnormality-detection task that biases representation learning toward clinically relevant disease features. We pretrained CORA on 10,138 unlabeled CCTA volumes and evaluated it across datasets from nine independent hospitals. Across plaque characterization, stenosis detection, and coronary artery segmentation, CORA consistently outperformed strong self-supervised pretraining baselines, with the largest gains on external multi-center data, indicating robust generalization under distributional shift. Coupling the imaging encoder with structured clinical variables further enabled near-term major adverse cardiac event (MACE) risk stratification. Our results show that pathology-centric, synthesis-driven pretraining is an effective and scalable strategy for annotation-efficient coronary artery disease assessment from CCTA.

Jinkui Hao, Gorkem Durak, Halil Ertugrul Aktas +4

Department of Radiology, Northwestern University, Chicago, IL, USA · Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA · Department of Cardiology, Northwestern University, Chicago, IL, USA +1

Synthetic Data Pretraining Coronary Angiography Medical Diagnosis Medical Image Anomaly Detection Medical Image Segmentation Coronary Artery Segmentation+2

Mar 24, 2026cs.CV

Image-Domain Poisson-Perturbation Robustness of NCCT Slice Classification

Image-domain Poisson perturbation may alter normalized NCCT appearance and downstream models. We evaluated classification of ischemic core/penumbra-bearing non-contrast CT (NCCT) slices under five simulated settings. The source cohort was CPAISD (112 hyperacute ischemic stroke patients); the test partition contained 10 patients and 809 slices. First, a fixed-checkpoint audit compared direct ResNet-18 classification (P1) with residual U-Net denoising followed by the classifier (P2). P1 average precision (AP) ranged from 0.694 to 0.901, whereas P2 AP ranged from 0.509 to 0.797 (substantially lower at settings 10-40). The fixed 0.5 threshold had 0-12.8% sensitivity for P1 and 0% for P2. Second, a prospectively locked de novo experiment compared direct noisy classification (DNC), joint denoising-classification (JDC-0), and the same joint model with privileged training-only lesion-boundary supervision (JDC-B). Across-setting mean AP was 0.861 +/- 0.028 for DNC, 0.840 +/- 0.038 for JDC-0, and 0.856 +/- 0.031 for JDC-B. Hierarchical paired-bootstrap differences were -0.021 (95% CI -0.063 to 0.019) for JDC-0 minus DNC, 0.016 (-0.019 to 0.054) for JDC-B minus JDC-0, and -0.005 (-0.041 to 0.026) for JDC-B minus DNC; none excluded zero. A frozen stress test on the 52-patient AISD partition also showed limited transportability. Thus, ordinary joint training did not demonstrate a classification benefit, and the boundary term recovered part of its point-estimate loss without a statistically supported advantage. Image fidelity, ranking, calibration, and clinical utility must be evaluated separately. This study does not validate acquired low-dose, portable, or cone-beam CT, nor patient-level stroke diagnosis.

Rhea Ghosal, Ronok Ghosal, Eileen Lou

Westlake High School, Austin, TX, United States · California Institute of Technology, Pasadena, CA, United States · Round Rock High School, Round Rock, TX, United States

Medical Image Classification Neuroimaging Computed Tomography Image Denoising

Mar 16, 2026cs.CV

NAMD: Virtual Follow-up Computed Tomography Synthesis via Nodule-Aligned Multimodal Diffusion Models for Early Lung Cancer Diagnosis

Lung cancer remains the leading cause of cancer-related mortality worldwide, with survival outcomes critically dependent on early and accurate detection. When low-dose computed tomography (LDCT) findings are indeterminate, clinicians typically defer diagnosis pending follow-up CT imaging obtained up to 12 months later, inevitably delaying treatment for patients with malignant nodules. To address this clinical gap, we propose Nodule-Aligned Multimodal (Latent) Diffusion (NAMD), a novel generative framework that synthesizes one-year follow-up nodule CT images conditioned on the baseline CT scan, quantitative nodule biomarkers, and patient-level Electronic Health Records (EHR), enabling timely prediction of nodule malignant progression without requiring actual follow-up scans. NAMD introduces two key contributions: (i) a nodule-aligned latent space regularized so that embedding distances reflect clinically meaningful biomarker changes, and (ii) an LLM-driven multimodal conditioning mechanism encoding heterogeneous EHR data into the diffusion backbone. Evaluated on the National Lung Screening Trial (NLST), our method's synthetic follow-up images achieve an AUROC of 0.805 and an AUPRC of 0.346 for lung nodule malignancy prediction, outperforming both the baseline LDCT performance without virtual follow-up generation, and existing state-of-the-art conditional generation methods, while maintaining competitive image quality. These findings suggest that NAMD enables earlier and more accurate lung cancer diagnosis by capturing clinically meaningful features of nodule progression.

James Song, Yifan Wang, Chuan Zhou +1

University of Michigan · University of Michigan Medical School

Medical Image Analysis Longitudinal Medical Image Analysis Medical Image Synthesis Computed Tomography Multimodal Diffusion Models

Mar 16, 2026cs.CV

Beyond the Embedding Bottleneck: Adaptive Retrieval-Augmented 3D CT Report Generation

Automated radiology report generation from 3D CT volumes often suffers from incomplete pathology coverage. We provide empirical evidence that this limitation stems from a representational bottleneck: contrastive 3D CT embeddings encode discriminative pathology signals, yet exhibit severe dimensional concentration, with as few as 2 effective dimensions out of 512. Corroborating this, scaling the language model yields no measurable improvement, suggesting that the bottleneck lies in the visual representation rather than the generator. This bottleneck limits both generation and retrieval; naive static retrieval fails to improve clinical efficacy and can even degrade performance. We propose \textbf{AdaRAG-CT}, an adaptive augmentation framework that compensates for this visual bottleneck by introducing supplementary textual information through controlled retrieval and selectively integrating it during generation. On the CT-RATE benchmark, AdaRAG-CT achieves state-of-the-art clinical efficacy, improving Clinical F1 from 0.420 (CT-Agent) to 0.480 (+6 points); ablation studies confirm that both the retrieval and generation components contribute to the improvement. Code is available at https://github.com/renjie-liang/Adaptive-RAG-for-3DCT-Report-Generation.

Renjie Liang, Yiling Ma, Yang Xing +6

University of Florida · Yale University · University of Southern California

Radiology Report Generation Multimodal RAG Retrieval-Augmented Generation Healthcare Adaptive RAG Computed Tomography

Mar 10, 2026cs.CV

Evidential Perfusion Physics-Informed Neural Networks with Residual Uncertainty Quantification

Physics-informed neural networks (PINNs) have shown promise in addressing the ill-posed deconvolution problem in computed tomography perfusion (CTP) imaging for acute ischemic stroke assessment. However, existing PINN-based approaches remain deterministic and do not quantify uncertainty associated with violations of physics constraints, limiting reliability assessment. We propose Evidential Perfusion Physics-Informed Neural Networks (EPPINN), a framework that integrates evidential deep learning with physics-informed modeling to enable uncertainty-aware perfusion parameter estimation. EPPINN models arterial input, tissue concentration, and perfusion parameters using coordinate-based networks, and places a Normal--Inverse--Gamma distribution over the physics residual to characterize voxel-wise aleatoric and epistemic uncertainty in physics consistency without requiring Bayesian sampling or ensemble inference. The framework further incorporates physiologically constrained parameterization and stabilization strategies to promote robust per-case optimization. We evaluate EPPINN on digital phantom data, the ISLES 2018 benchmark, and a clinical cohort. On the evaluated datasets, EPPINN achieves lower normalized mean absolute error than classical deconvolution and PINN baselines, particularly under sparse temporal sampling and low signal-to-noise conditions, while providing conservative uncertainty estimates with high empirical coverage. On clinical data, EPPINN attains the highest voxel-level and case-level infarct-core detection sensitivity. These results suggest that evidential physics-informed learning can improve both accuracy and reliability of CTP analysis for time-critical stroke assessment. Source code is available at https://github.com/jhlee0619/EPPINN.

Junhyeok Lee, Minseo Choi, Han Jang +5

Cancer Biology, Seoul National University College of Medicine, Seoul, Korea · Radiology, Seoul National University Hospital, Seoul, Korea · Bioengineering, Seoul National University, Seoul, Korea +3

Evidential Deep Learning Uncertainty Quantification Medical Image Analysis Physics-Informed ML Computed Tomography

Mar 2, 2026cs.CV

CTForensics: A Comprehensive Dataset and Method for AI-Generated CT Image Detection

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.

Yiheng Li, Zichang Tan, Guoqing Xu +3

School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing, China · MAIS, Institute of Automation, Chinese Academy of Sciences, Beijing, China · Sangfor Technologies Inc., Shenzhen, China +1

Image Forgery Detection AI-Generated Image Detection Computed Tomography Medical Image Benchmarks

Feb 27, 2026eess.IV

Efficient Flow Matching for Sparse-View CT Reconstruction

Generative models, particularly Diffusion Models (DM), have shown strong potential for Computed Tomography (CT) reconstruction serving as expressive priors for solving ill-posed inverse problems. However, diffusion-based reconstruction relies on Stochastic Differential Equations (SDEs) for forward diffusion and reverse denoising, where such stochasticity can interfere with repeated data consistency corrections in CT reconstruction. Since CT reconstruction is often time-critical in clinical and interventional scenarios, improving reconstruction efficiency is essential. In contrast, Flow Matching (FM) models sampling as a deterministic Ordinary Differential Equation (ODE), yielding smooth trajectories without stochastic noise injection. This deterministic formulation is naturally compatible with repeated data consistency operations. Furthermore, we observe that FM-predicted velocity fields exhibit strong correlations across adjacent steps. Motivated by this, we propose an FM-based CT reconstruction framework (FMCT) and an efficient variant (EFMCT) that reuses previously predicted velocity fields over consecutive steps to substantially reduce the number of Neural network Function Evaluations (NFEs), thereby improving inference efficiency. We provide theoretical analysis showing that the error introduced by velocity reuse is bounded when combined with data consistency operations. Extensive experiments demonstrate that FMCT/EFMCT achieve competitive reconstruction quality while significantly improving computational efficiency compared with diffusion-based methods. The codebase is open-sourced at https://github.com/EFMCT/EFMCT.

Jiayang Shi, Lincen Yang, Zhong Li +3

Centrum Wiskunde en Informatica · LIACS, Leiden University · Great Bay University +1

Flow Matching Sparse-View CT Reconstruction Computational Imaging Computed Tomography

Feb 23, 2026cs.CV

Segmenting Low-Contrast XCTs of Concrete: An Unsupervised Approach

X-Ray Computed Tomography (XCT) is a compelling tool in experimental mechanics, capable of non-destructively extracting information pertaining to the internal morphology of materials. For materials with random heterogeneous morphology such as concrete, such information is of particular relevance since it allows for studies of morphology-related behaviour and for predictive modelling. Nevertheless, XCT images require semantic segmentation for practical usage. Here, concrete poses a unique challenge due to the similar X-ray attenuation coefficients of aggregates and mortar, which result in low contrast between the two phases in the ensuing XCT images. As such, purely intensity-dependent semantic segmentation tools remain unfeasible. While vision transformers (ViTs) and convolutional neural networks (CNNs) are proven techniques for semantic segmentation in such challenging cases, they typically require labelled training data, which is often unavailable for concrete or resource-intensive to obtain, thereby limiting their relevance. To address this challenge, a self-annotation technique is presented here that leverages superpixel algorithms to identify perceptually similar local regions in an image and relates them to the global context by utilizing the receptive field of a CNN-based model. This enables the model to learn a global-local relationship in the images and facilitates the identification of semantically similar structures. When evaluated against manually annotated ground truth on out-of-distribution data, the proposed methodology consistently outperformed direct greyscale thresholding across all pertinent metrics, demonstrating improved discernibility between aggregates and mortar, and providing the most favourable balance of sensitivity and precision for aggregate-phase identification.

Kaustav Das, Gaston Rauchs, Jan Sykora +1

Department of Mechanics, Faculty of Civil Engineering, Czech Technical University in Prague, Thákurova 7, 166 29 Prague 6, Czech Republic · Structural Composites Unit, Luxembourg Institute of Science and Technology (LIST), 5 avenue des Hauts-Fourneaux L-4362 Esch-sur-Alzette, Luxembourg

Image Segmentation Computed Tomography Semantic Segmentation Unsupervised Image Segmentation

Feb 9, 2026cs.CV

Artifact Reduction in Undersampled 3D Cone-Beam CTs using a Hybrid 2D-3D CNN Framework

Undersampled CT volumes minimize acquisition time and radiation exposure but introduce artifacts degrading image quality and diagnostic utility. Reducing these artifacts is critical for high-quality imaging. We propose a computationally efficient hybrid deep-learning framework that combines the strengths of 2D and 3D models. First, a 2D U-Net operates on individual slices of undersampled CT volumes to extract feature maps. These slice-wise feature maps are then stacked across the volume and used as input to a 3D decoder, which utilizes contextual information across slices to predict an artifact-free 3D CT volume. The proposed two-stage approach balances the computational efficiency of 2D processing with the volumetric consistency provided by 3D modeling. The results show substantial improvements in inter-slice consistency in coronal and sagittal direction with low computational overhead. This hybrid framework presents a robust and efficient solution for high-quality 3D CT image post-processing. The code of this project can be found on github: https://github.com/J-3TO/2D-3DCNN_sparseview/.

Johannes Thalhammer, Tina Dorosti, Sebastian Peterhansl +3

Chair of Biomedical Physics, Department of Physics, School of Natural Sciences · Munich Institute of Biomedical Engineering · Institute for Diagnostic and Interventional Radiology, School of Medicine and Health, TUM Klinikum +2

Cone-Beam CT Sparse-View CT Reconstruction Convolutional Neural Networks Computed Tomography

Feb 7, 2026cs.CV

Bi-temporal Image-driven Acute Stroke Evolution Analysis

Acute ischemic stroke requires rapid treatment decisions that are strongly guided by emergency imaging. Admission computed tomography perfusion (CTP) is commonly used to estimate the ischemic core, representing irreversibly damaged tissue, and the penumbra, representing hypoperfused but potentially salvageable tissue. Follow-up diffusion-weighted MRI (DWI) is then used to define the final infarct. Existing imaging approaches primarily focus on core--penumbra segmentation or final-infarct prediction, but provide limited insight into how heterogeneous penumbral tissue evolves after treatment. We propose a bi-temporal tissue phenotyping framework that links admission CTP signatures with follow-up DWI-defined tissue outcome using six outcome-aware region-of-interest classes. Admission tissue signatures are characterized using statistical, radiomic, and deep-learning features extracted from mJ-Net and nnU-Net representations. On an internal cohort (SUH), salvaged and infarcted penumbra showed consistent feature-space separation (

\tildeΔ{\cos}=0.146

,

p<0.05

), while core tissue showed minimal separation by subsequent fate. The largest separation was observed between initially non-hypoperfused tissue that later infarcted and healthy contralateral tissue (

\tildeΔ{\cos}=0.460

,

p<0.05

). Cross-dataset evaluation on the publicly available ISLES'24 dataset showed similar trends, supporting the consistency of the observed feature-space patterns. These findings suggest that admission CTP contains outcome-associated tissue information beyond conventional core-penumbra delineation. The code is available at https://github.com/yokko123/bi-temporal-ctp-dwi-code.

Md Sazidur Rahman, Kjersti Engan, Kathinka Dæhli Kurz +1

Department of Electrical Engineering and Computer Science, University of Stavanger, Norway · Stavanger Medical Imaging Laboratory, Stavanger University, Hospital, Norway

Longitudinal Medical Image Analysis Computed Tomography

Jan 21, 2026cs.CV

Tracing 3D Anatomy in 2D Strokes: A Multi-Stage Projection Driven Approach to Cervical Spine Fracture Identification

Cervical spine fractures require rapid and accurate diagnosis, yet automatic CT interpretation remains challenging as subtle injuries must be assessed across large 3D volumes. We ask whether full 3D vertebra segmentation is necessary for automated fracture recognition, or whether vertebra masks approximated from 2D projections can preserve sufficient diagnostic context. We propose an end-to-end pipeline that localizes the cervical spine, estimates C1-C7 vertebra masks from optimized 2D projections, and uses the resulting vertebra-level volumes for downstream fracture classification. A YOLOv8 detector first localizes spine regions of interest from multi-view variance projections, achieving a 3D mean Intersection over Union of 94.45%. Multi-label vertebra segmentation is then performed with a DenseNet121-Unet on energy-based sagittal and coronal projections, attaining a mean Dice score of 87.86%. The predicted 2D masks are back-projected and fused into approximate 3D masks for each vertebra to extract volumes of interest from the original CT. These volumes are analyzed by an ensemble of 2.5D spatio-sequential CNN-Transformer models, yielding vertebra-level and patient-level F1 scores of 68.15 and 82.26, area under the receiver operating characteristic curve of 91.62 and 90.95, and area under the precision-recall curve of 75.60 and 92.00, respectively. The projection-derived volumes achieved fracture-recognition performance comparable to a full 3D-segmentation baseline, while shifting the vertebra segmentation stage into a lower-dimensional domain. Saliency-based explainability and interobserver variability analysis further examine interpretability and reliability. Overall, the results indicate that projection-based mask approximation is a viable proxy for full 3D vertebra segmentation in cervical fracture recognition.

Fabi Nahian Madhurja, Rusab Sarmun, Muhammad E. H. Chowdhury +3

Department of Computer Science and Engineering, BRAC University, Dhaka 1212, Bangladesh · Department of Electrical and Electronic Engineering, University of Dhaka, Dhaka 1000, Bangladesh · Department of Electrical Engineering, Qatar University, Doha 2713, Qatar +1

Image Segmentation Medical Image Analysis Medical Image Segmentation Computed Tomography

Oct 12, 2025cs.CV

Structured Spectral Graph Representation Learning for Multi-label Abnormality Analysis from 3D CT Scans

With the growing volume of CT examinations, there is an increasing demand for automated tools such as organ segmentation, abnormality detection, and report generation to support radiologists in managing their clinical workload. Multi-label classification of 3D Chest CT scans remains a critical yet challenging problem due to the complex spatial relationships inherent in volumetric data and the wide variability of abnormalities. Existing methods based on 3D convolutional neural networks struggle to capture long-range dependencies, while Vision Transformers often require extensive pre-training on large-scale, domain-specific datasets to perform competitively. In this work, we propose a 2.5D alternative by introducing a new graph-based framework that represents 3D CT volumes as structured graphs, where axial slice triplets serve as nodes processed through spectral graph convolution, enabling the model to reason over inter-slice dependencies while maintaining complexity compatible with clinical deployment. Our method, trained and evaluated on 3 datasets from independent institutions, achieves strong cross-dataset generalization, and shows competitive performance compared to state-of-the-art visual encoders. We further conduct comprehensive ablation studies to evaluate the impact of various aggregation strategies, edge-weighting schemes, and graph connectivity patterns. Additionally, we demonstrate the broader applicability of our approach through transfer experiments on automated radiology report generation and abdominal CT data.

Theo Di Piazza, Carole Lazarus, Olivier Nempont +1

INSA Lyon, University of Lyon, CNRS, INSERM, CREATIS UMR 5220, U1294, Villeurbanne, France · Hospices Civil de Lyon, Lyon, France · Philips Clinical Informatics, Innovation Paris, France

Graph Neural Networks Graph Representation Learning Medical Image Classification Spectral Graph Convolution Computed Tomography

Aug 25, 2025cs.CV

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.

Qinyi Tian, Andrea Bisciotti, Soniya Tiwari +2

Department of Civil & Environmental Engineering, Duke University, Durham, North Carolina, 27708, USA · Department of Physics and Earth Sciences, University of Ferrara, Via Saragat 1, Ferrara 44141, Italy · Department of Mechanical Engineering & Materials Science, Duke University, Durham, North Carolina, 27708, USA

Image Restoration Physics-Informed ML Computed Tomography