Seong-Hyeon Kang

Noise in computed tomography (CT) is inevitably generated, which lowers the accuracy of disease diagnosis. The non-local means approach, a software technique for reducing noise, is widely used in medical imaging. In this study, we propose a noise reduction algorithm based on fast non-local means (FNLMs) and apply it to CT images of a phantom created using 3D printing technology. The self-produced phantom was manufactured using filaments with similar density to human brain tissues. To quantitatively evaluate image quality, the contrast-to-noise ratio (CNR), coefficient of variation (COV), and normalized noise power spectrum (NNPS) were calculated. The results demonstrate that the optimized smoothing factors of FNLMs are 0.08, 0.16, 0.22, 0.25, and 0.32 at 0.001, 0.005, 0.01, 0.05, and 0.1 of noise intensities, respectively. In addition, we compared the optimized FNLMs with noisy, local filters and total variation algorithms. As a result, FNLMs showed superior performance compared to various denoising techniques. Particularly, comparing the optimized FNLMs to the noisy images, the CNR improved by 6.53 to 16.34 times, COV improved by 6.55 to 18.28 times, and the NNPS improved by 10⁻² mm² on average. In conclusion, our approach shows significant potential in enhancing CT image quality with anthropomorphic phantoms, thus addressing the noise issue and improving diagnostic accuracy.

The aim of this study was to evaluate the application feasibility of the nonlocal means (NLM) noise reduction algorithm in low-dose computed tomography (CT) images using an advanced modeled iterative reconstruction (ADMIRE) iterative reconstruction technique-based tin filter with various applied parameters. Low-dose CT images were based on high pitch and tin filters and acquired using slices of the aortic arch, the four chambers of the heart, and the end of the heart. Intensities A2 and A3 as well as kernels B40 and B59 were used as the parameters for the ADMIRE technique. The NLM denoising algorithm was modeled based on the principle of weighting between pixels; the contrast-to-noise ratio (CNR), edge rise distance (ERD), and blind/referenceless image spatial quality evaluator (BRISQUE) were used as image quality evaluation parameters. The CNR result was the highest, with an average of 43.51 in three slices when the proposed NLM denoising algorithm was applied to CT images acquired using the ADMIRE intensity 2 and B59 kernel. The ERD results were similar to those obtained using the ADMIRE intensity 2 and B59 kernel in the CT image acquired using the proposed method. In addition, BRISQUE, which can evaluate the overall image quality, showed a similar trend to the ERD results. In conclusion, the NLM noise reduction algorithm is expected to maximize image quality by preserving efficient edge information while improving noise characteristics in low-dose CT examinations.

This study aimed to remove motion artifacts from brain magnetic resonance (MR) images using a U-Net model. In addition, a simulation method was proposed to increase the size of the dataset required to train the U-Net model while avoiding the overfitting problem. The volume data were rotated and translated with random intensity and frequency, in three dimensions, and were iterated as the number of slices in the volume data. Then, for every slice, a portion of the motion-free k-space data was replaced with motion k-space data, respectively. In addition, based on the transposed k-space data, we acquired MR images with motion artifacts and residual maps and constructed datasets. For a quantitative evaluation, the root mean square error (RMSE), peak signal-to-noise ratio (PSNR), coefficient of correlation (CC), and universal image quality index (UQI) were measured. The U-Net models for motion artifact reduction with the residual map-based dataset showed the best performance across all evaluation factors. In particular, the RMSE, PSNR, CC, and UQI improved by approximately 5.35×, 1.51×, 1.12×, and 1.01×, respectively, and the U-Net model with the residual map-based dataset was compared with the direct images. In conclusion, our simulation-based dataset demonstrates that U-Net models can be effectively trained for motion artifact reduction.

In low-dose computed tomography (LDCT), lung segmentation effectively improves the accuracy of lung cancer diagnosis. However, excessive noise is inevitable in LDCT, which can decrease lung segmentation accuracy. To address this problem, it is necessary to derive an optimized kernel size when using the median modified Wiener filter (MMWF) for noise reduction. Incorrect application of the kernel size can result in inadequate noise removal or blurring, degrading segmentation accuracy. Therefore, various kernel sizes of the MMWF were applied in this study, followed by region-growing-based segmentation and quantitative evaluation. In addition to evaluating the segmentation performance, we conducted a similarity assessment. Our results indicate that the greatest improvement in segmentation performance and similarity was at a kernel size 5 × 5. Compared with the noisy image, the accuracy, F1-score, intersection over union, root mean square error, and peak signal-to-noise ratio using the optimized MMWF were improved by factors of 1.38, 33.20, 64.86, 7.82, and 1.30 times, respectively. In conclusion, we have demonstrated that by applying the MMWF with an appropriate kernel size, the optimization of noise and blur reduction can enhance segmentation performance.