Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy

Purpose: Conventional iterative low-dose CBCT reconstruction techniques are slow and tend to over-smooth edges through uniform weighting of the image penalty gradient. In this study, we present a non-iterative analytical low-dose CBCT reconstruction technique by restoring the noisy low-dose CBCT pro...

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Main Authors: James J. Sohn, Changsoo Kim, Dong Hyun Kim, Seu-Ran Lee, Jun Zhou, Xiaofeng Yang, Tian Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2020.00242/full
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author James J. Sohn
Changsoo Kim
Dong Hyun Kim
Seu-Ran Lee
Jun Zhou
Xiaofeng Yang
Tian Liu
author_facet James J. Sohn
Changsoo Kim
Dong Hyun Kim
Seu-Ran Lee
Jun Zhou
Xiaofeng Yang
Tian Liu
author_sort James J. Sohn
collection DOAJ
description Purpose: Conventional iterative low-dose CBCT reconstruction techniques are slow and tend to over-smooth edges through uniform weighting of the image penalty gradient. In this study, we present a non-iterative analytical low-dose CBCT reconstruction technique by restoring the noisy low-dose CBCT projection with the non-local total variation (NLTV) method.Methods: We modeled the low-dose CBCT reconstruction as recovering high quality, high-dose CBCT x-ray projections (100 kVp, 1.6 mAs) from low-dose, noisy CBCT x-ray projections (100 kVp, 0.1 mAs). The restoration of CBCT projections was performed using the NLTV regularization method. In NLTV, the x-ray image is optimized by minimizing an energy function that penalizes gray-level difference between pair of pixels between noisy x-ray projection and denoising x-ray projection. After the noisy projection is restored by NLTV regularization, the standard FDK method was applied to generate the final reconstruction output.Results: Significant noise reduction was achieved comparing to original, noisy inputs while maintaining the image quality comparable to the high-dose CBCT projections. The experimental validations show the proposed NLTV algorithm can robustly restore the noise level of x-ray projection images while significantly improving the overall image quality. The improvement in normalized mean square error (NMSE) and peak signal-to-noise ratio (PSNR) measured from the non-local total variation-gradient projection (NLTV-GPSR) algorithm is noticeable compared to that of uncorrected low-dose CBCT images. Moreover, the difference of CNRs from the gains from the proposed algorithm is noticeable and comparable to high-dose CBCT.Conclusion: The proposed method successfully restores noise degraded, low-dose CBCT projections to high-dose projection quality. Such an outcome is a considerable improvement to the reconstruction result compared to the FDK-based method. In addition, a significant reduction in reconstruction time makes the proposed algorithm more attractive. This demonstrates the potential use of the proposed algorithm for clinical practice in radiotherapy.
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spelling doaj.art-1128698e4dc5411e8486bdceca79cf5a2022-12-21T19:26:42ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-02-011010.3389/fonc.2020.00242499342Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation TherapyJames J. Sohn0Changsoo Kim1Dong Hyun Kim2Seu-Ran Lee3Jun Zhou4Xiaofeng Yang5Tian Liu6Department of Radiation Oncology, Emory University, Atlanta, GeorgiaDepartment of Radiological Science, The Catholic University of Pusan, Busan, South KoreaDepartment of Radiological Science, The Catholic University of Pusan, Busan, South KoreaDepartment of Biomedical Engineering, The Catholic University of Korea, Seoul, South KoreaDepartment of Radiation Oncology, Emory University, Atlanta, GeorgiaDepartment of Radiation Oncology, Emory University, Atlanta, GeorgiaDepartment of Radiation Oncology, Emory University, Atlanta, GeorgiaPurpose: Conventional iterative low-dose CBCT reconstruction techniques are slow and tend to over-smooth edges through uniform weighting of the image penalty gradient. In this study, we present a non-iterative analytical low-dose CBCT reconstruction technique by restoring the noisy low-dose CBCT projection with the non-local total variation (NLTV) method.Methods: We modeled the low-dose CBCT reconstruction as recovering high quality, high-dose CBCT x-ray projections (100 kVp, 1.6 mAs) from low-dose, noisy CBCT x-ray projections (100 kVp, 0.1 mAs). The restoration of CBCT projections was performed using the NLTV regularization method. In NLTV, the x-ray image is optimized by minimizing an energy function that penalizes gray-level difference between pair of pixels between noisy x-ray projection and denoising x-ray projection. After the noisy projection is restored by NLTV regularization, the standard FDK method was applied to generate the final reconstruction output.Results: Significant noise reduction was achieved comparing to original, noisy inputs while maintaining the image quality comparable to the high-dose CBCT projections. The experimental validations show the proposed NLTV algorithm can robustly restore the noise level of x-ray projection images while significantly improving the overall image quality. The improvement in normalized mean square error (NMSE) and peak signal-to-noise ratio (PSNR) measured from the non-local total variation-gradient projection (NLTV-GPSR) algorithm is noticeable compared to that of uncorrected low-dose CBCT images. Moreover, the difference of CNRs from the gains from the proposed algorithm is noticeable and comparable to high-dose CBCT.Conclusion: The proposed method successfully restores noise degraded, low-dose CBCT projections to high-dose projection quality. Such an outcome is a considerable improvement to the reconstruction result compared to the FDK-based method. In addition, a significant reduction in reconstruction time makes the proposed algorithm more attractive. This demonstrates the potential use of the proposed algorithm for clinical practice in radiotherapy.https://www.frontiersin.org/article/10.3389/fonc.2020.00242/fulllow-dose CBCTnon-local total variationcompressed sensingimage reconstructionimage-guided radiation therapy (IGRT)
spellingShingle James J. Sohn
Changsoo Kim
Dong Hyun Kim
Seu-Ran Lee
Jun Zhou
Xiaofeng Yang
Tian Liu
Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy
Frontiers in Oncology
low-dose CBCT
non-local total variation
compressed sensing
image reconstruction
image-guided radiation therapy (IGRT)
title Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy
title_full Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy
title_fullStr Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy
title_full_unstemmed Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy
title_short Analytical Low-Dose CBCT Reconstruction Using Non-local Total Variation Regularization for Image Guided Radiation Therapy
title_sort analytical low dose cbct reconstruction using non local total variation regularization for image guided radiation therapy
topic low-dose CBCT
non-local total variation
compressed sensing
image reconstruction
image-guided radiation therapy (IGRT)
url https://www.frontiersin.org/article/10.3389/fonc.2020.00242/full
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