Journal Article (Review Article) DKFZ-2025-02149

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Deep learning in CT image reconstruction and processing: Techniques, performance evaluation, radiation dose, and future perspective.

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2025
Oxford University Press Oxford

BJR 98(1175), 1775-1787 () [10.1093/bjr/tqaf260]
 GO

Abstract: This article provides an overview of Deep-Learning-based techniques in CT image Reconstruction and processing (referred to as 'DLR'), covering technical implementations, performance evaluation, radiation dose reduction, and future perspectives. DLR methods can be categorized into projection-space, projection-to-image-space, image-space, and various hybrid techniques, with applications such as noise reduction, artifact correction, and spatial resolution enhancement. Performance evaluations include phantom-based studies, patient-image-based studies, and virtual imaging trials. These evaluation studies demonstrated that DLR can effectively reduce image noise while preserving an image texture like in traditional filtered-backprojection (FBP) images, although the extent of radiation dose reduction varies widely depending on the study and the specific diagnostic task. Challenges remain in low-contrast lesion detection and characterization, where dose reduction may still be less than 50% compared to traditional reconstruction methods. Additionally, the potential for DLR methods to generate false structures or 'hallucinations,' especially at low radiation doses, emphasizes the need for effective monitoring and mitigation strategies from both technical and clinical perspectives. Quantitative, accurate, and efficient evaluation techniques, such as virtual image trial-based methods, can be explored to help optimize these algorithms for reducing radiation dose and enhancing diagnostic performance.

Keyword(s): Computed Tomography (CT) ; deep learning ; image quality evaluation ; image reconstruction ; radiation dose reduction

Classification:

Note: 2025 Nov 1;98(1175):1775-1787

Contributing Institute(s):
  1. E025 Röntgenbildgebung und Computertomographie (E025)
Research Program(s):
  1. 315 - Bildgebung und Radioonkologie (POF4-315) (POF4-315)

Appears in the scientific report 2025
Database coverage:
Medline ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Life Sciences ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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 Record created 2025-10-17, last modified 2026-03-19


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