A major challenge in computed tomography (CT) is how to minimize patient radiation exposure without compromising image quality and diagnostic performance. The use of deep convolutional (Conv) neural networks for noise reduction in Low-Dose CT (LDCT) images has recently shown a great potential in this important application. In this paper, we present a highly efficient and effective neural network model for LDCT image noise reduction. Specifically, to capture local anatomical features we integrate Deep Convolutional Neural Networks (CNNs) and Skip connection layers for feature extraction. Also, we introduce parallelized 1 × 1 CNN, called Network in Network, to lower the dimensionality of the output from the previous layer, achieving faster computational speed at less feature loss. To optimize the performance of the network, we adopt a Wasserstein generative adversarial network (WGAN) framework. Quantitative and qualitative comparisons demonstrate that our proposed network model can produce images with lower noise and more structural details than state-of-the-art noise-reduction methods.The PSNRs, SSIMs, and RMSEs are listed in Table 1. For noise reduction, the performance metrics were significantly improved by our proposed method (DCSCN). This demonstrates that using residual learning steak artifacts and image noise can be largely removed, enhancing the image quality. In this pilot study, DCSCN achieved the best performance in terms of PSNR and SSIM, and preserved anatomical features the most faithfully. However, there still exits blurry effects as shown in Figs. 3 and 5. DCSWGAN obtained the second best results in term of SSIM. It is noted that our method DCSWGAN produced visually pleasant results with sharp edges.
CONCLUSIONIn this work, we have proposed a CNN-based network with skip-connection and network in network to capture structural information and suppress image noise. First, both local and global features are cascaded through skip connections before passing to the reconstruction network. Then, multi-channels are introduced for the reconstruction network with different local receptive fields to optimize the reconstruction performance. Also, the network in network technique is applied to lower the computational complexity. Our results have suggested that the proposed method could be generalized to various medical image denoising problems but further efforts are needed for training, validation, testing, and optimization.