Recently, non-local means (NLM) methods for both image denoising and inverse problems have shown promising results in image processing and medical imaging. Moreover, some researchers have also shown that using additional information with low noise and/or high resolution for these problems can improve the image quality further. We investigated several NLM methods including NLM filters and NLM regularizers with and without CT side information for 1-131 SPECT image reconstruc tion. We compared two different ways to incorporate CT side information in the NLM filtering methods. We also propose a new way of incorporating side information in the NLM reconstruction method. XCAT simulation results with two uniform tumors (72 cc , 11 cc) show that the NLM filtering method with CT side information decreased the root mean square error (RMSE) up to 18.6% as compared to unregularized method. Our proposed NLM-based regularizers in iterative image reconstructions with CT side information also yielded up to 29.2% better RMSE and up to 18.1 % better recovery coefficient than un regularized reconstruction.
I. I NTRODUCTION
NON-LOCA L means (NLM) methods exploit the self similarity of small patches in an image for denoising [1] and for regularization [2]. These methods yield superior de noising results as compared to conventional local filters such as a Gaussian filter. Moreover, some researchers have also shown that using these NLM methods with high-quality side information can improve the image quality further [3]-[7]. Multi-modal imaging systems such as PET-CT, PET-MR, or SPECT-CT can benefit from these state-of-the-art methods to reconstruct better-quality images.SPECT-based dosimetry in 1-131 radioimmunotherapy and radioiodine therapy can be a natural application for these NLM methods using additional side information since high resolution CT image is available from SPECT-CT system. Improved accuracy in SPECT quantification for both total activity and distribution using these methods can potentially improve dose-response correlations so that the efficacy and toxicity of treatments can be better-assessed.In this paper, we evaluate various NLM filters and re construction methods with and without side information for an 1-131 SPECT-CT system, and compare the results with ).that of conventional ordered-subset expectation-maximization (OSEM) [8] with and without Gaussian post-reconstruction smoothing. We also propose a new way of incorporating side information in the NLM methods and show some promis ing preliminary results. 3D XCAT phantom simulation was performed to evaluate NLM post-reconstruction filtering and NLM reconstruction methods with and without high-resolution CT information.
II. M ETHOD
A. Statistical image reconstruction for SPECTThe SPECT image x can be reconstructed iteratively from X £ ar gm i nL(y l x) ",::: 0(1)where y is a measured sinogram data, L denotes a negativePoisson log-likelihood function (2) Y i is the ith element of the measurement y , and A denotes the system model and S i is a scatter component for t...