Recently, deep learning (DL)-based methods have been proposed for the computational reduction of gadolinium-based contrast agents (GBCAs) to mitigate adverse side effects while preserving diagnostic value. Currently, the two main challenges for these approaches are the accurate prediction of contrast enhancement and the synthesis of realistic images. In this work, we address both challenges by utilizing the contrast signal encoded in the subtraction images of pre-contrast and post-contrast image pairs. To avoid the synthesis of any noise or artifacts and solely focus on contrast signal extraction and enhancement from low-dose subtraction images, we train our DL model using noise-free standard-dose subtraction images as targets. As a result, our model predicts the contrast enhancement signal only; thereby enabling synthesization of images beyond the standard dose. Furthermore, we adapt the embedding idea of recent diffusion-based models to condition our model on physical parameters affecting the contrast enhancement behavior. We demonstrate the effectiveness of our approach on synthetic and real datasets using various scanners, field strengths, and contrast agents.

Deep learning (DL) based contrast dose reduction and elimination in MRI imaging is gaining traction, given the detrimental effects of Gadolinium-based Contrast Agents (GBCAs). These DL algorithms are however limited by the availability of high quality low dose datasets. Additionally, different types of GBCAs and pathologies require different dose levels for the DL algorithms to work reliably. In this work, we formulate a novel transformer (Gformer) based iterative modelling approach for the synthesis of images with arbitrary contrast enhancement that corresponds to different dose levels. The proposed Gformer incorporates a sub-sampling based attention mechanism and a rotational shift module that captures the various contrast related features. Quantitative evaluation indicates that the proposed model performs better than other state-of-the-art methods. We further perform quantitative evaluation on downstream tasks such as dose reduction and tumor segmentation to demonstrate the clinical utility.

This article shows how to train a convolutional neural network to reduce noise in CT images, although the principles apply to medical and nonmedical images; authors also explore mathematical and visually weighted loss functions to adjust the appearance. In this article, authors show how to train a convolutional neural network to reduce noise on medical images, especially low-dose CT images from the recent American Association of Physicists in Medicine low-dose challenge dataset. Human visual feature weighting can be used as a part of the loss term to improve the visual appearance of the filtered images. Medical imaging is driven to produce the best possible images while reducing the radiation dose or acquisition time. Normally, this trade-off is dealt with by using the best possible detection systems and experimenting with different acquisition techniques. Recently, deep learning methods have been applied to images acquired with low dose (or less acquisition time in the case of MRI) to produce images that appear similar to full-dose images.

Image denoising techniques are essential to reducing noise levels and enhancing diagnosis reliability in low-dose computed tomography (CT). Machine learning based denoising methods have shown great potential in removing the complex and spatial-variant noises in CT images. However, some residue artifacts would appear in the denoised image due to complexity of noises. A cascaded training network was proposed in this work, where the trained CNN was applied on the training dataset to initiate new trainings and remove artifacts induced by denoising. A cascades of convolutional neural networks (CNN) were built iteratively to achieve better performance with simple CNN structures. Experiments were carried out on 2016 Low-dose CT Grand Challenge datasets to evaluate the method's performance.