Utilizing U-Net Architectures with Auxiliary Information for Scatter Correction in CBCT Across Different Field-of-View Settings

Cone-beam computed tomography (CBCT) has become a vital imaging technique in various medical fields but scatter artifacts are a major limitation in CBCT scanning. This challenge is exacerbated by the use of large flat panel 2D detectors. The scatter-to-primary ratio increases significantly with the increase in the size of FOV being scanned. Several deep learning methods, particularly U-Net architectures, have shown promising capabilities in estimating the scatter directly from the CBCT projections. However, the influence of varying FOV sizes on these deep learning models remains unexplored. Having a single neural network for the scatter estimation of varying FOV projections can be of significant importance towards real clinical applications. This study aims to train and evaluate the performance of a U-Net network on a simulated dataset with varying FOV sizes. We further propose a new method (Aux-Net) by providing auxiliary information, such as FOV size, to the U-Net encoder. We validate our method on 30 different FOV sizes and compare it with the U-Net. Our study demonstrates that providing auxiliary information to the network enhances the generalization capability of the U-Net. Our findings suggest that this novel approach outperforms the baseline U-Net, offering a significant step towards practical application in real clinical settings where CBCT systems are employed to scan a wide range of FOVs.

Metal artifact correction in cone beam computed tomography using synthetic X-ray data

Metal artifact correction is a challenging problem in cone beam computed tomography (CBCT) scanning. Metal implants inserted into the anatomy cause severe artifacts in reconstructed images. Widely used inpainting-based metal artifact reduction (MAR) methods require segmentation of metal traces in the projections as a first step which is a challenging task. One approach is to use a deep learning method to segment metals in the projections. However, the success of deep learning methods is limited by the availability of realistic training data. It is challenging and time consuming to get reliable ground truth annotations due to unclear implant boundary and large number of projections. We propose to use X-ray simulations to generate synthetic metal segmentation training dataset from clinical CBCT scans. We compare the effect of simulations with different number of photons and also compare several training strategies to augment the available data. We compare our model's performance on real clinical scans with conventional threshold-based MAR and a recent deep learning method. We show that simulations with relatively small number of photons are suitable for the metal segmentation task and that training the deep learning model with full size and cropped projections together improves the robustness of the model. We show substantial improvement in the image quality affected by severe motion, voxel size under-sampling, and out-of-FOV metals. Our method can be easily implemented into the existing projection-based MAR pipeline to get improved image quality. This method can provide a novel paradigm to accurately segment metals in CBCT projections.

Comparison of Deep Learning Segmentation and Multigrader-annotated Mandibular Canals of Multicenter CBCT scans

Deep learning approach has been demonstrated to automatically segment the bilateral mandibular canals from CBCT scans, yet systematic studies of its clinical and technical validation are scarce. To validate the mandibular canal localization accuracy of a deep learning system (DLS) we trained it with 982 CBCT scans and evaluated using 150 scans of five scanners from clinical workflow patients of European and Southeast Asian Institutes, annotated by four radiologists. The interobserver variability was compared to the variability between the DLS and the radiologists. In addition, the generalization of DLS to CBCT scans from scanners not used in the training data was examined to evaluate the out-of-distribution generalization capability. The DLS had lower variability to the radiologists than the interobserver variability between them and it was able to generalize to three new devices. For the radiologists' consensus segmentation, used as gold standard, the DLS had a symmetric mean curve distance of 0.39 mm compared to those of the individual radiologists with 0.62 mm, 0.55 mm, 0.47 mm, and 0.42 mm. The DLS showed comparable or slightly better performance in the segmentation of the mandibular canal with the radiologists and generalization capability to new scanners.