ProSAC-CT: Progressive Spectral-Anatomical Co-Guided Multi-Stage Diffusion Model for Low-Dose CT Denoising

Low-dose computed tomography (LDCT) reduces radiation exposure but introduces stronger quantum noise, streak artifacts, and local texture degradation, which can obscure anatomical boundaries and weaken low-contrast structures. Diffusion models are promising for LDCT denoising by progressively recovering normal-dose CT (NDCT) images from degraded LDCT inputs, but existing methods often suffer from insufficient anatomical guidance, uncertain frequency-dependent recovery, and uniform reverse-process modeling. We propose ProSAC-CT, a progressive spectral-anatomical co-guided multi-stage diffusion model for image-domain LDCT denoising. ProSAC-CT integrates an anatomical-prior-guided conditioning (APGC) module, a residual frequency-domain decoupling stage (RFDDS), and a time-step-decoupling denoising decoder (TD3). APGC extracts LDCT-derived structural guidance, RFDDS enhances frequency-aware representations, and TD3 assigns them to different reverse-diffusion stages for anatomical stabilization, boundary refinement, and fine-detail recovery. Experiments on four LDCT degradation benchmarks show that ProSAC-CT improves image fidelity, structural similarity, perceptual quality, and information preservation over representative methods while better preserving boundary-sensitive anatomical details. Downstream anatomical-region classification on Mayo-2020 further indicates that ProSAC-CT retains task-relevant anatomical information, supporting its practical use for low-dose CT denoising.

AnF-DiffPET: Anatomy- and Frequency-Guided Diffusion for PET/CT Denoising

Positron emission tomography (PET) provides essential functional information for disease assessment, however reducing injected activity or acquisition time produces low-dose (LD) PET with stronger count dependent noise and less reliable uptake quantification. Diffusion models offer a promising solution for PET denoising by progressively recovering high-dose (HD) PET images from LD inputs. However, LD-to-HD PET denoising is still challenging due to insufficient anatomical guidance, unstable multi-scale feature propagation, and uncertain frequency domain uptake recovery. We propose AnF-DiffPET, an anatomy- and frequency-guided diffusion framework for computed tomography (CT) conditioned LD PET denoising. The framework integrates Anatomical-Frequency Guidance (AFG), Multi-Scale Cross-Transformer Reconstruction (MSCTR), and Frequency-Contrastive Hard Mining (FCHM) to enhance anatomy aware feature modulation and frequency domain consistency during denoising. Experimental results across four PET/CT datasets show that the proposed method improves image fidelity, anatomical consistency, and quantitative fidelity over representative CNN-based, GAN-based, transformer-based, and diffusion-based methods. The code and trained models will be publicly released upon acceptance.