Low-Dose CT Image Reconstruction by Fine-Tuning a UNet Pretrained for Gaussian Denoising for the Downstream Task of Image Enhancement

Computed Tomography (CT) is a widely used medical imaging modality, and as it is based on ionizing radiation, it is desirable to minimize the radiation dose. However, a reduced radiation dose comes with reduced image quality, and reconstruction from low-dose CT (LDCT) data is still a challenging task which is subject to research. According to the LoDoPaB-CT benchmark, a benchmark for LDCT reconstruction, many state-of-the-art methods use pipelines involving UNet-type architectures. Specifically the top ranking method, ItNet, employs a three-stage process involving filtered backprojection (FBP), a UNet trained on CT data, and an iterative refinement step. In this paper, we propose a less complex two-stage method. The first stage also employs FBP, while the novelty lies in the training strategy for the second stage, characterized as the CT image enhancement stage. The crucial point of our approach is that the neural network is pretrained on a distinctly different pretraining task with non-CT data, namely Gaussian noise removal on a variety of natural grayscale images (photographs). We then fine-tune this network for the downstream task of CT image enhancement using pairs of LDCT images and corresponding normal-dose CT images (NDCT). Despite being notably simpler than the state-of-the-art, as the pretraining did not depend on domain-specific CT data and no further iterative refinement step was necessary, the proposed two-stage method achieves competitive results. The proposed method achieves a shared top ranking in the LoDoPaB-CT challenge and a first position with respect to the SSIM metric.