Mathematical Problems in Engineering

Volume 2012 (2012), Article ID 138581, 14 pages

http://dx.doi.org/10.1155/2012/138581

## Reducing Noises and Artifacts Simultaneously of Low-Dosed X-Ray Computed Tomography Using Bilateral Filter Weighted by Gaussian Filtered Sinogram

^{1}School of Automation Engineering, University of Electronic Science and Technology of China, Chengdu 611731, China^{2}School of Computer Science, Sichuan Normal University, Chengdu 610101, China^{3}Institute of Medical Information and Technology, School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, China

Received 2 February 2012; Accepted 2 March 2012

Academic Editor: Ming Li

Copyright © 2012 Shaoxiang Hu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

#### Abstract

Existing sinogram restoration methods cannot handle noises and nonstationary artifacts simultaneously. Although bilateral filter provides an efficient way to preserve image details while denoising, its performance in sinogram restoration for low-dosed X-ray computed tomography (LDCT) is unsatisfied. The main reason for this situation is that the range filter of the bilateral filter measures similarity by sinogram values, which are polluted seriously by noises and nonstationary artifacts of LDCT. In this paper, we propose a simple method to obtain satisfied restoration results for sinogram of LDCT. That is, the range filter weighs the similarity by Gaussian smoothed sinogram. Since smoothed sinogram can reduce the influence of both noises and nonstationary artifacts for similarity measurement greatly, our new method can provide more satisfied denoising results for sinogram restoration of LDCT. Experimental results show that our method has good visual quality and can preserve anatomy details in sinogram restoration even in both noises and non-stationary artifacts.

#### 1. Introduction

Radiation exposure and associated risk of cancer for patients receiving CT examination have been an increasing concern in recent years. Thus, minimizing the radiation exposure to patients has been one of the major efforts in modern clinical X-ray CT radiology [1–8]. However, the presentation of strong noises and non-stationary artifacts degrades the quality of low-dose CT images dramatically and decreases the accuracy of diagnosis dose. Many strategies have been proposed to reduce the noise, for example, by nonlinear noise filters [8–19] and statistics-based iterative image reconstructions (SIIRs) [20–28].

The SIIRs utilize the statistical information of the measured data to obtain good denoising results but are limited for their excessive computational demands for the large CT image size. Moreover, the mottled noise and non-stationary artifacts in LDCT images cannot be accurately modeled into one specific distribution, which makes it a difficult task to differentiate between noise/artifact and informative anatomical/pathological features [29].

Although the nonlinear filters show effectiveness in reducing noise both in sinogram space and image space, they cannot handle the noise-induced streak artifacts. Since existing methods cannot handle noises and artifacts simultaneously, designing a method to reduce noise and non-stationary artifacts simultaneously becomes an open problem in sinogram restoration of LDCT.

Recently, many new nonlinear filters are presented and show promising denoising performance on space domain [29–44]. Bilateral filter (BF), which integrates range filter (gray level) and domain filter (space) together, is a well-known one [35, 36]. However, BF cannot obtain satisfied results in sinogram restoration of LDCT because of polluted sinogram values for the range filter. To obtain satisfied denoising results in serious noises, some efforts on image space are proposed [37–41].

Wong suggests that two parameters, and , the variances of Gaussian functions in domain and range filters, should be modulated according to local phase coherence of the image pixels [37]. But it blurs edges or leaves uncleaned noises.

Ming and Bahadir improve the performance of BF by multiresolution method [38]. That is, filtering LL subband uses BF while smoothing wavelet subbands uses SURE shrinkage. It also leads to blur edges while denoising.

van Boomgaard and van de Weijer argue that the main reason for unsatisfied denoising results is the polluted center pixel of BF [40]. Thus, the satisfied results can be obtained by replacing polluted center pixel with an estimate of its true gray levels.

Following [40], median bilateral filter (MBF) is proposed in [41]. MBF replaces the center pixel with the median of a window. However, only replacing the center pixel also cannot obtain satisfied denoising results.

Although BF and its improvements can obtain satisfied results in general image denoising, all these methods cannot handle sinogram restoration with noises and non-stationary artifacts simultaneously. We think that the key to handle noises and artifacts simultaneously is how to reduce the influence of both the noises and artifacts of sinogram of LDCT.

In this paper, we propose a new method to reduce the influence of the noises and artifacts of sinogram simultaneously, named bilateral filter weighted by Gaussian filtered sinogram (BFWGFS), which carried on BF on Gaussian smoothed sinogram. Note that, proposed method is different to the method proposed in [40]. The proposed method in [40] only replaces the gray levels of the center point with the median of a square centered at the center point, while our method replaces both the center point and all considering points with their Gaussian smoothed sinogram values.

Since the smoothed sinogram can reduce the influence of both the noises and artifacts of sinogram, the weight of the range filter defined on BFWGFS can measure the similarities more precisely comparing to the original sinogram values in BF. Thus, the proposed method can obtain satisfied results in noises and non-stationary artifacts simultaneously.

In the reminder of this paper, Section 2 will introduce the noise models; then in Section 3, we will discuss the measurement of similarity and discussed the difference between the proposed method and method in [40]. Section 4 describes the denoising framework. Section 5 is the experimental results and discussion. Section 6 gives conclusions and finally, the acknowledgment part.

#### 2. Noise Models

Based on repeated phantom experiments, low-mA (or low-dose) CT calibrated projection data after logarithm transform were found to follow approximately a Gaussian distribution with an analytical formula between the sample mean and sample variance, that is, the noise is a signal-dependent Gaussian distribution [19].

In this section, we will introduce signal-independent Gaussian noise (SIGN), Poisson noise, and signal-dependent Gaussian noise.

##### 2.1. Signal-Independent Gaussian Noise (SIGN)

SIGN is a common noise for the imaging system. Let the original projection data be , , where is the index of the th bin. The signal has been corrupted by additive noise , and one noisy observation where , , are observations for the random variables , , and where the upper-case and letters denote the random variables and the lower-cased letters denote the observations for respective variables. is normal , and is normal and independent of the Gaussian random variable . Thus, is normal .

##### 2.2. Poisson Model and Signal-Dependent Gaussian Model

The photon noise is due to the limited number of photons collected by the detector [30]. For a given attenuating path in the imaged subject, and denote the incident and the penetrated photon numbers, respectively. Here, denotes the index of detector channel or bin, and is the index of projection angle. In the presence of noises, the sinogram should be considered as a random process, and the attenuating path is given by where is a constant, and is Poisson distribution with mean .

Thus, we have

Both its mean value and variance are .

Gaussian distributions of ployenergetic systems were assumed based on limited theorem for high-flux levels, and following many repeated experiments in [19], we have where is the mean, and is the variance of the projection data at detector channel or bin , is a scaling parameter, and is a parameter adaptive to different detector bins.

The most common conclusion for the relation between Poisson distribution and Gaussian distribution is that the photon count will obey Gaussian distribution for the case with large incident intensity and Poisson distribution with feeble intensity [19]. In addition, in [30], the authors deduce the equivalency between Poisson model and Gaussian model. Therefore, both theories indicate that these two noises have similar statistical properties and can be unified into a whole framework.

#### 3. Measure Similarity

The formula of bilateral filter is where and are two pixels of sinogram. Here, sinogram is the observations of projection data, that is, the noisy projection data of LDCT. and are sinogram values of and , respectively. is a normalized constant for two weighs and is defined as where and are measures of the spatial and range similarity between the center pixel and its neighbor , respectively. Usually, these two measures are defined as two Gaussian Kernel functions

Since the value filtered by BF is the weighted average of nearby points weighted by product of spatial distance and gray level difference, it was named by bilateral filter (BF) to distinguish the general filter weighted only by spatial distance.

From (3.1)–(3.4), we can conclude that a pair of pixels , with both small spatial distance and small sinogram value difference have high similarity and large-weighed coefficients. It is plausible in slightly noisy projection data. For sinograms with serious noise and non-stationary artifacts, it is unreal! That is, polluted sinogram values lead to incorrect similarity measurement in the range filter of the bilateral filter. Thus, finding a measure of similarity, which can measure similarity correctly in noise and non-stationary artifacts, is a key problem in denoising using BF.

##### 3.1. Gaussian Filter

Gaussian filter is defined as

Since for and , noisy sinogram value and the Gaussian-dependent noise (GWN) , the distribution of the pixel filtered by the low-passed filter defined in (3.5) is

Thus,

For example, in image denoising, generally, is set to ; thus,

From the above equation, the variance of the smoothed sinogram value becomes very small (smaller than original variance 0.0157 times). It means that the Gaussian filter makes smoothed sinogram value closer to real projection data than the noisy sinogram value. Since most of non-stationary artifacts in image space are the high-light points in noisy sinogram, most of non-stationary artifacts can be suppressed by Gaussian filter.

In the same way, the distribution of the median in an window centered at the pixel is

Just as the above discussion, if the median filter has similar estimate precision to Gaussian filter in image denoising, should at least be 8, which is estimated by . However, so large window of median filter will delete some real lines in sinogram, which will lead to many artifacts in denoising sinogram.

##### 3.2. Similarity Discussion

From the second equation of (3.4), the similarity between the sinogram values of two pixels and is defined as a Gaussian function of the difference to their sinogram values. Thus, large difference has small similarity, while small difference has large similarity. Following this conclusion, similarity discussion can be accomplished by discussing the difference for each pair of pixels of sinogram. In this subsection, we will discuss the differences by variances of three denoising schemes for BF.

Assume that and are iid Gaussian random variables corresponding to a pair of pixels with the same real gray levels, , , and their difference

In the same way, since , we can conclude that

Since , thus

Just as discussed in the last subsection, if we set to 2,

It is obvious that the variance of the first scheme is the biggest in all three schemes, while the variance of the last scheme is the smallest in all three schemes. Since , we have

The first scheme corresponds to the bilateral, which measures difference by the sinogram values of and directly. The second scheme corresponds to the mean bilateral proposed in [41] whose similarity is measured between the median of the center pixel and the sinogram value of its neighbor . The third scheme corresponds to the scheme of measuring the difference on the Gaussian filtered sinogram value.

It is well-known that smallest variance corresponds to the best estimate of real projection data value. According to this rule, our proposed method can provide the best estimate of real projection data value. Thus, BFWGFS can reduce both the influence of noises and non-stationary artifacts.

#### 4. The Algorithm

Just as the above discussion, satisfied denoising results can be got by weighed range filter on Gaussian filtered sinogram. The steps of the algorithm are as follows:(1)compute the Gaussian filtered sinogram value for all sinogram pixels using (3.5),(2)give and ,(3)for each of pixel, (i)compute using the first equation of (3.4) and using (ii)compute using (iii)compute using (4)repeat step 3 until all sinogram pixels have been proceeded.

#### 5. Experiments and Discussion

The main objective for smoothing L-CT images is to delete the noise and non-stationary artifacts while to preserve anatomy details for the images. Thus, the image visual quality can be improved, and the denoised image can help doctors make correct medical diagnosis more easily.

##### 5.1. Data

Four groups of CT images with different doses were scanned from a 16 multidetector row CT unit (Somatom Sensation 16; Siemens Medical Solutions) using 120 kVp and 5 mm slice thickness: a 58-year-old man, two groups of 62-year-old women with different reduced dose, and a 60-year-old man. Other remaining scanning parameters are gantry rotation time, 0.5 second; detector configuration (number of detector rows section thickness), mm; table feed per gantry rotation, 24 mm; pitch, 1 : 1; reconstruction method, filtered back projection (FBP) algorithm with the soft-tissue convolution kernel “B30f.” Different CT doses were controlled by using two different fixed tube currents 30 mAs and 150 mAs (60 mA or 300 mAs) for LDCT and standard-dose CT (SDCT) protocols, resp.. The CT dose index volume (CTDIvol) for LDCT images and SDCT images are in positive linear correlation to the tube current and is calculated to be approximately ranged between 15.32 mGy and 3.16 mGy [29]. For additional visually illustration, we also put two groups of abdominal CT images of a same woman with 60 mAs, and two groups of shoulder CT images with low dose 35 mAs and standard dose 135 mAs (see Figure 2).

##### 5.2. Compared Methods

*Bilateral filter (BF)* is introduced at the beginning of Section 3. The main motivation for BF is that the noisy image should be weighted not only by the position distance (spatial filter) but also by the difference of sinogram values (range filter) [35]. The parameters of BF are Gaussian Kernel for spatial filter , Gaussian Kernel for range filter , and iteration time is 3.

*Context* is a term imported from image coding. The context of a pixel is always defined as a vector used for describing the relationship between this pixels and other image pixels. In this paper, in order to suppress the influence of noises, the context is defined as
The context filter estimates real sinogram values from the points with similar context value. In this paper, the threshold value for similar context is 10, that is,
where is defined on (5.1). Although context filter can provide more samples for real value estimate, it will produce some artifacts for losing the spatial relationship of sinogram.

*Median bilateral filter (MBF)* replaces the center pixel with the median of an window [41]. However, just as analysis in Section 3, only replacing the center pixel also cannot obtain satisfied denoising results. Here, when set to 5 has the best performance, and .

*Multiresolution bilateral filter (MRBF)* filtering LL subband uses BF while smoothing wavelet subbands uses SURE shrinkage [38]. The wavelet used in the experiment is 1-level symlets with support 4. The noisy variance is estimated using median of HH band of the wavelet [45] and and . Although authors report that MRBF can obtain good denoising results, it also leads to blur some important details.

*Weighted intensity averaging over large-scale neighborhoods (WIA-LNs)* is a state-of-the-art method for sinogram reconstruction [29]. The motivation for WIA-LN is that the two pixels of the same organ or tissue should have surrounding patches with higher similarities than the two pixels of different organs or tissues. Thus, the real sinogram value of can be estimated as
where

Here, denotes the intensities of the neighboring pixels in the search neighborhood centered at pixel index . The weight of WIA-LN is built by using a similarity criterion between the two comparing patches and . This similarity metrics is calculated using (5.4), in which denotes the two-dimensional standard deviation of Gaussian kernel. is the total pixel number in patch . is a superparameter. In this paper, is set to be 0.8, and the sizes are set to . Although better vision and quantitative performance are reported, the authors also indicate that WIA-LN cannot handle noise and non-stationary artifacts simultaneously (see Figure 3(g)).

*Proposed method (BFWGFS)* replaces all sinogram values used in range filter of BF by the Gaussian filtered sinogram values. Just as discussed in Section 3, smoothed sinogram values can reduce the influence of both noise and non-stationary artifacts greatly, and BFWGFS can provide good visual results and preserve more anatomy details. The parameters are , , iteration number is set to 1, and Gaussian smoothed kernel is set to 1.8.

##### 5.3. Visual Comparison

Three groups of SDCT images, LDCT images, and the processed LDCT images for the clinical abdominal examinations are shown in Figures 1–3. The parameters for compared methods have been given in the last subsection. In Figure 1, the original and processed abdominal CT images of a 58-year-old man are illustrated. Figures 1(a) and 1(b) are one SDCT image and one LDCT image acquired at tube current time product 150 mAs and 30 mAs, respectively. Figures 1(c), 1(d), 1(e), 1(f), 1(g), and 1(h) show BF, context, MBF, MRBF, WIA-LN, and proposed method processed LDCT images, respectively. Figure 2 illustrates the original and processed abdominal CT images of a 62-year-old woman. Figure 2(a) is one SDCT image acquired at tube current time product 150 mAs. Figures 2(b) and 2(c) are two LDCT images acquired at reduced tube current time products 60 mAs and 30 mAs, respectively. Figures 2(d), 2(e), 2(f), 2(j), 2(k), 2(l), 2(g), 2(h), 2(i), 2(m), 2(n), and 2(o) illustrate the two groups of processed LDCT images of Figures 2(b) and 2(c) by using compared methods. Figure 3 illustrates the original and processed images for one shoulder scan of a 60-year-old man, from which we found that WIA-LN tends to smooth both the streak artifacts and informative human tissues, while proposed method can reduce the noise and artifacts with preservation of anatomy details.

Comparing all the original SDCT images and LDCT images in Figures 1–3, we found that the LDCT images were severely degraded by noise and streak artifacts. In Figures 1(c)–1(f), just as the discussion in Section 3, there are so many noises left in processed images using BF, context, MBF, and MRBF. WIA-LN shown in Figure 1(g) also makes some obvious artifacts, while we can observe better noise/artifacts suppression and edge preservation for proposed methods in Figure 1(h). Both WIA-LN and proposed method have good performance in noises. Especially, compared to corresponding original SDCT images, the fine features representing the intrahepatic bile duct dilatation and the hepatic cyst (pointed by the white circles in the images of Figures 1 and 2, resp.) were well restored by using WIA-LN and proposed method. The fine anatomical/pathological features (the exemplary structures pointed by circles in Figures 1 and 2) can be well preserved compared to the original SDCT images (Figures 1(a) and 2(a)) under-standard dose conditions. In Figures 3(g) and 3(h), it indicates that although WIA-LN cannot handle noises and artifacts simultaneously, proposed method can obtain satisfied results in this complex situation. Especially, proposed method not only can suppress noises and artifacts in original LDCT image (Figure 3(a)) but also can preserve tiny anatomy details of subscapular arteries indicated by the white circles in Figure 3(h) compared to the original SDCT image (Figure 3(b)).

#### 6. Conclusions

In this paper, in order to improve the performance of LDCT imaging, we propose a new method, named bilateral filter weighted by Gaussian filtered sinogram (BFWGFS) which replaces the sinogram values of range filter of BF to the Gaussian filtered sinogram values. Since carefully chosen parameters of Gaussian filter can reduce the influence both of noises and non-stationary artifacts greatly, BFWGFS can provide a more reliable estimate sinogram values for the range filter to improve the performance of classical BF in noises. Restoration results for three real sinograms show that proposed method with suitable parameters can obtain satisfied results even in both the noises and artifacts situation.

#### Acknowledgments

This paper is supported by the National Natural Science Foundation of China (no. 60873102), Major State Basic Research Development Program (no. 2010CB732501), and Open Foundation of Visual Computing and Virtual Reality Key Laboratory of Sichuan Province (no. J2010N03). This work was supported by a Grant from the National High Technology Research and Development Program of China (no. 2009AA12Z140).

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