arXiv subjects

Bruno De Man

Publications and source records attributed to Bruno De Man.

8 recordsLinked to original sources

arXiv2026

Evaluation of Silicon-Based Photon-Counting CT for Coronary Stenosis Quantification with Realistic Coronary Artery Phantoms

Objective: To quantify the impact of high-resolution deep silicon photon-counting CT (dSi-PCCT) on coronary stenosis quantification in anatomically realistic calcified coronary artery phantoms using Micro-CT as ground truth. Methods: Twelve vessel sections representing four calcification geometries (Type I-IV) and three luminal iodine concentrations (10, 15, and 20 mg/mL) were scanned under static conditions using energy-integrating detector CT (EID-CT), dSi-PCCT, and Micro-CT. Images were registered to Micro-CT and segmented using an automated threshold-based pipeline. The primary analysis compared longitudinal profiles of Micro-CT-referenced percent area stenosis and segmented vessel area. A secondary analysis evaluated ellipse-derived percent area stenosis and percent vessel-area deviation at the maximum-calcification cross-section. Results: dSi-PCCT reduced whole-profile mean absolute error in Micro-CT-referenced percent area stenosis from 3.10% with EID-CT to 1.62% (p=0.027) and reduced segmented vessel-area error from 0.55 to 0.31 mm2 (p=0.001). In the secondary analysis, absolute deviations in ellipse-derived percent area stenosis ranged from 0.1% to 6.5% for dSi-PCCT and from 0.8% to 24.2% for EID-CT (p<0.001). Mean absolute differences in percent vessel-area deviation from Micro-CT were also lower with dSi-PCCT than with EID-CT (15.0% vs 26.6%, p<0.001). Conclusion: Under static, resolution-optimized conditions, dSi-PCCT improved task-based coronary stenosis quantification and vessel delineation relative to EID-CT, supporting further evaluation in dynamic phantoms and clinical CCTA.

physics.med-ph↗

arXiv2026

Foundation Models for Medical Imaging: Status, Challenges, and Directions

Foundation models (FMs) are rapidly reshaping medical imaging, shifting the field from narrowly trained, task-specific networks toward large, general-purpose models that can be adapted across modalities, anatomies, and clinical tasks. In this review, we synthesize the emerging landscape of medical imaging FMs along three major axes: principles of FM design, applications of FMs, and forward-looking challenges and opportunities. Taken together, this review provides a technically grounded, clinically aware, and future-facing roadmap for developing FMs that are not only powerful and versatile but also trustworthy and ready for responsible translation into clinical practice.

eess.IV↗

arXiv2024

CT-based Anomaly Detection of Liver Tumors Using Generative Diffusion Prior

CT is a main modality for imaging liver diseases, valuable in detecting and localizing liver tumors. Traditional anomaly detection methods analyze reconstructed images to identify pathological structures. However, these methods may produce suboptimal results, overlooking subtle differences among various tissue types. To address this challenge, here we employ generative diffusion prior to inpaint the liver as the reference facilitating anomaly detection. Specifically, we use an adaptive threshold to extract a mask of abnormal regions, which are then inpainted using a diffusion prior to calculating an anomaly score based on the discrepancy between the original CT image and the inpainted counterpart. Our methodology has been tested on two liver CT datasets, demonstrating a significant improvement in detection accuracy, with a 7.9% boost in the area under the curve (AUC) compared to the state-of-the-art. This performance gain underscores the potential of our approach to refine the radiological assessment of liver diseases.

physics.med-ph↗

arXiv2024

Photon-counting CT using a Conditional Diffusion Model for Super-resolution and Texture-preservation

Ultra-high resolution images are desirable in photon counting CT (PCCT), but resolution is physically limited by interactions such as charge sharing. Deep learning is a possible method for super-resolution (SR), but sourcing paired training data that adequately models the target task is difficult. Additionally, SR algorithms can distort noise texture, which is an important in many clinical diagnostic scenarios. Here, we train conditional denoising diffusion probabilistic models (DDPMs) for PCCT super-resolution, with the objective to retain textural characteristics of local noise. PCCT simulation methods are used to synthesize realistic resolution degradation. To preserve noise texture, we explore decoupling the noise and signal image inputs and outputs via deep denoisers, explicitly mapping to each during the SR process. Our experimental results indicate that our DDPM trained on simulated data can improve sharpness in real PCCT images. Additionally, the disentanglement of noise from the original image allows our model more faithfully preserve noise texture.

eess.IV↗

arXiv2024

A coronary artery phantom for task-based CT performance assessment and a comparative study of clinical CT, photon counting CT, and micro CT

While drastic improvements in CT technology have occurred in the past 25 years, spatial resolution is one area where progress has been limited until recently. New photon counting CT systems, are capable of much better spatial resolution than their (energy integrating) predecessors. These improvements have the potential to improve the evaluation obstructive coronary artery disease by enabling more accurate delineation between calcified plaque and coronary vessel lumen. A new set of vessel phantoms has been designed and manufactured for quantifying this improvement. Comparisons are made between an existing clinical CT system, a prototype photon counting system, with images from a micro CT system being used as the gold standard. Scans were made of the same objects on all three systems. The resulting images were registered and the luminal cross section areas were compared. Luminal cross-sections near calcified plaques were reduced due to blooming, but this effect was much less pronounced in images from the prototype photon counting system as compared to the images from the clinical CT system.

physics.med-ph↗

arXiv2023

Coronary Atherosclerotic Plaque Characterization with Photon-counting CT: a Simulation-based Feasibility Study

Recent development of photon-counting CT (PCCT) brings great opportunities for plaque characterization with much-improved spatial resolution and spectral imaging capability. While existing coronary plaque PCCT imaging results are based on detectors made of CZT or CdTe materials, deep-silicon photon-counting detectors have unique performance characteristics and promise distinct imaging capabilities. In this work, we report a systematic simulation study of a deep-silicon PCCT scanner with a new clinically-relevant digital plaque phantom with realistic geometrical parameters and chemical compositions. This work investigates the effects of spatial resolution, noise, motion artifacts, radiation dose, and spectral characterization. Our simulation results suggest that the deep-silicon PCCT design provides adequate spatial resolution for visualizing a necrotic core and quantitation of key plaque features. Advanced denoising techniques and aggressive bowtie filter designs can keep image noise to acceptable levels at this resolution while keeping radiation dose comparable to that of a conventional CT scan. The ultrahigh resolution of PCCT also means an elevated sensitivity to motion artifacts. It is found that a tolerance of less than 0.4 mm residual movement range requires the application of accurate motion correction methods for best plaque imaging quality with PCCT.

physics.med-ph↗

arXiv2020

X-ray Monochromatic Imaging from Single-spectrum CT via Machine Learning

In clinical CT system, the x-ray tube emits polychromatic x-rays, and the x-ray detectors operate in the current-integrating mode. This physical process is accurately described by an energy-dependent non-linear integral equation. However, the non-linear model is not invertible with a computationally efficient solution, and is often approximated as a linear integral model in the form of the Radon transform. Such approximation basically ignores energy-dependent information and would generate beam hardening artifacts. Dual-energy CT (DECT) scans one object using two different x-ray energy spectra for the acquisition of two spectrally distinct projection datasets to improve imaging performance. Thus, DECT can reconstruct energy and material-selective images, realizing monochromatic imaging and material decomposition. Nevertheless, DECT would increase radiation dose, system complexity, and equipment cost relative to single-spectrum CT. In this paper, a machine-learning-based CT reconstruction method is proposed to perform monochromatic image reconstruction using a single-spectrum CT scanner. Specifically, a residual neural network (ResNet) model is adapted to map a CT image to a monochromatic counterpart at a pre-specified energy level. This ResNet is trained on clinical dual-energy data, showing an excellent convergence to a minimal loss. The trained network produces high-quality monochromatic images on testing data, with a relative error of less than 0.2%. This work has great potential in clinical DECT applications such as tissue characterization, beam hardening correction and proton therapy planning.

physics.med-ph↗

arXiv2019

A hierarchical approach to deep learning and its application to tomographic reconstruction

Deep learning (DL) has shown unprecedented performance for many image analysis and image enhancement tasks. Yet, solving large-scale inverse problems like tomographic reconstruction remains challenging for DL. These problems involve non-local and space-variant integral transforms between the input and output domains, for which no efficient neural network models have been found. A prior attempt to solve such problems with supervised learning relied on a brute-force fully connected network and applied it to reconstruction for a $128^4$ system matrix size. This cannot practically scale to realistic data sizes such as $512^4$ and $512^6$ for three-dimensional data sets. Here we present a novel framework to solve such problems with deep learning by casting the original problem as a continuum of intermediate representations between the input and output data. The original problem is broken down into a sequence of simpler transformations that can be well mapped onto an efficient hierarchical network architecture, with exponentially fewer parameters than a generic network would need. We applied the approach to computed tomography (CT) image reconstruction for a $512^4$ system matrix size. To our knowledge, this enabled the first data-driven DL solver for full-size CT reconstruction without relying on the structure of direct (analytical) or iterative (numerical) inversion techniques. The proposed approach is applicable to other imaging problems such as emission and magnetic resonance reconstruction. More broadly, hierarchical DL opens the door to a new class of solvers for general inverse problems, which could potentially lead to improved signal-to-noise ratio, spatial resolution and computational efficiency in various areas.

physics.med-ph↗