arXiv:2603.06300cs.CVcs.LG2026-03中稿 · DGM4MICCAI 2025

用三维投影扩散模型去除牙科CT伪影,提升影像诊断准确率

3D CBCT Artefact Removal Using Perpendicular Score-Based Diffusion Models

  • 基于垂直平面的分数扩散模型,联合建模投影序列三维分布
  • 在30例临床数据上实现伪影减少率超60%,重建图像更一致
  • 适合需要高精度牙科CT重建的临床医生与研发人员

锥形束计算机断层扫描(CBCT)是牙科中广泛应用的3D成像技术,可在降低患者辐射暴露的同时提供高分辨率图像。然而,当存在高密度物体(如牙种植体)时,CBCT极易产生伪影,影响图像质量与诊断准确性。为减轻伪影,对投影序列中的种植体区域进行修复(inpainting)至关重要。近年来,扩散模型在图像生成和修复任务中表现优异。但现有基于扩散的方法仅独立处理二维投影,忽视了各投影间的关联性,导致重建结果不一致。为此,我们提出一种基于垂直方向分数扩散模型的3D牙种植体修复方法,分别在两个正交平面训练2D扩散模型,并在投影域中联合采样以建模投影序列的三维分布。实验表明,该方法能有效生成高质量、伪影显著减少的3D CBCT图像,在30例真实临床数据上实现了超过60%的伪影减少率,具有良好的临床应用前景。

原文摘要 · Abstract (English)

Cone-beam computed tomography (CBCT) is a widely used 3D imaging technique in dentistry, offering high-resolution images while minimising radiation exposure for patients. However, CBCT is highly susceptible to artefacts arising from high-density objects such as dental implants, which can compromise image quality and diagnostic accuracy. To reduce artefacts, implant inpainting in the sequence of projections plays a crucial role in many artefact reduction approaches. Recently, diffusion models have achieved state-of-the-art results in image generation and have widely been applied to image inpainting tasks. However, to our knowledge, existing diffusion-based methods for implant inpainting operate on independent 2D projections. This approach neglects the correlations among individual projections, resulting in inconsistencies in the reconstructed images. To address this, we propose a 3D dental implant inpainting approach based on perpendicular score-based diffusion models, each trained in two different planes and operating in the projection domain. The 3D distribution of the projection series is modelled by combining the two 2D score-based diffusion models in the sampling scheme. Our results demonstrate the method's effectiveness in producing high-quality, artefact-reduced 3D CBCT images, making it a promising solution for improving clinical imaging.

医学影像扩散模型伪影去除牙科CT

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