整合医学影像物理与计算，提升重建效率。

Medical imaging systems such as CT, MRI, PET, and SPECT do not directly acquire images. Instead, they measure physical signals that encode anatomical or physiological information, and image reconstruction recovers the underlying image by solving an inverse problem. Although these imaging modalities are governed by different imaging physics, they share a common computational framework that naturally connects medical physics, linear algebra, probability, numerical optimization, and efficient computing. As medical imaging systems acquire increasingly large and higher-dimensional datasets, image reconstruction has become one of the primary computational bottlenecks in modern medical imaging. Advanced reconstruction methods, including analytical reconstruction, iterative optimization, and statistical model-based reconstruction, substantially improve image quality while reducing radiation dose or scan time, but at significantly increased computational cost. Efficient computing has therefore become essential for achieving clinically practical reconstruction times. This chapter presents a unified computational perspective on medical image acquisition and reconstruction across CT, MRI, PET, and SPECT. It first reviews the imaging physics and data acquisition process for each modality and derives a generalized mathematical framework for image reconstruction. Building on this framework, the chapter discusses analytical, iterative, and statistical reconstruction methods together with their computational characteristics. Finally, it examines efficient computing considerations, including optimization algorithms, physics-aware forward operators, memory-efficient implementations, and parallel computing strategies. Together, these topics demonstrate how the integration of imaging physics, mathematical modeling, and efficient computing enables accurate and scalable medical image reconstruction.