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医用X-CT图像中金属伪影校正算法的研究进展OA

Research progress of metal artifact correction algorithm in medical X-CT image

中文摘要英文摘要

随着医疗技术的不断进步,颅内动脉瘤栓塞术、口腔种植体植入术、脊柱内固定术以及髋关节置换术等金属植入物在临床中的应用日益广泛.但在术后CT影像复查中,高密度的金属植入物吸收大量X线光子数导致投影数据缺失.在重建后的CT图像上出现条状伪影,降低了图像的对比度,使细微解剖结构显示不清,甚至使临床医师做出错误的诊断.插值算法校正金属伪影是通过在金属投影区估算丢失数据来减少伪影.迭代重建技术是通过多次迭代计算,逐步逼近真实图像.先验图像校正算法利用已知的金属物体信息或模型,对图像进行预处理,以降低金属伪影的影响.深度学习算法通过训练神经网络模型,能够自动识别和校正金属伪影,具有较高的准确性和效率.然而,不同算法在金属伪影抑制方面所展现的效果存在显著差异.插值算法对多金属伪影的抑制效果不佳.迭代重建算法需要通过多次迭代来优化图像重建过程,可以部分减少金属伪影的影响,但可能需要较长的计算时间.先验图像校正算法受限于先验图像信息的准确性.深度学习算法能够提供更高质量的图像,但需要大量的训练数据和计算资源.因此,本文将针对插值算法、迭代重建、先验图像校正算法和深度学习算法对金属伪影校正的应用现状进行综述.

Metal implants such as intracranial aneurysm embolisation,oral metal implants,spinal endoprostheses,and hip arthroplasty are increasingly used in clinical practice with the continuous progress of medical technology.However,the high-density metal implant absorbed a large number of X-ray photon counts resulting in missing projection data in the postoperative CT image review.Stripe artifacts appear on the reconstructed CT images,reducing the contrast of the images,making subtle anatomical structures poorly displayed,and even causing clinicians to make incorrect diagnoses.Interpolation algorithm to correct metal artifacts is to reduce the artifacts by estimating the missing data in the metal projection area.Iterative reconstruction technique is to approximate the real image step by step through several iterations of computation.Prior image correction algorithms use known metal object information or models to pre-process images to reduce the impact of metal artifacts.Deep learning algorithms are able to automatically identify and correct metal artifacts with high accuracy and efficiency by training neural network models.However,there are significant differences in the results demonstrated by different algorithms for metal artifact suppression.The interpolation algorithm is not effective for the suppression of polymetallic artifacts.Iterative reconstruction algorithms require multiple iterations to optimize the image reconstruction process,which can partially reduce the impact of metal artifacts,but may take longer to compute.Therefore,the application of interpolation algorithm,iterative reconstruction,prior image correction algorithm and deep learning algorithm to metal artifact correction is reviewed.

陈宗桂;彭哲宇;张靓;魏宁宁;董晓军

湖南医药学院(湖南 怀化 418000)湖南医药学院(湖南 怀化 418000)湖南医药学院(湖南 怀化 418000)湖南医药学院(湖南 怀化 418000)湖南医药学院(湖南 怀化 418000)

医药卫生

插值迭代先验图像深度学习金属伪影

interpolationiterationpriori imagesdeep learningmetal artifacts

《北京生物医学工程》 2026 (3)

312-318,7

湖南省自然科学基金青年项目(2021JJ40385)、湖南省教育厅一般项目(22C1183)、2025年湖南医药学院大学生创新创业训练计划项目-68资助

10.3969/j.issn.1002-3208.2026.03.013

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