# Improving image quality of sparse-view lung tumor CT images with U-Net

arXiv: https://arxiv.org/abs/2307.15506 · HTML: https://mlsanity.com/paper/2307.15506/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 4 of its 34 references that are in the map.
- First posted on arXiv 28 Jul 2023.

## Builds on (most cited first, 4 of 4)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Deep Convolutional Neural Network for Inverse Problems in Imaging](https://mlsanity.com/paper/1611.03679/) (2016)
- [Framing U-Net via Deep Convolutional Framelets: Application to Sparse-view CT](https://mlsanity.com/paper/1708.08333/) (2017)
- [Deep Residual Learning for Compressed Sensing CT Reconstruction via Persistent Homology Analysis](https://mlsanity.com/paper/1611.06391/) (2016)

## Built on by (most cited first, 1 of 1)

- [Beam Geometry and Input Dimensionality: Impact on Sparse-Sampling Artifact Correction for Clinical CT with U-Nets](https://mlsanity.com/paper/2508.17961/) (2025)

## Abstract (arXiv)

Background: We aimed at improving image quality (IQ) of sparse-view computed tomography (CT) images using a U-Net for lung metastasis detection and determining the best tradeoff between number of views, IQ, and diagnostic confidence. Methods: CT images from 41 subjects aged 62.8 ± 10.6 years (mean ± standard deviation), 23 men, 34 with lung metastasis, 7 healthy, were retrospectively selected (2016-2018) and forward projected onto 2,048-view sinograms. Six corresponding sparse-view CT data subsets at varying levels of undersampling were reconstructed from sinograms using filtered backprojection with 16, 32, 64, 128, 256, and 512 views. A dual-frame U-Net was trained and evaluated for each subsampling level on 8,658 images from 22 diseased subjects. A representative image per scan was selected from 19 subjects (12 diseased, 7 healthy) for a single-blinded multireader study. These slices, for all levels of subsampling, with and without U-Net postprocessing, were presented to three readers. IQ and diagnostic confidence were ranked using predefined scales. Subjective nodule segmentation was evaluated using sensitivity and Dice similarity coefficient (DSC); clustered Wilcoxon signed-rank test was used. Results: The 64-projection sparse-view images resulted in 0.89 sensitivity and 0.81 DSC, while their counterparts, postprocessed with the U-Net, had improved metrics (0.94 sensitivity and 0.85 DSC) (p = 0.400). Fewer views led to insufficient IQ for diagnosis. For increased views, no substantial discrepancies were noted between sparse-view and postprocessed images. Conclusions: Projection views can be reduced from 2,048 to 64 while maintaining IQ and the confidence of the radiologists on a satisfactory level.
