# AS-Mamba: Asymmetric Self-Guided Mamba Decoupled Iterative Network for Metal Artifact Reduction

arXiv: https://arxiv.org/abs/2602.06350 · HTML: https://mlsanity.com/paper/2602.06350/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Mamba for medical image analysis, one of 10 directions in State-space sequence models (S4, Mamba).
- Builds on 16 of its 37 references that are in the map.
- First posted on arXiv 6 Feb 2026.

## Placed in

- State-space sequence models (S4, Mamba) / [Mamba for medical image analysis](https://mlsanity.com/ssm/mamba-for-medical-image-analysis/)

## Builds on (most cited first, 16 of 16)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Layer Normalization](https://mlsanity.com/paper/1607.06450/) (2016)
- [Vision Mamba: Efficient Visual Representation Learning with Bidirectional State Space Model](https://mlsanity.com/paper/2401.09417/) (2024)
- [DuDoNet: Dual Domain Network for CT Metal Artifact Reduction](https://mlsanity.com/paper/1907.00273/) (2019)
- [FreqMamba: Viewing Mamba from a Frequency Perspective for Image Deraining](https://mlsanity.com/paper/2404.09476/) (2024)
- [Deep Lesion Graphs in the Wild: Relationship Learning and Organization of Significant Radiology Image Findings in a Diverse Large-scale Lesion Database](https://mlsanity.com/paper/1711.10535/) (2017)
- [TransCT: Dual-path Transformer for Low Dose Computed Tomography](https://mlsanity.com/paper/2103.00634/) (2021)
- [CT sinogram-consistency learning for metal-induced beam hardening correction](https://mlsanity.com/paper/1708.00607/) (2017)
- [InDuDoNet+: A Deep Unfolding Dual Domain Network for Metal Artifact Reduction in CT Images](https://mlsanity.com/paper/2112.12660/) (2021)
- [Adaptive Convolutional Dictionary Network for CT Metal Artifact Reduction](https://mlsanity.com/paper/2205.07471/) (2022)
- [A Comprehensive Survey of Mamba Architectures for Medical Image Analysis: Classification, Segmentation, Restoration and Beyond](https://mlsanity.com/paper/2410.02362/) (2024)
- [A Re-weighted Joint Spatial-Radon Domain CT Image Reconstruction Model for Metal Artifact Reduction](https://mlsanity.com/paper/1707.07297/) (2017)
- [Spectral2Spectral: Image-spectral Similarity Assisted Spectral CT Deep Reconstruction without Reference](https://mlsanity.com/paper/2210.01125/) (2022)
- [MARformer: An Efficient Metal Artifact Reduction Transformer for Dental CBCT Images](https://mlsanity.com/paper/2311.09590/) (2023)
- [WDMamba: When Wavelet Degradation Prior Meets Vision Mamba for Image Dehazing](https://mlsanity.com/paper/2505.04369/) (2025)

## Abstract (arXiv)

Metal artifact significantly degrades Computed Tomography (CT) image quality, impeding accurate clinical diagnosis. However, existing deep learning approaches, such as CNN and Transformer, often fail to explicitly capture the directional geometric features of artifacts, leading to compromised structural restoration. To address these limitations, we propose the Asymmetric Self-Guided Mamba (AS-Mamba) for metal artifact reduction. Specifically, the linear propagation of metal-induced streak artifacts aligns well with the sequential modeling capability of State Space Models (SSMs). Consequently, the Mamba architecture is leveraged to explicitly capture and suppress these directional artifacts. Simultaneously, a frequency domain correction mechanism is incorporated to rectify the global amplitude spectrum, thereby mitigating intensity inhomogeneity caused by beam hardening. Furthermore, to bridge the distribution gap across diverse clinical scenarios, we introduce a self-guided contrastive regularization strategy. Extensive experiments on public andclinical dental CBCT datasets demonstrate that AS-Mamba achieves superior performance in suppressing directional streaks and preserving structural details, validating the effectiveness of integrating physical geometric priors into deep network design.