PSCT-Net: Geometry-Aware Pediatric Skull CT Reconstruction via Differentiable Back-Projection and Attention-Guided Refinement
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Abstract (arXiv)
Computed Tomography (CT) is essential for diagnosing pediatric craniofacial abnormalities, yet poses radiation risks to developing anatomies. Reconstructing 3D CT from sparse bi-planar X-rays offers a low-dose alternative but is severely ill-posed. Existing methods employ geometry-agnostic feature lifting, naively projecting 2D features into 3D without explicit spatial modeling, causing depth ambiguity and degraded osseous boundaries. We present PSCT-Net, a geometry-aware framework with differentiable back-projection. Differentiable back-projection establishes a spatially faithful volumetric prior, alleviating depth ambiguity. An Attention-Guided Projection (AGP-3D) module then learns non-linear voxel-wise correspondences between 2D regions and 3D locations. A Bidirectional Mamba (BiM-3D) module captures long-range volumetric dependencies with linear complexity. We further curate a private institutional pediatric skull CT cohort, PedSkull-CT, comprising normal and pathological cases for internal evaluation, addressing the gap in adult-centric, trunk-focused datasets. Project page and code are available at https://dydevelop.github.io/PSCT-Net/.
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References · 19
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- 2019X2CT-GAN: Reconstructing CT from Biplanar X-Rays with Generative Adversarial Networkscited by 85
7 more
- 2024Transformers to SSMs: Distilling Quadratic Knowledge to Subquadratic Modelscited by 67
- 2021CTSpine1K: A Large-Scale Dataset for Spinal Vertebrae Segmentation in Computed Tomographycited by 46
- 2020Deep Learning to Segment Pelvic Bones: Large-scale CT Datasets and Baseline Modelscited by 45
- 2024DiffuX2CT: Diffusion Learning to Reconstruct CT Images from Biplanar X-Rayscited by 9
- 2020XraySyn: Realistic View Synthesis From a Single Radiograph Through CT Priorscited by 8
- 2025DVG-Diffusion: Dual-View Guided Diffusion Model for CT Reconstruction from X-Rayscited by 4
- 2024XctDiff: Reconstruction of CT Images with Consistent Anatomical Structures from a Single Radiographic Projection Imagecited by 3
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