SCOUT: Fast Spectral CT Imaging in Ultra LOw-data Regimes via PseUdo-label GeneraTion

Noise and artifacts during computed tomography (CT) scans are a fundamental challenge affecting disease diagnosis. However, current methods either involve excessively long reconstruction times or rely on data-driven models for optimization, failing to adequately consider the valuable information inherent in the data itself, especially medical 3D data. This work proposes a reconstruction method under ultra-low raw data conditions, requiring no external data and avoiding lengthy pre-training processes. By leveraging spatial nonlocal similarity and the conjugate properties of the projection domain to generate pseudo-3D data for self-supervised training, high-fidelity results can be achieved in a very short time. Extensive experiments demonstrate that this method not only mitigates detector-induced ring artifacts but also exhibits unprecedented capabilities in detail recovery. This method provides a new paradigm for research using unlabeled raw projection data. Code is available at https://github.com/yqx7150/SCOUT.

GR-Diffusion: 3D Gaussian Representation Meets Diffusion in Whole-Body PET Reconstruction

Positron emission tomography (PET) reconstruction is a critical challenge in molecular imaging, often hampered by noise amplification, structural blurring, and detail loss due to sparse sampling and the ill-posed nature of inverse problems. The three-dimensional discrete Gaussian representation (GR), which efficiently encodes 3D scenes using parameterized discrete Gaussian distributions, has shown promise in computer vision. In this work, we pro-pose a novel GR-Diffusion framework that synergistically integrates the geometric priors of GR with the generative power of diffusion models for 3D low-dose whole-body PET reconstruction. GR-Diffusion employs GR to generate a reference 3D PET image from projection data, establishing a physically grounded and structurally explicit benchmark that overcomes the low-pass limitations of conventional point-based or voxel-based methods. This reference image serves as a dual guide during the diffusion process, ensuring both global consistency and local accuracy. Specifically, we employ a hierarchical guidance mechanism based on the GR reference. Fine-grained guidance leverages differences to refine local details, while coarse-grained guidance uses multi-scale difference maps to correct deviations. This strategy allows the diffusion model to sequentially integrate the strong geometric prior from GR and recover sub-voxel information. Experimental results on the UDPET and Clinical datasets with varying dose levels show that GR-Diffusion outperforms state-of-the-art methods in enhancing 3D whole-body PET image quality and preserving physiological details.

PLOT-CT: Pre-log Voronoi Decomposition Assisted Generation for Low-dose CT Reconstruction

Low-dose computed tomography (LDCT) reconstruction is fundamentally challenged by severe noise and compromised data fidelity under reduced radiation exposure. Most existing methods operate either in the image or post-log projection domain, which fails to fully exploit the rich structural information in pre-log measurements while being highly susceptible to noise. The requisite logarithmic transformation critically amplifies noise within these data, imposing exceptional demands on reconstruction precision. To overcome these challenges, we propose PLOT-CT, a novel framework for Pre-Log vOronoi decomposiTion-assisted CT generation. Our method begins by applying Voronoi decomposition to pre-log sinograms, disentangling the data into distinct underlying components, which are embedded in separate latent spaces. This explicit decomposition significantly enhances the model's capacity to learn discriminative features, directly improving reconstruction accuracy by mitigating noise and preserving information inherent in the pre-log domain. Extensive experiments demonstrate that PLOT-CT achieves state-of-the-art performance, attaining a 2.36dB PSNR improvement over traditional methods at the 1e4 incident photon level in the pre-log domain.

FSP-Diff: Full-Spectrum Prior-Enhanced DualDomain Latent Diffusion for Ultra-Low-Dose Spectral CT Reconstruction

Spectral computed tomography (CT) with photon-counting detectors holds immense potential for material discrimination and tissue characterization. However, under ultra-low-dose conditions, the sharply degraded signal-to-noise ratio (SNR) in energy-specific projections poses a significant challenge, leading to severe artifacts and loss of structural details in reconstructed images. To address this, we propose FSP-Diff, a full-spectrum prior-enhanced dual-domain latent diffusion framework for ultra-low-dose spectral CT reconstruction. Our framework integrates three core strategies: 1) Complementary Feature Construction: We integrate direct image reconstructions with projection-domain denoised results. While the former preserves latent textural nuances amidst heavy noise, the latter provides a stable structural scaffold to balance detail fidelity and noise suppression. 2) Full-Spectrum Prior Integration: By fusing multi-energy projections into a high-SNR full-spectrum image, we establish a unified structural reference that guides the reconstruction across all energy bins. 3) Efficient Latent Diffusion Synthesis: To alleviate the high computational burden of high-dimensional spectral data, multi-path features are embedded into a compact latent space. This allows the diffusion process to facilitate interactive feature fusion in a lower-dimensional manifold, achieving accelerated reconstruction while maintaining fine-grained detail restoration. Extensive experiments on simulated and real-world datasets demonstrate that FSP-Diff significantly outperforms state-of-the-art methods in both image quality and computational efficiency, underscoring its potential for clinically viable ultra-low-dose spectral CT imaging.

Back to Physics: Operator-Guided Generative Paths for SMS MRI Reconstruction

Simultaneous multi-slice (SMS) imaging with in-plane undersampling enables highly accelerated MRI but yields a strongly coupled inverse problem with deterministic inter-slice interference and missing k-space data. Most diffusion-based reconstructions are formulated around Gaussian-noise corruption and rely on additional consistency steps to incorporate SMS physics, which can be mismatched to the operator-governed degradations in SMS acquisition. We propose an operator-guided framework that models the degradation trajectory using known acquisition operators and inverts this process via deterministic updates. Within this framework, we introduce an operator-conditional dual-stream interaction network (OCDI-Net) that explicitly disentangles target-slice content from inter-slice interference and predicts structured degradations for operator-aligned inversion, and we instantiate reconstruction as a two-stage chained inference procedure that performs SMS slice separation followed by in-plane completion. Experiments on fastMRI brain data and prospectively acquired in vivo diffusion MRI data demonstrate improved fidelity and reduced slice leakage over conventional and learning-based SMS reconstructions.

Continuity-driven Synergistic Diffusion with Neural Priors for Ultra-Sparse-View CBCT Reconstruction

The clinical application of cone-beam computed tomography (CBCT) is constrained by the inherent trade-off between radiation exposure and image quality. Ultra-sparse angular sampling, employed to reduce dose, introduces severe undersampling artifacts and inter-slice inconsistencies, compromising diagnostic reliability. Existing reconstruction methods often struggle to balance angular continuity with spatial detail fidelity. To address these challenges, we propose a Continuity-driven Synergistic Diffusion with Neural priors (CSDN) for ultra-sparse-view CBCT reconstruction. Neural priors are introduced as a structural foundation to encode a continuous threedimensional attenuation representation, enabling the synthesis of physically consistent dense projections from ultra-sparse measurements. Building upon this neural-prior-based initialization, a synergistic diffusion strategy is developed, consisting of two collaborative refinement paths: a Sinogram Refinement Diffusion (Sino-RD) process that restores angular continuity and a Digital Radiography Refinement Diffusion (DR-RD) process that enforces inter-slice consistency from the projection image perspective. The outputs of the two diffusion paths are adaptively fused by the Dual-Projection Reconstruction Fusion (DPRF) module to achieve coherent volumetric reconstruction. Extensive experiments demonstrate that the proposed CSDN effectively suppresses artifacts and recovers fine textures under ultra-sparse-view conditions, outperforming existing state-of-the-art techniques.

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

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.

TLC-Plan: A Two-Level Codebook Based Network for End-to-End Vector Floorplan Generation

Automated floorplan generation aims to improve design quality, architectural efficiency, and sustainability by jointly modeling global spatial organization and precise geometric detail. However, existing approaches operate in raster space and rely on post hoc vectorization, which introduces structural inconsistencies and hinders end-to-end learning. Motivated by compositional spatial reasoning, we propose TLC-Plan, a hierarchical generative model that directly synthesizes vector floorplans from input boundaries, aligning with human architectural workflows based on modular and reusable patterns. TLC-Plan employs a two-level VQ-VAE to encode global layouts as semantically labeled room bounding boxes and to refine local geometries using polygon-level codes. This hierarchy is unified in a CodeTree representation, while an autoregressive transformer samples codes conditioned on the boundary to generate diverse and topologically valid designs, without requiring explicit room topology or dimensional priors. Extensive experiments show state-of-the-art performance on RPLAN dataset (FID = 1.84, MSE = 2.06) and leading results on LIFULL dataset. The proposed framework advances constraint-aware and scalable vector floorplan generation for real-world architectural applications. Source code and trained models are released at https://github.com/rosolose/TLC-PLAN.

Visible Singularities Guided Correlation Network for Limited-Angle CT Reconstruction

Limited-angle computed tomography (LACT) offers the advantages of reduced radiation dose and shortened scanning time. Traditional reconstruction algorithms exhibit various inherent limitations in LACT. Currently, most deep learning-based LACT reconstruction methods focus on multi-domain fusion or the introduction of generic priors, failing to fully align with the core imaging characteristics of LACT-such as the directionality of artifacts and directional loss of structural information, which are caused by the absence of projection angles in certain directions. Inspired by the theory of visible and invisible singularities, taking into account the aforementioned core imaging characteristics of LACT, we propose a Visible Singularities Guided Correlation network for LACT reconstruction (VSGC). The design philosophy of VSGC consists of two core steps: First, extract VS edge features from LACT images and focus the model's attention on these VS. Second, establish correlations between the VS edge features and other regions of the image. Additionally, a multi-scale loss function with anisotropic constraint is employed to constrain the model to converge in multiple aspects. Finally, qualitative and quantitative validations are conducted on both simulated and real datasets to verify the effectiveness and feasibility of the proposed design. Particularly, in comparison with alternative methods, VSGC delivers more prominent performance in small angular ranges, with the PSNR improvement of 2.45 dB and the SSIM enhancement of 1.5\%. The code is publicly available at https://github.com/yqx7150/VSGC.

Anatomy Aware Cascade Network: Bridging Epistemic Uncertainty and Geometric Manifold for 3D Tooth Segmentation

Accurate three-dimensional (3D) tooth segmentation from Cone-Beam Computed Tomography (CBCT) is a prerequisite for digital dental workflows. However, achieving high-fidelity segmentation remains challenging due to adhesion artifacts in naturally occluded scans, which are caused by low contrast and indistinct inter-arch boundaries. To address these limitations, we propose the Anatomy Aware Cascade Network (AACNet), a coarse-to-fine framework designed to resolve boundary ambiguity while maintaining global structural consistency. Specifically, we introduce two mechanisms: the Ambiguity Gated Boundary Refiner (AGBR) and the Signed Distance Map guided Anatomical Attention (SDMAA). The AGBR employs an entropy based gating mechanism to perform targeted feature rectification in high uncertainty transition zones. Meanwhile, the SDMAA integrates implicit geometric constraints via signed distance map to enforce topological consistency, preventing the loss of spatial details associated with standard pooling. Experimental results on a dataset of 125 CBCT volumes demonstrate that AACNet achieves a Dice Similarity Coefficient of 90.17 \% and a 95\% Hausdorff Distance of 3.63 mm, significantly outperforming state-of-the-art methods. Furthermore, the model exhibits strong generalization on an external dataset with an HD95 of 2.19 mm, validating its reliability for downstream clinical applications such as surgical planning. Code for AACNet is available at https://github.com/shiliu0114/AACNet.