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This study introduces a framework to approximate the bias inflicted by CNN noise reduction of CT exams. First, CNN noise reduction was used to approximate the noise-free image and noise-only image of a CT scan. The noise and signal were then recombined with spatial decoupling to simulate an ensemble of 100 images. CNN noise reduction was applied to the simulated ensemble and pixel-wise bias calculated. This bias approximation technique was validated within natural images and phantoms. The technique was then tested on ten whole-body-low-dose CT (WBLD-CT) patient exams. Bias correction led to improved contrast of lung and bone structures.
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Nathan R. Huber, Hao Gong, Thomas Huber, David Campeau, Scott Hsieh, Shuai Leng, Lifeng Yu, Cynthia McCollough, "Pixel-wise bias approximation and correction for convolutional neural network noise reduction in CT," Proc. SPIE 12031, Medical Imaging 2022: Physics of Medical Imaging, 120311C (4 April 2022); https://doi.org/10.1117/12.2612703