State-of-the-Art Deep Learning CT Reconstruction Algorithms in Abdominal Imaging.

The implementation of deep neural networks has spurred the creation of deep learning reconstruction (DLR) CT algorithms. DLR CT techniques encompass a spectrum of deep learning-based methodologies that operate during the different steps of the image creation, prior to or after the traditional image formation process (eg, filtered backprojection [FBP] or iterative reconstruction [IR]), or alternatively by fully replacing FBP or IR techniques. DLR algorithms effectively facilitate the reduction of image noise associated with low photon counts from reduced radiation dose protocols. DLR methods have emerged as an effective solution to ameliorate limitations observed with prior CT image reconstruction algorithms, including FBP and IR algorithms, which are not able to preserve image texture and diagnostic performance at low radiation dose levels. An additional advantage of DLR algorithms is their high reconstruction speed, hence targeting the ideal triad of features for a CT image reconstruction (ie, the ability to consistently provide diagnostic-quality images and achieve radiation dose imaging levels as low as reasonably possible, with high reconstruction speed). An accumulated body of evidence supports the clinical use of DLR algorithms in abdominal imaging across multiple CT imaging tasks. The authors explore the technical aspects of DLR CT algorithms and examine various approaches to image synthesis in DLR creation. The clinical applications of DLR algorithms are highlighted across various abdominal CT imaging domains, with emphasis on the supporting evidence for diverse clinical tasks. An overview of the current limitations of and outlook for DLR algorithms for CT is provided. RSNA, 2024.