Medical image denoising is crucial for enhancing the diagnostic accuracy of CT and MRI images. This paper presents a modular hybrid framework that combines multiscale decomposition techniques (Empirical Mode Decomposition, Variational Mode Decomposition, Bidimensional EMD, and Multivariate EMD) with curvelet transform thresholding and traditional spatial filters. The methodology was assessed using a phantom dataset containing regulated Rician noise, clinical CT images rebuilt with sharp (B50f) and medium (B46f) kernels, and MRI scans obtained at various GRAPPA acceleration factors. In phantom trials, MEMD–Curvelet attained the highest SSIM (0.964) and PSNR (28.35 dB), while preserving commendable perceptual scores (NIQE approximately 7.55, BRISQUE around 38.8). In CT images, VMD–Curvelet and MEMD–Curvelet consistently outperformed classical filters, achieving SSIM values over 0.95 and PSNR values above 28 dB, even with sharp-kernel reconstructions. In MRI datasets, MEMD–Curvelet and BEMD–Curvelet reduced perceptual distortion, decreasing NIQE by up to 15% and BRISQUE by 20% compared to Gaussian and median filtering. Deep learning baselines validated the framework’s competitiveness: BM3D attained high fidelity but necessitated 6.65 s per slice, while DnCNN delivered equivalent SSIM (0.958) with a diminished runtime of 2.33 s. The results indicate that the proposed framework excels at noise reduction and structure preservation across various imaging settings, surpassing independent filtering and transform-only methods. Its versatility and efficiency underscore its potential for therapeutic integration in situations necessitating high-quality denoising under limited acquisition conditions.
Nasr et al. (Wed,) studied this question.