Denoising via Repainting: an image denoising method using layer wise medical image repainting

Medical image denoising is essential for improving the reliability of clinical diagnosis and guiding subsequent image-based tasks. In this paper, we propose a multi-scale approach that integrates anisotropic Gaussian filtering with progressive Bezier-path redrawing. Our method constructs a scale-space pyramid to mitigate noise while preserving critical structural details. Starting at the coarsest scale, we segment partially denoised images into coherent components and redraw each using a parametric Bezier path with representative color. Through iterative refinements at finer scales, small and intricate structures are accurately reconstructed, while large homogeneous regions remain robustly smoothed. We employ both mean square error and self-intersection constraints to maintain shape coherence during path optimization. Empirical results on multiple MRI datasets demonstrate consistent improvements in PSNR and SSIM over competing methods. This coarse-to-fine framework offers a robust, data-efficient solution for cross-domain denoising, reinforcing its potential clinical utility and versatility. Future work extends this technique to three-dimensional data.