Removing ring artifacts in CBCT images via Transformer with unidirectional vertical gradient loss

Abstract Background Cone‐beam computed tomography (CBCT), an important medical modality for disease detection and diagnosis, is currently widely used in clinical practice. However, due to the inconsistent response of CBCT detectors, the lack of proper calibration often leads to the occurrence of ring artifacts in CBCT‐reconstructed images. These artifacts may affect physicians' assessment and diagnosis. Therefore, effective elimination of ring artifacts in CBCT images without degrading image quality is important. Purpose Given the pros and cons of existing methods for removing ring artifacts in CBCT images, this paper is devoted to designing a specific Transformer for this task, leveraging the global and local modeling ability of Transformer. Methods We design a loss function with dual‐domain information fusion for the vanilla Transformer to correct ring artifacts in CBCT images. The method operates in image domain to predict artifact‐free outputs and preserve more image details. Meanwhile, we design a tailored loss function incorporating polar domain optimization to remove ring artifacts more effectively. Specifically, an unidirectional gradient loss that constrains vertical gradients in polar domain is imposed, based on the geometric prior that in polar coordinates, ring artifacts predominately affect horizontal gradients while minimally influencing vertical gradients. Results We conduct extensive ablative and comparative experiments on CBCT/CT image set to validate the performance of the proposed method. First, four ablation experiments demonstrate the feasibility of our approach. Then, we compare our method with several classical methods and the latest state‐of‐the‐arts, and our method achieves the highest quality of corrected images as well as the best evaluation metrics. In these experiments, 5332 CT images were used for training, and 550 CT images, and 500 real CBCT images were used for testing. The source code is available at https://github.com/shasha521/CBCT . Conclusions Experimental results demonstrate that our method can significantly improve the effectiveness of ring artifact correction. By capitalizing on dual‐domain information fusion and a customized loss function, the improved Transformer can not only effectively remove ring artifacts in CBCT images, but also preserve the details of original images quite well.