key: cord-0047252-a99x7ogy authors: Boudjelal, Abdelwahhab; El Moataz, Abderrahim; Messali, Zoubeida title: A New Method of Image Reconstruction for PET Using a Combined Regularization Algorithm date: 2020-06-05 journal: Image and Signal Processing DOI: 10.1007/978-3-030-51935-3_19 sha: 42fa2baebd4494662f03692017a4ded2eb92d19b doc_id: 47252 cord_uid: a99x7ogy Positron emission tomography (PET), is a medical imaging technique that provides functional information about physiological processes. The goal of PET is to reconstruct the distribution of the radioisotopes in the body by measuring the emitted photons. The computer methods are designed to solve the inverse problem known as “image reconstruction from projections.” In this paper, an iterative image reconstruction algorithm ART was regularized by combining Tikhonov and total variation regularizations. In the first step, combined regularization algorithm of total variation and Tikhonov regularization was applied to the image obtained by ART algorithm in each iteration for background noise removal with preserving edges. The quality measurements and visual inspections show a significant improvement in image quality compared to other algorithms. Positron emission tomography (PET) [1, 2] is a medical imaging modality that is used widely in clinical practice and scientific research as it provides quantitative and non-invasive information about biochemical and physiological processes in vivo. In PET [3] , a small amount of a radioactive compound labeled with a radioisotope, called a radiotracer, is usually introduced into a patient's body through intravenous injection or inhalation, and then the spatial and sometimes also the temporal distribution of the radioisotope, the decay of which generates photons, is reconstructed from the photon measurements. The emitted photons detected by the detectors are collected in set of projection data or sinogram. The aim of emission tomography is to reconstruct the spatial distribution of the radioisotope from the sinogram data by considering geometrical factors, physical effects, and noise properties. The image reconstruction problem belongs to the class of inverse problems [4] . Reconstruction algorithms proposed in the literature can be divided into two classes: analytical and iterative. The use of iterative image reconstruction algorithms [5] [6] [7] [8] [9] [10] can circumvent all these shortcomings. Iterative reconstructions have the advantages of incorporating corrections for image-degrading factors to handle an incomplete, noisy, and dynamic data set more efficiently than analytic reconstruction techniques. The most widely used iterative algorithms in emission tomography are the ML-EM (maximum-likelihood expectation maximization) algorithm and its accelerated version OSEM (Ordered Subset EM). The ML-EM method was introduced by Dempster et al. in 1977 [11] and first applied to PET by Shepp and Vardi [12] . The algebraic reconstruction Technique (ART) [13] , considered as an important class of iterative approaches [14] , assume that the cross-sectional section consists of a set of unknown, and then establishes algebraic equations for the unknown in terms of Measured projection data. The regularization techniques are generally divided into a projection method and a penalty method [15] . In this paper, we use the penalty method techniques which are the Tikhonov regularization [16, 17] , TV method [18, 19] (Fig. 4) . In this paper, we combine the ART algorithm TV + Tikhonov regularization techniques. The regularization of Tikhonov is the form of the L2-norm method of regularization on the data and the terms of regularization of the inverse problem. The reconstruction from projections of PET images is a particularity of the general inverse problem of estimating the radioactive activity map related to a measurement p by In the process of ECT imaging reconstruction, x is the reconstructed image, p is the measurement of projection data, A is the system matrix whose component A i,j accounts for the probability of a photon emitted from pixel j being recorded into bin i and n i is the random and scatter events that add a bias to each detector. The aim of reconstructing a PET scan image is to provide a direct solution of x from the raw data collected during PET scanning p. However, PET data have an inherent stochastic character. There are uncertainties related to several aspects of PET physics, including the decay process, the effects of attenuation, the scattered coincidences and the additive random coincidences, n. To solve these problems, we propose a novel regularised ART algorithm for the image reconstruction combined with Tikhonov + TV regularization. The ART is sequential method, i.e., each equation is treated at a time, since each equation is dependent on the previous. The equation of ART [13] is given by are the current and the new estimates, respectively; is the sum weighted pixels along ray i; for the k th iteration; p i is the measured projection for the i th ray, and α is the relaxation parameter. Given p and A, the image x 0 is recovered from the model where D i u ∈ R 2 denotes the discrete gradient of x at pixel i, and the sum D i x is the discrete total variation (TV) of x. At each pixel an auxiliary variable w i ∈ R 2 is introduced to transfer D i u out of the non-differentiable term · 2 as follows [20] . The simple quadratic penalty scheme was adopted, yielding the following approximation model of (4): The main challenge of the paper is that solving the problem (3) is through solving a series of the combined Tikhonov and total variation regularized image models Therefore, the intermediate results are corresponding to different size of β and the final solution is corresponding to a huge β where the TV regularization dominates and the Tikhonov regularization is almost ignorable. Let where w is the auxiliary variable [20] . Equation (5) Here we consider the recovered image x as a sum of two components: a piecewise constant component x 1 and a smooth component x 2 . Correspondingly, (5) is considered as a combination of Tikhonov regularization and total variation regularization. The proposed algorithm combines ART algorithm with Tikhonov + TV. The algorithm involves the following: The ART algorithm can be regularized by adding a penalty term in the denominator: The overall process is implemented in two steps by combining iterative reconstruction algorithm ART with the Tikhonov+TV regularization (8). To evaluate the reconstructed results two criterions are calculated for the four implemented algorithms in addition to the visual quality of the resulting reconstructed images, in addition to the relative norm errors and the visual quality of the reconstructed image. The relative norm error of the resulting images [21] is used and defined as: Root Mean Squared Error (RMSE) [22] is very commonly used and makes for an excellent general purpose error metric for numerical predictions. where x(i, j) is the value of the pixel in the test imagex(i, j) and the value of the pixel in the reconstructed image, N is the total number of pixels. Greater RM SE, means that the resulting reconstructed image is closer to the test image. We used also The filled contour plot displays isolines of the reconstructed images and the plot of profiles of reconstructed images comparisons. We shall use the following phantoms in this paper. In Fig. 4 , we have the digital Moby phantom [23] was used to simulate the few-view projection data. One typical frame of the phantom is shown in Fig. 4 with size of 256 × 256 pixels. In this section, we compared the reconstruction results of the conventional ART algorithm, the proposed ART+ Tikhonov+TV (ART-TTV) algorithm and Simultaneous algebraic reconstruction technique (SART) [24] for image reconstruction in emission tomography. Our first study involved comparing the noise magnitude in high and low count regions of results images. To do this we first examined variance as a function of position for images of phantoms reconstructed using three algorithms. To generate projection data, we simply add Poisson noise to each of the attenuated projections of the phantoms. The noisy projections are then used to reconstruct the 2D Phantoms (Fig. 1) . The resultant reconstructed images obtained from conventional ART, ART-TTV and SART algorithms with 30 iterations, are shown in Fig. 2 . From this Figures, the visual quality of the reconstructed image of the phantom using the ART-TTV algorithm is comparable to the other methods. As compared to some other methods, the experimental algorithm preserves edges better. The effectiveness of noise removal for the test algorithm was comparable to that of SART method; however, the intensity in the ROI was appreciably higher in the latter. Compared to the other methods, the ART-TTV method generates a superior intensity profile while preserving the edges. The resultant of quality measurements (RM SE) of reconstructed images obtained from these algorithms by varying the number of iterations, are shown in Fig. 3 . The later demonstrates that ART-TTV is providing better quality measurements than that of conventional ART and SART. The number of iterations is much required in order to enhance the image quality. To better compare these differences Fig. 4 plots the 1D line profile is the horizontal line that crosses the image in the two ROIs. Noisy images in uniform regions are shown as spikes as indicated by the SART; ART-TTV line profiles are closer to being noise free. The experimental method also nullifies aerial pixels by redistributing their values to pixels within the phantom. ART-TTV reconstructed the ideal profile more effectively than the other methods, and the image produced was a close approximation of the original phantom image. All the visual-displays, the quality measurement and the line plots suggest that the proposed ART-TTV algorithm is preferable to the other algorithms. From all the above observations, it may be concluded that the proposed algorithm is performing better in comparison to conventional algorithms and provide a better reconstructed image. The new reconstruction algorithm has been presented for the reconstruction of projection data with insufficient iteration and data noisy. Under these conditions, the Digital Moby phantom simulation results verify that the proposed ART-TTV algorithm provides a clear improvement in reconstructed image quality and accuracy, compared with the other algorithms. The proposed algorithm produces an image, which is a close approximation of the original, improves its quality, and reduces noise and artifacts. 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