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Polychromatic neural CBCT reconstruction through density-attenuation modeling
Lukas Birklein1, Elmar Schömer1, Ulrich Schwanecke2
1Johannes Gutenberg University, Mainz, Germany.
Physics in Medicine and Biology
|December 5, 2025
Summary
This study introduces a new 3D reconstruction technique for cone beam computed tomography (CBCT) that reduces common beam-hardening artifacts. The method uses a neural network to improve image quality without extra prior information.
Area of Science:
- Medical Imaging
- Computational Imaging
- Artificial Intelligence in Medicine
Background:
- Monochromatic cone beam computed tomography (CBCT) algorithms are prevalent but suffer from beam-hardening artifacts due to energy-integrating detectors.
- These artifacts arise because current detectors cannot resolve photon energy levels, leading to inaccurate attenuation measurements.
Purpose of the Study:
- To develop a novel polychromatic 3D reconstruction technique for CBCT.
- To mitigate beam-hardening artifacts without requiring additional prior information.
Main Methods:
- A coordinate-based neural representation was employed for polychromatic 3D reconstruction.
- The method models attenuation at a reference energy level (E0) and its derivative.
- A neural network was implemented to optimize intermediate density values and a composite attenuation function, learning a monotonic relationship between density and attenuation.
Main Results:
- The proposed technique significantly improved reconstruction quality in various scenarios.
- Quantitative improvements were demonstrated using a synthetic numerical phantom.
- Enhanced visual quality was observed in real-world clinical examples.
Conclusions:
- The developed polychromatic reconstruction method effectively reduces beam-hardening artifacts in CBCT.
- This neural network-based approach offers a promising solution for improving CBCT image accuracy and quality.

