🤖 AI Summary
In medical image denoising, conventional methods—such as total variation (TV) regularization and CNN-based approaches—often blur diagnostically critical signals due to reliance on ground-truth images or handcrafted priors, thereby degrading downstream task performance. To address this, we propose a **task-driven, ground-truth-free regularization framework** tailored for binary signal detection. Our method embeds a detectability metric—derived from the likelihood of a linear test statistic—into a penalized least-squares (PLS) formulation, directly optimizing discriminative signal fidelity. We model Gaussian noise, employ multivariate normal (MVN) block-structured backgrounds, simulate binary textures, and evaluate task performance using a linear model observer. Simulation results demonstrate significant improvement in detection accuracy (AUC ↑), effective suppression of oversmoothing and patchy artifacts, and enhanced clinically relevant discriminability. This work establishes a novel unsupervised, task-oriented paradigm for image reconstruction.
📝 Abstract
Image denoising algorithms have been extensively investigated for medical imaging. To perform image denoising, penalized least-squares (PLS) problems can be designed and solved, in which the penalty term encodes prior knowledge of the object being imaged. Sparsity-promoting penalties, such as total variation (TV), have been a popular choice for regularizing image denoising problems. However, such hand-crafted penalties may not be able to preserve task-relevant information in measured image data and can lead to oversmoothed image appearances and patchy artifacts that degrade signal detectability. Supervised learning methods that employ convolutional neural networks (CNNs) have emerged as a popular approach to denoising medical images. However, studies have shown that CNNs trained with loss functions based on traditional image quality measures can lead to a loss of task-relevant information in images. Some previous works have investigated task-based loss functions that employ model observers for training the CNN denoising models. However, such training processes typically require a large number of noisy and ground-truth (noise-free or low-noise) image data pairs. In this work, we propose a task-based regularization strategy for use with PLS in medical image denoising. The proposed task-based regularization is associated with the likelihood of linear test statistics of noisy images for Gaussian noise models. The proposed method does not require ground-truth image data and solves an individual optimization problem for denoising each image. Computer-simulation studies are conducted that consider a multivariate-normally distributed (MVN) lumpy background and a binary texture background. It is demonstrated that the proposed regularization strategy can effectively improve signal detectability in denoised images.