Academic Journal

A TV–BM3D Iterative Algorithm for VMAT-CT Reconstruction.

Bibliographic Details
Title: A TV–BM3D Iterative Algorithm for VMAT-CT Reconstruction.
Authors: Chien, Chia-Lung, Guo, Beibei, Zhang, Rui
Source: Journal of Imaging; Apr2026, Vol. 12 Issue 4, p166, 19p
Subject Terms: Image reconstruction, Iterative methods (Mathematics), Image denoising, Regularization parameter, Computed tomography, Radiotherapy, Image enhancement (Imaging systems), Volumetric-modulated arc therapy
Abstract: Volumetric modulated arc therapy-computed tomography (VMAT-CT), which is the CT reconstructed using the portal images collected during VMAT, can potentially be an effective onsite imaging tool. The goal of this study was to propose an iterative reconstruction algorithm that can further improve the image quality of VMAT-CT and reduce the number of failed reconstructions. An iterative algorithm combining total variation (TV) with block-matching and 3D filtering (BM3D) was proposed, addressing the L1-L2 regularization problem using the split Bregman method. We collected portal images from 67 VMAT cases including 50 phantom and 17 real-patient cases. Both Feldkamp–Davis–Kress (FDK) and TV-BM3D iterative algorithms were used to reconstruct VMAT-CT using the collected images. The preprocessing methods developed by our group previously were also used in this study. A total of 48 out of 50 phantom cases and 15 out of 17 real-patient cases were successfully reconstructed using the iterative algorithm together with image preprocessing. In contrast, 39 phantom cases and 8 patient cases could be reconstructed using the original FDK algorithm, and 44 phantom cases and 11 patient cases could be reconstructed using the FDK algorithm together with preprocessing. Compared with the FDK algorithm, the TV-BM3D iterative algorithm significantly improved the image quality of VMAT-CT at all treatment sites. To the best of our knowledge, this study is the first to develop an iterative VMAT-CT reconstruction algorithm. It can be used to reconstruct CT images locally, and is superior to FDK-based algorithms in terms of the success rate and reconstructed image quality. This strongly supports the use of VMAT-CT as a promising imaging tool for treatment monitoring and adaptive radiotherapy. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Imaging is the property of MDPI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Group: Ti
  Data: A TV–BM3D Iterative Algorithm for VMAT-CT Reconstruction.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Chien%2C+Chia-Lung%22">Chien, Chia-Lung</searchLink><br /><searchLink fieldCode="AR" term="%22Guo%2C+Beibei%22">Guo, Beibei</searchLink><br /><searchLink fieldCode="AR" term="%22Zhang%2C+Rui%22">Zhang, Rui</searchLink>
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  Data: Journal of Imaging; Apr2026, Vol. 12 Issue 4, p166, 19p
– Name: Subject
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Image+reconstruction%22">Image reconstruction</searchLink><br /><searchLink fieldCode="DE" term="%22Iterative+methods+%28Mathematics%29%22">Iterative methods (Mathematics)</searchLink><br /><searchLink fieldCode="DE" term="%22Image+denoising%22">Image denoising</searchLink><br /><searchLink fieldCode="DE" term="%22Regularization+parameter%22">Regularization parameter</searchLink><br /><searchLink fieldCode="DE" term="%22Computed+tomography%22">Computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Radiotherapy%22">Radiotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Image+enhancement+%28Imaging+systems%29%22">Image enhancement (Imaging systems)</searchLink><br /><searchLink fieldCode="DE" term="%22Volumetric-modulated+arc+therapy%22">Volumetric-modulated arc therapy</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Volumetric modulated arc therapy-computed tomography (VMAT-CT), which is the CT reconstructed using the portal images collected during VMAT, can potentially be an effective onsite imaging tool. The goal of this study was to propose an iterative reconstruction algorithm that can further improve the image quality of VMAT-CT and reduce the number of failed reconstructions. An iterative algorithm combining total variation (TV) with block-matching and 3D filtering (BM3D) was proposed, addressing the L1-L2 regularization problem using the split Bregman method. We collected portal images from 67 VMAT cases including 50 phantom and 17 real-patient cases. Both Feldkamp–Davis–Kress (FDK) and TV-BM3D iterative algorithms were used to reconstruct VMAT-CT using the collected images. The preprocessing methods developed by our group previously were also used in this study. A total of 48 out of 50 phantom cases and 15 out of 17 real-patient cases were successfully reconstructed using the iterative algorithm together with image preprocessing. In contrast, 39 phantom cases and 8 patient cases could be reconstructed using the original FDK algorithm, and 44 phantom cases and 11 patient cases could be reconstructed using the FDK algorithm together with preprocessing. Compared with the FDK algorithm, the TV-BM3D iterative algorithm significantly improved the image quality of VMAT-CT at all treatment sites. To the best of our knowledge, this study is the first to develop an iterative VMAT-CT reconstruction algorithm. It can be used to reconstruct CT images locally, and is superior to FDK-based algorithms in terms of the success rate and reconstructed image quality. This strongly supports the use of VMAT-CT as a promising imaging tool for treatment monitoring and adaptive radiotherapy. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Imaging is the property of MDPI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.3390/jimaging12040166
    Languages:
      – Code: eng
        Text: English
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        PageCount: 19
        StartPage: 166
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      – SubjectFull: Image reconstruction
        Type: general
      – SubjectFull: Iterative methods (Mathematics)
        Type: general
      – SubjectFull: Image denoising
        Type: general
      – SubjectFull: Regularization parameter
        Type: general
      – SubjectFull: Computed tomography
        Type: general
      – SubjectFull: Radiotherapy
        Type: general
      – SubjectFull: Image enhancement (Imaging systems)
        Type: general
      – SubjectFull: Volumetric-modulated arc therapy
        Type: general
    Titles:
      – TitleFull: A TV–BM3D Iterative Algorithm for VMAT-CT Reconstruction.
        Type: main
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            NameFull: Chien, Chia-Lung
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            NameFull: Guo, Beibei
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            NameFull: Zhang, Rui
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            – D: 01
              M: 04
              Text: Apr2026
              Type: published
              Y: 2026
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              Value: 12
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