PWLS-SOM: alternative PWLS reconstruction for limited-view CT by strategic optimization of a deep learning model.

Objective.While deep learning (DL) methods have exhibited promising results in mitigating streaking artifacts caused by limited-view computed tomography (CT), their generalization to practical applications remains challenging. To address this challenge, we aim to develop a novel approach that integrates DL priors with targeted-case data consistency for improved artifact suppression and robust reconstruction.Approach.We propose an alternative penalized weighted least squares reconstruction framework by strategic optimization of a DL model (PWLS-SOM). This framework combines data-driven DL priors with data consistency constraints in a three-stage process: (1) Group-level embedding: DL network parameters are optimized on a large-scale paired dataset to learn general artifact elimination. (2) Significance evaluation: A novel significance score quantifies the contribution of DL model parameters, guiding the subsequent strategic adaptation. (3) Individual-level consistency adaptation: PWLS-driven strategic optimization further adapts DL parameters for target-specific projection data.Main results.Experiments were conducted on sparse-view (90 views) circular trajectory CT data and a multi-segment linear trajectory CT scan with a mixed data missing problem. PWLS-SOM reconstruction demonstrated superior generalization across variations in patients, anatomical structures, and data distributions. It outperformed supervised DL methods in recovering contextual structures and adapting to practical CT scenarios. The method was validated with real experiments on a dead rat, showcasing its applicability to real-world CT scans.Significance.PWLS-SOM reconstruction advances the field of limited-view CT reconstruction by uniting DL priors with PWLS adaptation. This approach facilitates robust and personalized imaging. The introduction of the significance score provides an efficient metric to evaluate generalization and guide the strategic optimization of DL parameters, enhancing adaptability across diverse data and practical imaging conditions.