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This research introduces Dose-Aware Cold Diffusion (DACD), a novel framework that integrates physics-based consistency into diffusion models to reconstruct medical images from ultra-low-dose CT scans. By treating radiation dose as a continuous latent variable, the method achieves robust generalization across unseen dose levels, outperforming current state-of-the-art techniques in both quantitative accuracy and visual fidelity. The approach represents a significant advancement in applying generative AI to solve critical clinical challenges where data scarcity and safety constraints are paramount.
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Dose-Aware Cold Diffusion with Physics Consistency for Generalizable Low-Dose CT Reconstruction

arXiv2 min read

arXiv:2609.18943v1 Announce Type: cross Abstract: Reducing radiation dose in computed tomography significantly degrades image quality and poses challenges for accurate and clinically reliable reconstruction. While recent approaches have shown promise for low-dose CT, they often struggle to generalize across continuous and previously unseen dose levels, leading to artifacts and loss of anatomical detail. To address these limitations, we propose Dose-Aware Cold Diffusion (DACD), a physics-consistent reconstruction framework that explicitly models radiation dose as a continuous latent factor within a cold diffusion process. The proposed DACD framework integrates image-based dose-aware perception, multi-scale structural prior extraction, and dose-calibrated step allocation to adaptively guide the denoising trajectory. In addition, an iterative forward-backprojection correction is incorporated into the reverse refinement process to enforce projection-domain data consistency. Extensive experiments on three public benchmarks, including Mayo-2020, Mayo-2016, and LoDoPaB-CT, demonstrate that DACD consistently outperforms state-of-the-art diffusion-based and physics-guided methods in both quantitative accuracy and visual fidelity, particularly under ultra-low-dose conditions. The results show that DACD achieves robust generalization across a continuous range of dose levels, including those unseen during training.

Abstract:Reducing radiation dose in computed tomography significantly degrades image quality and poses challenges for accurate and clinically reliable reconstruction. While recent approaches have shown promise for low-dose CT, they often struggle to generalize across continuous and previously unseen dose levels, leading to artifacts and loss of anatomical detail. To address these limitations, we propose Dose-Aware Cold Diffusion (DACD), a physics-consistent reconstruction framework that explicitly models radiation dose as a continuous latent factor within a cold diffusion process. The proposed DACD framework integrates image-based dose-aware perception, multi-scale structural prior extraction, and dose-calibrated step allocation to adaptively guide the denoising trajectory. In addition, an iterative forward-backprojection correction is incorporated into the reverse refinement process to enforce projection-domain data consistency. Extensive experiments on three public benchmarks, including Mayo-2020, Mayo-2016, and LoDoPaB-CT, demonstrate that DACD consistently outperforms state-of-the-art diffusion-based and physics-guided methods in both quantitative accuracy and visual fidelity, particularly under ultra-low-dose conditions. The results show that DACD achieves robust generalization across a continuous range of dose levels, including those unseen during training.

8 pages, 7 figures, 3 tables. Accepted at International Joint Conference on Neural Networks (IJCNN 2026)

Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)

I.4.4; I.2.10; J.3

arXiv:2609.18943 [cs.CV]

(or arXiv:2609.18943v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.18943 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 288 words

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