Metal artifact reduction algorithm based on model images and spatial information

Computed tomography (CT) has become one of the most favorable choices for diagnosis of trauma. However, high-density metal implants can induce metal artifacts in CT images, compromising image quality. In this study, we proposed a model-based metal artifact reduction (MAR) algorithm. First, we built a model image using the k-means clustering technique with spatial information and calculated the difference between the original image and the model image. Then, the projection data of these two images were combined using an exponential weighting function. At last, the corrected image was reconstructed using the filter back-projection algorithm. Two metal-artifact contaminated images were studied. For the cylindrical water phantom image, the metal artifact was effectively removed. The mean CT number of water was improved from −28.95±97.97 to −4.76±4.28. For the clinical pelvic CT image, the dark band and the metal line were removed, and the continuity and uniformity of the soft tissue were recovered as well. These results indicate that the proposed MAR algorithm is useful for reducing metal artifact and could improve the diagnostic value of metal-artifact contaminated CT images.