PurposeIterative model-based image reconstruction algorithms in cone beam computed tomography (CBCT) require repetitive forward and backward projection operations. We compare the quality of the branchless distance-driven (BDD) projector in iterative CBCT reconstruction with ray- and voxel-based methods in both regular and low-dose examinations, and introduce a hybrid approach that aims at faster computation by using the BDD as the backprojector only. We also demonstrate the potential of the BDD in FDK reconstructions.ApproachTwo measured and one simulated datasets are used. Contrast-to-noise ratio (CNR) and modulation transfer function values are computed for one measured dataset. The structural similarity index (SSIM) and peak signal-to-noise ratio (PSNR) are computed with the simulated data.ResultsBased on our results, BDD has reduced noise and better CNR compared to the other methods, with the quality dependent on the scanner geometry. The CNR is improved by 21% with the BDD and 4% with the hybrid method. BDD improves SSIM values by approximately 3.3% in the lowest dose case and 1% in the highest dose case, while for PSNR the values are 5% - 10% better. For the hybrid method, the SSIM improvements range from 0.8% - 2.2%, and the PSNR from 3.7% - 6.6 %. The hybrid method with the BDD as a backprojector can be computationally twice faster with similar image quality.ConclusionsThe hybrid projector is a good choice as a compromise between image quality and computation time. Furthermore, BDD and the hybrid projector are better choices in low-dose CBCT reconstructions.
Wettenhovi et al. (2026) studied this question.