Artifact Reduction in Undersampled 3D Cone-Beam CTs using a Hybrid 2D-3D CNN Framework

Undersampled CT volumes minimize acquisition time and radiation exposure but introduce artifacts degrading image quality and diagnostic utility. Reducing these artifacts is critical for high-quality imaging. We propose a computationally efficient hybrid deep-learning framework that combines the strengths of 2D and 3D models. First, a 2D U-Net operates on individual slices of undersampled CT volumes to extract feature maps. These slice-wise feature maps are then stacked across the volume and used as input to a 3D decoder, which utilizes contextual information across slices to predict an artifact-free 3D CT volume. The proposed two-stage approach balances the computational efficiency of 2D processing with the volumetric consistency provided by 3D modeling. The results show substantial improvements in inter-slice consistency in coronal and sagittal direction with low computational overhead. This hybrid framework presents a robust and efficient solution for high-quality 3D CT image post-processing. The code of this project can be found on github:this https URL.