%0 Journal Article %T Denoising Projection Data with a Robust Adaptive Bilateral Filter in Low-Count SPECT %A Susumu Nakabayashi %A Takashi Chikamatsu %A Takao Okamoto %A Tatsuro Kaminaga %A Norikazu Arai %A Shinobu Kumagai %A Kenshiro Shiraishi %A Takahide Okamoto %A Takenori Kobayashi %A Jun¡¯ichi Kotoku %J International Journal of Medical Physics,Clinical Engineering and Radiation Oncology %P 363-375 %@ 2168-5444 %D 2018 %I Scientific Research Publishing %R 10.4236/ijmpcero.2018.73030 %X Low-count SPECT images are well known to be smoothed strongly by a Butterworth filter for statistical noise reduction. Reconstructed images have a low signal-to-noise ratio (SNR) and spatial resolution because of the removal of high-frequency signal components. Using the developed robust adaptive bilateral filter (RABF), which was designed as a pre-stage filter of the Butterworth filter, this study was conducted to improve SNR without degrading the spatial resolution for low-count SPECT imaging. The filter can remove noise while preserving spatial resolution. To evaluate the proposed method, we extracted SNR and spatial resolution in a phantom study. We also conducted paired comparison for visual image quality evaluation in a clinical study. Results show that SNR was increased 1.4 times without degrading the spatial resolution. Visual image quality was improved significantly (p < 0.01) for clinical low-count data. Moreover, the accumulation structure became sharper. A structure embedded in noise emerged. Our method, which denoises without degrading the spatial resolution for low-count SPECT images, is expected to increase the effectiveness of diagnosis for low-dose scanning and short acquisition time scanning. %K Bilateral Filter %K Denoising %K SPECT %K Nuclear Medicine %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=86749