Abstract

Cone-beamcomputedtomography(CBCT)isroutinelyused for patient positioning in image-guided radiotherapy. However, its poor imagequalitypreventsitsdirectuseinradiotherapyreplanning.Recent deeplearningmethodsattempttotranslateCBCTtoCTvolumes,however they are based on generative models such as GANs and Diffusion, which either yield suboptimal image quality or are computationally expensive.Inthispaper,weshowthatalight-weightmodelissufficientfor generating CT volumes from CBCT inputs in a single step. Our model outperforms Diffusion and GAN models in terms of voxel reconstruction accuracy while running over 20× faster than score-based diffusion methods(thepreviousstateoftheart),offeringanefficientandreliable solution for adaptive clinical workflows. Our architecture is optimized via a decoupled two-stage paradigm: a lightweight convolutional networkequippedwithFeature-wiseLinearModulation(FiLM)firstaligns cross-modalitylatentfeatures,followedbyatargeted,multi-lossdecoder fine-tuning stage that restores fine image details and ensures spatial fidelity. To overcome the scarcity of clinical pairs and augment training data,weintegrateaphysics-basedsimulationprocessofsyntheticCBCT.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/SASHIMI_048.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=iQYgJsqO3x

BibTex

@InProceedings{LonPau_ALatent_MICCAISAT2026,
        author = { Londres, Paul AND Bibault, Jean-Emmanuel AND Lepetit, Vincent AND Paragios, Nikos},
        title = { { A Latent Single-Step Network is Sufficient for Accurate CBCT-CT Translation } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17258},
        month = {pending},
        page = {pending}
}


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