CT and MRI Medical Image Fusion Using Noise-Removal and Contrast Enhancement Scheme with Convolutional Neural Network.

Medical image fusion (MIF) has received painstaking attention due to its diverse medical applications in response to accurately diagnosing clinical images. Numerous MIF methods have been proposed to date, but the fused image suffers from poor contrast, non-uniform illumination, noise presence, and improper fusion strategies, resulting in an inadequate sparse representation of significant features. This paper proposes the morphological preprocessing method to address the non-uniform illumination and noise by the bottom-hat-top-hat strategy. Then, grey-principal component analysis (grey-PCA) is used to transform RGB images into gray images that can preserve detailed features. After that, the local shift-invariant shearlet transform (LSIST) method decomposes the images into the low-pass (LP) and high-pass (HP) sub-bands, efficiently restoring all significant characteristics in various scales and directions. The HP sub-bands are fed to two branches of the Siamese convolutional neural network (CNN) by process of feature detection, initial segmentation, and consistency verification to effectively capture smooth edges, and textures. While the LP sub-bands are fused by employing local energy fusion using the averaging and selection mode to restore the energy information. The proposed method is validated by subjective and objective quality assessments. The subjective evaluation is conducted by a user case study in which twelve field specialists verified the superiority of the proposed method based on precise details, image contrast, noise in the fused image, and no loss of information. The supremacy of the proposed method is further justified by obtaining 0.6836 to 0.8794, 0.5234 to 0.6710, and 3.8501 to 8.7937 gain for QFAB, CRR, and AG and noise reduction from 0.3397 to 0.1209 over other methods for objective parameters.