Abstract 

Noise reduction is important for X-ray images because it can reduce radiation exposure to patients. X-ray image noise has a Poisson-Gaussian distribution, and recently, noise analysis and removal in multiscale transformations have been widely implemented. The nonsubsampled contourlet transform (NSCT) is a multiscale transformation suitable for medical images that separates the scale and direction. This study proposes a Poisson-Gaussian noise-removal method using NSCT shrinkage that is based on the characteristics of Poisson-Gaussian noise in NSCT domain. It has the structure of a block-matching 3D filtering algorithm in the form of basic estimation and noise removal process; however, the main processes are modified to consider Poisson-Gaussian noise characteristics. In the basic estimation process, an NSCT shrinkage method that is suitable for Poisson-Gaussian noise characteristics is developed by optimizing the local linear minimum mean square error estimator in the NSCT domain. In the denoising step, the noise term of the Wiener filter is determined using the result of the NSCT shrinkage, and finally, the denoised image is obtained. The proposed method is applied to simulated and real X-ray images and is compared with other state-of-the-art Poisson-Gaussian noise removal methods; it exhibits excellent results in both quantitative and qualitative aspects.