Skip to main content
Erschienen in: Journal of Digital Imaging 2/2020

12.09.2019 | Original Paper

Deep Learning for Low-Dose CT Denoising Using Perceptual Loss and Edge Detection Layer

verfasst von: Maryam Gholizadeh-Ansari, Javad Alirezaie, Paul Babyn

Erschienen in: Journal of Imaging Informatics in Medicine | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Low-dose CT denoising is a challenging task that has been studied by many researchers. Some studies have used deep neural networks to improve the quality of low-dose CT images and achieved fruitful results. In this paper, we propose a deep neural network that uses dilated convolutions with different dilation rates instead of standard convolution helping to capture more contextual information in fewer layers. Also, we have employed residual learning by creating shortcut connections to transmit image information from the early layers to later ones. To further improve the performance of the network, we have introduced a non-trainable edge detection layer that extracts edges in horizontal, vertical, and diagonal directions. Finally, we demonstrate that optimizing the network by a combination of mean-square error loss and perceptual loss preserves many structural details in the CT image. This objective function does not suffer from over smoothing and blurring effects causing by per-pixel loss and grid-like artifacts resulting from perceptual loss. The experiments show that each modification to the network improves the outcome while changing the complexity of the network, minimally.
Literatur
1.
Zurück zum Zitat Bencardino J T: Radiological society of north america (rsna) 2010 annual meeting. Skelet Radiol 40: 1109–1112, 2011CrossRef Bencardino J T: Radiological society of north america (rsna) 2010 annual meeting. Skelet Radiol 40: 1109–1112, 2011CrossRef
2.
Zurück zum Zitat Donya M, Radford M, ElGuindy A, Firmin D, Yacoub M H (2015) Radiation in medicine: origins, risks and aspirations. Global Cardiology Science and Practice pp 57 Donya M, Radford M, ElGuindy A, Firmin D, Yacoub M H (2015) Radiation in medicine: origins, risks and aspirations. Global Cardiology Science and Practice pp 57
3.
Zurück zum Zitat Ehman E C, Yu L, Manduca A, Hara A K, Shiung M M, Jondal D, Lake D S, Paden R G, Blezek D J, Bruesewitz M R, et al: Methods for clinical evaluation of noise reduction techniques in abdominopelvic CT. Radiographics 34 (4): 849–862, 2014CrossRef Ehman E C, Yu L, Manduca A, Hara A K, Shiung M M, Jondal D, Lake D S, Paden R G, Blezek D J, Bruesewitz M R, et al: Methods for clinical evaluation of noise reduction techniques in abdominopelvic CT. Radiographics 34 (4): 849–862, 2014CrossRef
4.
Zurück zum Zitat Wang J, Lu H, Liang Z, Eremina D, Zhang G, Wang S, Chen J, Manzione J: An experimental study on the noise properties of x-ray CT sinogram data in radon space. Phys Med Biol 53 (12): 3327, 2008CrossRef Wang J, Lu H, Liang Z, Eremina D, Zhang G, Wang S, Chen J, Manzione J: An experimental study on the noise properties of x-ray CT sinogram data in radon space. Phys Med Biol 53 (12): 3327, 2008CrossRef
5.
Zurück zum Zitat Macovski A: Medical Imaging Systems, vol 20 NJ: Prentice-Hall Englewood Cliffs, 1983 Macovski A: Medical Imaging Systems, vol 20 NJ: Prentice-Hall Englewood Cliffs, 1983
6.
Zurück zum Zitat Manduca A, Yu L, Trzasko J D, Khaylova N, Kofler J M, McCollough C M, Fletcher J G: Projection space denoising with bilateral filtering and CT noise modeling for dose reduction in CT. Med Phys 36 (11): 4911–4919, 2009CrossRef Manduca A, Yu L, Trzasko J D, Khaylova N, Kofler J M, McCollough C M, Fletcher J G: Projection space denoising with bilateral filtering and CT noise modeling for dose reduction in CT. Med Phys 36 (11): 4911–4919, 2009CrossRef
7.
Zurück zum Zitat Wang J, Li T, Lu H, Liang Z: Penalized weighted least-squares approach to sinogram noise reduction and image reconstruction for low-dose x-ray computed tomography. IEEE Trans Med Imaging 25 (10): 1272–1283, 2006CrossRef Wang J, Li T, Lu H, Liang Z: Penalized weighted least-squares approach to sinogram noise reduction and image reconstruction for low-dose x-ray computed tomography. IEEE Trans Med Imaging 25 (10): 1272–1283, 2006CrossRef
8.
Zurück zum Zitat Pickhardt P J, Lubner M G, Kim D H, Tang J, Ruma J A, del Rio A M, Chen G H: Abdominal CT with model-based iterative reconstruction (mbir): initial results of a prospective trial comparing ultralow-dose with standard-dose imaging. Am J Roentgenol 199 (6): 1266–1274, 2012CrossRef Pickhardt P J, Lubner M G, Kim D H, Tang J, Ruma J A, del Rio A M, Chen G H: Abdominal CT with model-based iterative reconstruction (mbir): initial results of a prospective trial comparing ultralow-dose with standard-dose imaging. Am J Roentgenol 199 (6): 1266–1274, 2012CrossRef
9.
Zurück zum Zitat Fletcher J G, Grant K L, Fidler J L, Shiung M, Yu L, Wang J, Schmidt B, Allmendinger T, McCollough C H: Validation of dual-source single-tube reconstruction as a method to obtain half-dose images to evaluate radiation dose and noise reduction: phantom and human assessment using CT colonography and sinogram-affirmed iterative reconstruction (safire). J Comput Assist Tomogr 36 (5): 560–569, 2012CrossRef Fletcher J G, Grant K L, Fidler J L, Shiung M, Yu L, Wang J, Schmidt B, Allmendinger T, McCollough C H: Validation of dual-source single-tube reconstruction as a method to obtain half-dose images to evaluate radiation dose and noise reduction: phantom and human assessment using CT colonography and sinogram-affirmed iterative reconstruction (safire). J Comput Assist Tomogr 36 (5): 560–569, 2012CrossRef
10.
Zurück zum Zitat Aharon M, Elad M, Bruckstein A, et al.: K-svd: an algorithm for designing overcomplete dictionaries for sparse representation. IEEE Trans Signal Process 54 (11): 4311, 2006CrossRef Aharon M, Elad M, Bruckstein A, et al.: K-svd: an algorithm for designing overcomplete dictionaries for sparse representation. IEEE Trans Signal Process 54 (11): 4311, 2006CrossRef
11.
Zurück zum Zitat Chen Y, Yin X, Shi L, Shu H, Luo L, Coatrieux J L, Toumoulin C: Improving abdomen tumor low-dose CT images using a fast dictionary learning based processing. Phys Med Biol 58 (16): 5803, 2013CrossRef Chen Y, Yin X, Shi L, Shu H, Luo L, Coatrieux J L, Toumoulin C: Improving abdomen tumor low-dose CT images using a fast dictionary learning based processing. Phys Med Biol 58 (16): 5803, 2013CrossRef
12.
Zurück zum Zitat Abhari K, Marsousi M, Alirezaie J, Babyn P (2012) Computed tomography image denoising utilizing an efficient sparse coding algorithm. 2012 11th International Conference on Information Science, Signal Processing and their Applications (ISSPA) pp 259–263 Abhari K, Marsousi M, Alirezaie J, Babyn P (2012) Computed tomography image denoising utilizing an efficient sparse coding algorithm. 2012 11th International Conference on Information Science, Signal Processing and their Applications (ISSPA) pp 259–263
13.
Zurück zum Zitat Buades A, Coll B, Morel J M (2005) A non-local algorithm for image denoising. In: IEEE Computer Society Conference on Computer Vision and Pattern Recognition, 2005. CVPR 2005, vol. 2, pp 60–65. IEEE Buades A, Coll B, Morel J M (2005) A non-local algorithm for image denoising. In: IEEE Computer Society Conference on Computer Vision and Pattern Recognition, 2005. CVPR 2005, vol. 2, pp 60–65. IEEE
14.
Zurück zum Zitat Chen Y, Yang Z, Hu Y, Yang G, Zhu Y, Li Y, Chen W, Toumoulin C, et al.: Thoracic low-dose CT image processing using an artifact suppressed large-scale nonlocal means. Phys Med Biol 57 (9): 2667, 2012CrossRef Chen Y, Yang Z, Hu Y, Yang G, Zhu Y, Li Y, Chen W, Toumoulin C, et al.: Thoracic low-dose CT image processing using an artifact suppressed large-scale nonlocal means. Phys Med Biol 57 (9): 2667, 2012CrossRef
15.
Zurück zum Zitat Dabov K, Foi A, Katkovnik V, Egiazarian K: Image denoising by sparse 3-d transform-domain collaborative filtering. IEEE Trans Signal Process 16 (8): 2080–2095, 2007 Dabov K, Foi A, Katkovnik V, Egiazarian K: Image denoising by sparse 3-d transform-domain collaborative filtering. IEEE Trans Signal Process 16 (8): 2080–2095, 2007
16.
Zurück zum Zitat Hashemi S, Paul N S, Beheshti S, Cobbold R S (2015) Adaptively tuned iterative low dose CT image denoising. Computational and mathematical methods in medicine pp 2015 Hashemi S, Paul N S, Beheshti S, Cobbold R S (2015) Adaptively tuned iterative low dose CT image denoising. Computational and mathematical methods in medicine pp 2015
17.
Zurück zum Zitat Kang D, Slomka P, Nakazato R, Woo J, Berman D S, Kuo C C J, Dey D: Image denoising of low-radiation dose coronary CT angiography by an adaptive block-matching 3d algorithm.. In: Medical imaging 2013: Image processing, vol. 8669, p. 86692g. International society for optics and photonics, 2013 Kang D, Slomka P, Nakazato R, Woo J, Berman D S, Kuo C C J, Dey D: Image denoising of low-radiation dose coronary CT angiography by an adaptive block-matching 3d algorithm.. In: Medical imaging 2013: Image processing, vol. 8669, p. 86692g. International society for optics and photonics, 2013
18.
Zurück zum Zitat Ioffe S, Szegedy C: Batch normalization: accelerating deep network training by reducing internal covariate shift.. In: ICML, 2015 Ioffe S, Szegedy C: Batch normalization: accelerating deep network training by reducing internal covariate shift.. In: ICML, 2015
19.
Zurück zum Zitat He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR) pp 770–778 He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR) pp 770–778
20.
Zurück zum Zitat Chen H, Zhang Y, Zhang W, Liao P, Li K, Zhou J, Wang G: Low-dose CT via convolutional neural network. Biomed Opt Express 8(2): 679–694, 2017CrossRef Chen H, Zhang Y, Zhang W, Liao P, Li K, Zhou J, Wang G: Low-dose CT via convolutional neural network. Biomed Opt Express 8(2): 679–694, 2017CrossRef
21.
Zurück zum Zitat Dong C, Loy C C, He K, Tang X: Image super-resolution using deep convolutional networks. IEEE Trans Pattern Anal Mach Intell 38(2): 295–307, 2016CrossRef Dong C, Loy C C, He K, Tang X: Image super-resolution using deep convolutional networks. IEEE Trans Pattern Anal Mach Intell 38(2): 295–307, 2016CrossRef
22.
Zurück zum Zitat Nishio M, Nagashima C, Hirabayashi S, Ohnishi A, Sasaki K, Sagawa T, Hamada M, Yamashita T: Convolutional auto-encoder for image denoising of ultra-low-dose CT. Heliyon 3 (8): e00,393, 2017CrossRef Nishio M, Nagashima C, Hirabayashi S, Ohnishi A, Sasaki K, Sagawa T, Hamada M, Yamashita T: Convolutional auto-encoder for image denoising of ultra-low-dose CT. Heliyon 3 (8): e00,393, 2017CrossRef
23.
Zurück zum Zitat Chen H, Zhang Y, Kalra M K, Lin F, Chen Y, Liao P, Zhou J, Wang G: Low-dose CT with a residual encoder-decoder convolutional neural network. IEEE Trans Med Imaging 36 (12): 2524–2535, 2017CrossRef Chen H, Zhang Y, Kalra M K, Lin F, Chen Y, Liao P, Zhou J, Wang G: Low-dose CT with a residual encoder-decoder convolutional neural network. IEEE Trans Med Imaging 36 (12): 2524–2535, 2017CrossRef
24.
Zurück zum Zitat Kang E, Min J, Ye J C (2017) A deep convolutional neural network using directional wavelets for low-dose x-ray CT reconstruction. Medical physics 44(10) Kang E, Min J, Ye J C (2017) A deep convolutional neural network using directional wavelets for low-dose x-ray CT reconstruction. Medical physics 44(10)
25.
Zurück zum Zitat Goodfellow I J, Pouget-Abadie J, Mirza M, Xu B, Warde-Farley D, Ozair S, Courville A C, Bengio Y (2014) Generative adversarial networks. arXiv:1406.2661 Goodfellow I J, Pouget-Abadie J, Mirza M, Xu B, Warde-Farley D, Ozair S, Courville A C, Bengio Y (2014) Generative adversarial networks. arXiv:1406.​2661
26.
Zurück zum Zitat Reed S, Akata Z, Yan X, Logeswaran L, Schiele B, Lee H (2016) Generative adversarial text to image synthesis. arXiv:1605.05396 Reed S, Akata Z, Yan X, Logeswaran L, Schiele B, Lee H (2016) Generative adversarial text to image synthesis. arXiv:1605.​05396
27.
Zurück zum Zitat Ledig C, Theis L, Huszár F., Caballero J, Cunningham A, Acosta A, Aitken A P, Tejani A, Totz J, Wang Z, et al: Photo-realistic single image super-resolution using a generative adversarial network.. In: CVPR, vol 2, p 4, 2017 Ledig C, Theis L, Huszár F., Caballero J, Cunningham A, Acosta A, Aitken A P, Tejani A, Totz J, Wang Z, et al: Photo-realistic single image super-resolution using a generative adversarial network.. In: CVPR, vol 2, p 4, 2017
28.
Zurück zum Zitat Vondrick C, Pirsiavash H, Torralba A: Generating videos with scene dynamics.. In: Advances in neural information processing systems, pp 613–621, 2016 Vondrick C, Pirsiavash H, Torralba A: Generating videos with scene dynamics.. In: Advances in neural information processing systems, pp 613–621, 2016
29.
Zurück zum Zitat Yi X, Babyn P (2018) Sharpness-aware low-dose CT denoising using conditional generative adversarial network. Journal of digital imaging, pp 1–15 Yi X, Babyn P (2018) Sharpness-aware low-dose CT denoising using conditional generative adversarial network. Journal of digital imaging, pp 1–15
30.
Zurück zum Zitat Wolterink J M, Leiner T, Viergever M A, Išgum I.: Generative adversarial networks for noise reduction in low-dose CT. IEEE Trans Med Imaging 36 (12): 2536–2545, 2017CrossRef Wolterink J M, Leiner T, Viergever M A, Išgum I.: Generative adversarial networks for noise reduction in low-dose CT. IEEE Trans Med Imaging 36 (12): 2536–2545, 2017CrossRef
31.
Zurück zum Zitat Yang Q, Yan P, Zhang Y, Yu H, Shi Y, Mou X, Kalra M K, Zhang Y, Sun L, Wang G (2018) Low dose CT image denoising using a generative adversarial network with wasserstein distance and perceptual loss. IEEE transactions on medical imaging Yang Q, Yan P, Zhang Y, Yu H, Shi Y, Mou X, Kalra M K, Zhang Y, Sun L, Wang G (2018) Low dose CT image denoising using a generative adversarial network with wasserstein distance and perceptual loss. IEEE transactions on medical imaging
32.
Zurück zum Zitat Yang Q, Yan P, Kalra M K, Wang G (2017) CT image denoising with perceptive deep neural networks. arXiv:1702.07019 Yang Q, Yan P, Kalra M K, Wang G (2017) CT image denoising with perceptive deep neural networks. arXiv:1702.​07019
33.
Zurück zum Zitat Simonyan K, Zisserman A (2014) Very deep convolutional networks for large-scale image recognition. arXiv:1409.1556 Simonyan K, Zisserman A (2014) Very deep convolutional networks for large-scale image recognition. arXiv:1409.​1556
34.
Zurück zum Zitat Bevins N, Szczykutowicz T, Supanich M: Tu-c-103-06: a simple method for simulating reduced-dose images for evaluation of clinical CT protocols. Med Phys 40 (6Part26): 437–437, 2013CrossRef Bevins N, Szczykutowicz T, Supanich M: Tu-c-103-06: a simple method for simulating reduced-dose images for evaluation of clinical CT protocols. Med Phys 40 (6Part26): 437–437, 2013CrossRef
35.
Zurück zum Zitat Zeng D, Huang J, Bian Z, Niu S, Zhang H, Feng Q, Liang Z, Ma J: A simple low-dose x-ray CT simulation from high-dose scan. IEEE Trans Nucl Sci 62 (5): 2226–2233, 2015CrossRef Zeng D, Huang J, Bian Z, Niu S, Zhang H, Feng Q, Liang Z, Ma J: A simple low-dose x-ray CT simulation from high-dose scan. IEEE Trans Nucl Sci 62 (5): 2226–2233, 2015CrossRef
36.
Zurück zum Zitat Yu F, Koltun V (2015) Multi-scale context aggregation by dilated convolutions. arXiv:1511.07122 Yu F, Koltun V (2015) Multi-scale context aggregation by dilated convolutions. arXiv:1511.​07122
37.
Zurück zum Zitat Chen L C, Papandreou G, Kokkinos I, Murphy K, Yuille A L: Deeplab: semantic image segmentation with deep convolutional nets, atrous convolution, and fully connected crfs. IEEE Trans Pattern Anal Mach Intell 40 (4): 834–848, 2018CrossRef Chen L C, Papandreou G, Kokkinos I, Murphy K, Yuille A L: Deeplab: semantic image segmentation with deep convolutional nets, atrous convolution, and fully connected crfs. IEEE Trans Pattern Anal Mach Intell 40 (4): 834–848, 2018CrossRef
38.
Zurück zum Zitat Mao X, Shen C, Yang Y B: Image restoration using very deep convolutional encoder-decoder networks with symmetric skip connections.. In: Advances in neural information processing systems, pp 2802–2810, 2016 Mao X, Shen C, Yang Y B: Image restoration using very deep convolutional encoder-decoder networks with symmetric skip connections.. In: Advances in neural information processing systems, pp 2802–2810, 2016
39.
Zurück zum Zitat Wang T, Sun M, Hu K: Dilated deep residual network for image denoising.. In: 2017 IEEE 29th international conference on tools with artificial intelligence (ICTAI), pp 1272–1279. IEEE, 2017 Wang T, Sun M, Hu K: Dilated deep residual network for image denoising.. In: 2017 IEEE 29th international conference on tools with artificial intelligence (ICTAI), pp 1272–1279. IEEE, 2017
40.
Zurück zum Zitat Zhang K, Zuo W, Chen Y, Meng D, Zhang L (2017) Beyond a gaussian denoiser: residual learning of deep cnn for image denoising. IEEE Transactions on Image Processing Zhang K, Zuo W, Chen Y, Meng D, Zhang L (2017) Beyond a gaussian denoiser: residual learning of deep cnn for image denoising. IEEE Transactions on Image Processing
41.
Zurück zum Zitat Zhang K, Zuo W, Gu S, Zhang L: Learning deep cnn denoiser prior for image restoration.. In: IEEE Conference on Computer Vision and Pattern Recognition, vol. 2, 2017 Zhang K, Zuo W, Gu S, Zhang L: Learning deep cnn denoiser prior for image restoration.. In: IEEE Conference on Computer Vision and Pattern Recognition, vol. 2, 2017
42.
Zurück zum Zitat Huang G, Liu Z, Weinberger KQ, van der Maaten L (2016) Densely connected convolutional networks. arXiv:1608.06993 Huang G, Liu Z, Weinberger KQ, van der Maaten L (2016) Densely connected convolutional networks. arXiv:1608.​06993
43.
Zurück zum Zitat Sobel I (1990) An isotropic 3× 3 image gradient operator. Machine vision for three-dimensional scenes pp 376–379 Sobel I (1990) An isotropic 3× 3 image gradient operator. Machine vision for three-dimensional scenes pp 376–379
44.
Zurück zum Zitat Johnson J, Alahi A, Fei-Fei L: Perceptual losses for real-time style transfer and super-resolution.. In: European Conference on Computer Vision, pp 694–711. Springer, 2016 Johnson J, Alahi A, Fei-Fei L: Perceptual losses for real-time style transfer and super-resolution.. In: European Conference on Computer Vision, pp 694–711. Springer, 2016
45.
Zurück zum Zitat Deng J, Dong W, Socher R, Li L J, Li K, Fei-Fei L: Imagenet: a large-scale hierarchical image database.. In: CVPR09, 2009 Deng J, Dong W, Socher R, Li L J, Li K, Fei-Fei L: Imagenet: a large-scale hierarchical image database.. In: CVPR09, 2009
46.
Zurück zum Zitat Lingle W, Erickson B, Zuley M, Jarosz R, Bonaccio E, Filippini J, Gruszauskas N (2016) Radiology data from the cancer genome atlas breast invasive carcinoma [tcga-brca] collection. The Cancer Imaging Archive Lingle W, Erickson B, Zuley M, Jarosz R, Bonaccio E, Filippini J, Gruszauskas N (2016) Radiology data from the cancer genome atlas breast invasive carcinoma [tcga-brca] collection. The Cancer Imaging Archive
47.
Zurück zum Zitat Clark K, Vendt B, Smith K, Freymann J, Kirby J, Koppel P, Moore S, Phillips S, Maffitt D, Pringle M, et al: The cancer imaging archive (tcia): maintaining and operating a public information repository. J Digit Imaging 26 (6): 1045–1057, 2013CrossRef Clark K, Vendt B, Smith K, Freymann J, Kirby J, Koppel P, Moore S, Phillips S, Maffitt D, Pringle M, et al: The cancer imaging archive (tcia): maintaining and operating a public information repository. J Digit Imaging 26 (6): 1045–1057, 2013CrossRef
50.
Zurück zum Zitat Glorot X, Bengio Y: Understanding the difficulty of training deep feedforward neural networks.. In: Proceedings of the 13th International Conference on Artificial Intelligence and Statistics, pp 249–256, 2010 Glorot X, Bengio Y: Understanding the difficulty of training deep feedforward neural networks.. In: Proceedings of the 13th International Conference on Artificial Intelligence and Statistics, pp 249–256, 2010
Metadaten
Titel
Deep Learning for Low-Dose CT Denoising Using Perceptual Loss and Edge Detection Layer
verfasst von
Maryam Gholizadeh-Ansari
Javad Alirezaie
Paul Babyn
Publikationsdatum
12.09.2019
Verlag
Springer International Publishing
Erschienen in
Journal of Imaging Informatics in Medicine / Ausgabe 2/2020
Print ISSN: 2948-2925
Elektronische ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-019-00274-4

Weitere Artikel der Ausgabe 2/2020

Journal of Digital Imaging 2/2020 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.