X-LRM: X-Ray Large Reconstruction Model for Extremely Sparse-View Computed Tomography Recovery in One Second

Sparse-view 3D CT reconstruction aims to recover volumetric structures from a limited number of 2D X-ray projections. Existing feedforward methods are constrained by the scarcity of large-scale training datasets and the absence of direct and consistent 3D representations. In this paper, we propose an X-ray Large Reconstruction Model (X-LRM) for extremely sparse-view ($X$-LRM consists of two key components:$X$-former and$X$triplane.$\quad X$-former can handle an arbitrary number of input views using an MLP-based image tokenizer and a Transformer-based encoder. The output tokens are then upsampled into our X-triplane representation, which models the 3D radiodensity as an implicit neural field. To support the training of X-LRM, we introduce Torso-16K, a largescale dataset comprising over 16 K volume-projection pairs of various torso organs. Extensive experiments demonstrate that X-LRM outperforms the state-of-the-art method by 1.5$d B$and achieves$27 \times$faster speed with better flexibility. Furthermore, the evaluation of lung segmentation tasks also suggests the practical value of our approach. Our code and dataset will be released at https://github.com/Richard-Guofeng-Zhang/X-LRM.