From Pixel Generation to Topological Inference: Structural Dual Super-Resolution for Trustworthy Cross-Physical-Domain Trabecular Morphology Learning

Fan Zhang, Yi Zhang, Ling Wang

Clinical CT and UHRCT cannot resolve individual trabeculae, whereas synchrotron radiation microCT (SRuCT) provides high-resolution references but is not applicable for in vivo imaging. The two domains differ by a 32x resolution gap, are only coarsely paired, and exhibit severe physical differences including partial volume effects, noise, and artifacts. Existing super-resolution networks and pretrained-prior methods (GLEAN/StyleGAN2, Stable SR/LDM) underperform because they target pixel generation---diverse details and SSIM/PSNR---and do not model these physical differences. Pixel generation for a 32x resolution gap is intrinsically ill-posed. We propose a paradigm shift from pixel generation to topological inference: deterministically predicting invariant microstructures from macro-scale low-resolution inputs, evaluated by morphological parameters. The core of our 2D morphology learning lies in training on 2D slices while evaluating on 3D morphological parameters, ensuring that the learned representations capture true three-dimensional trabecular topology rather than 2D pixel statistics. We realize this paradigm via structural dual super-resolution, coupling forward physical…