In recent years， Generative Adversarial Network （GAN） has become a new research hotspot in Low-Dose Computed Tomography （LDCT） artifact suppression because of its performance advantages. Due to irregular distribution and strong relevance to the normal tissues of artifacts， denoising performance of the existing GAN-based denoising networks is limited. Aiming at this problem， a LDCT denoising algorithm based on artifacts sensing GAN was proposed. Firstly， an artifacts direction sensing generator was designed. In this generator， on the basis of U-residual encoding and decoding structure， an Artifacts Direction Sensing Sub-module （ADSS） was added to improve the generator’s sensitivity to artifacts direction features. Secondly， the Attention Discriminator （AttD） was designed to improve the ability of distinguishing noise and artifacts. Finally， the loss functions corresponding to the network functions were designed. Through the cooperation of multiple loss functions， the denoising performance of network was improved. Experimental results show that compared to the High-Frequency Sensitive GAN （HFSGAN）， the proposed denoising algorithm has the average Peak Signal-to-Noise Ratio （PSNR） and Structural SIMilarity （SSIM） improved by 4.9% and 2.8% respectively， and has good artifact suppression effect.
