Image quality assessment (IQA) plays a critical role in optimizing radiation dose and developing novel medical imaging techniques in computed tomography (CT). Traditional IQA methods relying on hand-crafted features have limitations in summarizing the subjective perceptual experience of image quality. Recent deep learning-based approaches have demonstrated strong modeling capabilities and potential for medical IQA, but challenges remain regarding model generalization and perceptual accuracy. In this work, we propose a multi-scale distributions regression approach to predict quality scores by constraining the output distribution, thereby improving model generalization. Furthermore, we design a dual-branch alignment network to enhance feature extraction capabilities. Additionally, semi-supervised learning is introduced by utilizing pseudo-labels for unlabeled data to guide model training. Extensive qualitative experiments demonstrate the effectiveness of our proposed method for advancing the state-of-the-art in deep learning-based medical IQA. Code is available at: https://github.com/zunzhumu/MD-IQA.
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