Deep learning based computed tomography (CT) reconstruction has demonstrated outstanding performance on simulated 2D low-dose CT data. This applies in particular to domain adapted neural networks, which incorporate a handcrafted physics model for CT imaging. Empirical evidence shows that employing such architectures reduces the demand for training data and improves upon generalisation. However, their training requires large computational resources that quickly become prohibitive in 3D helical CT, which is the most common acquisition geometry used for medical imaging. Furthermore, clinical data also comes with other challenges not accounted for in simulations, like errors in flux measurement, resolution mismatch and, most importantly, the absence of the real ground truth. The necessity to have a computationally feasible training combined with the need to address these issues has made it difficult to evaluate deep learning based reconstruction on clinical 3D helical CT. This paper modifies a domain adapted neural network architecture, the Learned Primal-Dual (LPD), so that it can be trained and applied to reconstruction in this setting. We achieve this by splitting the helical trajectory into sections and applying the unrolled LPD iterations to those sections sequentially. To the best of our knowledge, this work is the first to apply an unrolled deep learning architecture for reconstruction on full-sized clinical data, like those in the Low dose CT image and projection data set (LDCT). Moreover, training and testing is done on a single GPU card with 24GB of memory.

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