The invention discloses a CT 
image denoising method based on self-adaptive median filtering, belongs to the technical field of medical 
image processing, and is particularly suitable for CT 
image denoising of new coronal pneumonia. The method comprises the steps of selecting a square filtering window with the size of n * n, comparing the adaptive maximum value and the adaptive minimum value of the gray value in the window with the gray value f (i, j) of the current pixel point, judging whether the current pixel point is a suspected 
noise point or not according to a first threshold T0, and if so, further accurately judging whether the current pixel point is a 
noise point or not according to a second threshold T1, if the current pixel point is not the suspected 
noise point or the noise point, traversing the next pixel point in the window; 
processing noise points through a center 
weighted median filtering method; and finally, outputting the CT image after median filtering and denoising. Image details are better protected while 
image denoising is kept; the problem that deviation exists in 
information transmission of a traditional 
entropy weight method is corrected by improving the 
entropy weight method, the 
optimal weight of center weighted filtering is determined through contribution values of all evaluation indexes to the denoising effect, and therefore the optimal denoising effect is achieved.