  Purpose: Recently, several attempts were conducted to transfer deep learning
to medical image reconstruction. An increasingly number of publications follow
the concept of embedding the CT reconstruction as a known operator into a
neural network. However, most of the approaches presented lack an efficient CT
reconstruction framework fully integrated into deep learning environments. As a
result, many approaches are forced to use workarounds for mathematically
unambiguously solvable problems. Methods: PYRO-NN is a generalized framework to
embed known operators into the prevalent deep learning framework Tensorflow.
The current status includes state-of-the-art parallel-, fan- and cone-beam
projectors and back-projectors accelerated with CUDA provided as Tensorflow
layers. On top, the framework provides a high level Python API to conduct FBP
and iterative reconstruction experiments with data from real CT systems.
Results: The framework provides all necessary algorithms and tools to design
end-to-end neural network pipelines with integrated CT reconstruction
algorithms. The high level Python API allows a simple use of the layers as
known from Tensorflow. To demonstrate the capabilities of the layers, the
framework comes with three baseline experiments showing a cone-beam short scan
FDK reconstruction, a CT reconstruction filter learning setup, and a TV
regularized iterative reconstruction. All algorithms and tools are referenced
to a scientific publication and are compared to existing non deep learning
reconstruction frameworks. The framework is available as open-source software
at \url{https://github.com/csyben/PYRO-NN}. Conclusions: PYRO-NN comes with the
prevalent deep learning framework Tensorflow and allows to setup end-to-end
trainable neural networks in the medical image reconstruction context. We
believe that the framework will be a step towards reproducible research
