Abstract: In this paper, the main literature related to 4DCT imaging and reconstruction techniques over the past 20 years is reviewed, and the contents are summarized. This paper provides a systematic and comprehensive introduction to 4DCT research from five perspectives: the concept of 4DCT, scanning mode and imaging method, reconstruction algorithm, application, research status, and future development expectations. In this study, five types of reconstruction algorithms are summarized, and the advantages, disadvantages, and research difficulties of each algorithm are briefly evaluated. Finally, we conduct a brief statistical analysis on the cited works from the perspective of reconstruction methods, revealing the research progress and future research trends of 4DCT reconstruction algorithms.