IHF-Harmony: Multi-Modality Magnetic Resonance Images Harmonization using Invertible Hierarchy Flow Model

In MRI, variations in scan parameters, sequence, or hardware can lead to discrepancies in image appearance, even for the same subject. These inconsistencies, known as domain shifts, can hinder image analysis and degrade the performance of deep learning models trained on data from specific target domains. MRI image harmonization aims to address these issues by aligning source domain images to the target domain images while preserving biological information such as anatomical structures. However, most existing harmonization approaches require access to both source and target domain data in training or test time. This dependence induces data sharing between institutions, raising concerns about patient privacy and substantially limiting the harmonization approaches that can be practically deployed in clinical settings. To overcome these limitations, we introduce TgtFreeHarmony, the harmonization framework tailored for target-free scenarios, eliminating the need for target domain data and any data sharing, enabling privacy-preserving harmonization directly within the source institution. Our approach estimates the target domain style by searching the manifold of MRI domain style constructed via a disentanglement-based generator using Bayesian optimization guided by the performance of a downstream task model, which is trained on target domain data. We evaluated our method on the brain tissue segmentation task across multiple institutes and demonstrated that it effectively harmonizes source images into target images, leading to improved downstream task performance. By enabling harmonization without any access to target-domain data, TgtFreeHarmony establishes a new direction of harmonization preserving data privacy that can be realistically deployed within clinical environments.

Purpose: Combining multi-site diffusion MRI (dMRI) data is hindered by inter-scanner variability, which confounds subsequent analysis. Previous harmonization methods require large, matched or traveling human subjects from multiple sites, which are impractical to acquire in many situations. This study aims to develop a deep learning-based dMRI harmonization framework that eliminates the reliance on multi-site in-vivo traveling human data for training. Methods: HARP employs a voxel-wise 1D neural network trained on an easily transportable diffusion phantom. The model learns relationships between spherical harmonics coefficients of different sites without memorizing spatial structures. Results: HARP reduced inter-scanner variability levels significantly in various measures. Quantitatively, it decreased inter-scanner variability as measured by standard error in FA (12%), MD (10%), and GFA (30%) with scan-rescan standard error as the baseline, while preserving fiber orientations and tractography after harmonization. Conclusion: We believe that HARP represents an important first step toward dMRI harmonization using only phantom data, thereby obviating the need for complex, matched in vivo multi-site cohorts. This phantom-only strategy substantially enhances the feasibility and scalability of quantitative dMRI for large-scale clinical studies.

Magnetic Resonance Imaging (MRI) field-strength enhancement holds immense value for both clinical diagnostics and advanced research. However, existing methods typically focus on isolated enhancement tasks, such as specific 64mT-to-3T or 3T-to-7T transitions using limited subject cohorts, thereby failing to exploit the shared degradation patterns inherent across different field strengths and severely restricting model generalization. To address this challenge, we propose \methodname, a unified framework integrating multiple modalities and enhancement tasks to mutually promote representation learning by exploiting these shared degradation characteristics. Specifically, our main contributions are threefold. Firstly, to overcome MRI data scarcity and capture continuous anatomical structures, \methodname departs from conventional methods that treat 3D MRI volumes as independent 2D slices. Instead, we directly exploit comprehensive 3D volumetric information by leveraging pre-trained 3D foundation models, thereby embedding generalized and robust structural representations to significantly boost enhancement performance. In addition, to mitigate the spectral bias of mainstream flow-matching models that often over-smooth high-frequency details, we explicitly incorporate the physical mechanisms of magnetic fields to introduce a Field-Aware Spectral Rectification Mechanism (FASRM), tailoring customized spectral corrections to distinct field strengths. Finally, to resolve the fundamental data bottleneck, we organize and publicly release a comprehensive paired multi-field MRI dataset, which is an order of magnitude larger than existing datasets. Extensive experiments demonstrate our method's superiority over state-of-the-art approaches, achieving an average improvement of approximately 1.81 dB in PSNR and 9.47% in SSIM. Codes and datasets are available at: https://github.com/linyiyang98/UniField.