CogGen: Cognitive-Load-Inspired Fully Unsupervised Deep Generative Modeling for Compressively Sampled MRI Reconstruction

Generative MRI reconstruction maps an initial source distribution to the target image distribution along a learned recovery trajectory. Common generative methods, such as diffusion and flow, typically learn fine-grained local dynamics whose integration defines this global mapping, hence requiring many network evaluations at inference. Existing few-step sampling approaches can lower computational burden by approximating large transformations from local dynamics, albeit at the expense of reconstruction fidelity. FLEX-MRI instead partitions recovery into a small number of finite intervals between retained states defined by progressive changes in k-space support, and directly learns the reconstruction change across each interval. Because such finite transitions can admit multiple plausible outcomes, FLEX-MRI combines support-relaxed finite-transition learning with stochastic exploration. During training, randomized k-space sampling masks define finite-transition targets with varying support, while the prediction loss remains unrestricted by each individual mask. At inference, FLEX-MRI perturbs a random subset of currently estimated k-space coefficients, allowing the learned predictor to stochastically explore alternative transition paths. Each predicted state is then reconciled with the acquired measurements through data consistency. We theoretically show that this stochastic exploration induces nonzero transition-level variation through the learned recovery map and data consistency without requiring an auxiliary generative sampler. Experiments on multi-coil MRI datasets show that FLEX-MRI outperforms competing methods while maintaining computational efficiency comparable to few-step baselines.

Diffusion models (DMs) have emerged as powerful generative priors for MRI reconstruction with promising results. Yet DM-based methods require extensive iterative refinement, limiting their practical deployment. Consistency models (CMs) provide a compelling alternative, aiming to map out the diffusion trajectory in a single pass, enabling faster generation. In this work, we propose CM-RED, a novel MRI reconstruction method that integrates a pretrained CM into the regularization by denoising (RED) scheme. Our method builds on accelerated proximal gradient RED (RED-APG), and further incorporates controlled noise injection during the update steps to enhance generative diversity and accelerate convergence. Extensive experiments on the fastMRI knee and brain datasets demonstrate that CM-RED achieves high-quality reconstructions across multiple anatomies, contrast weights, acceleration factors, and undersampling patterns, using only 4 network function evaluations (NFEs). The proposed method consistently outperforms existing DM- and CM-based approaches in both quantitative metrics and visual fidelity, and exhibits strong robustness to hyperparameter variations, highlighting CM-RED as an efficient and effective generative framework for accelerated MRI reconstruction. The source code and pretrained models are publicly available at https://github.com/MerveGulle/CM-RED.

Task-adapted compressed sensing magnetic resonance imaging (CS-MRI) is emerging to address the specific demands of downstream clinical tasks with significantly fewer k-space measurements than required by Nyquist sampling. However, existing task-adapted CS-MRI methods suffer from the uncertainty problem for medical diagnosis and cannot achieve adaptive sampling in end-to-end optimization with reconstruction or clinical tasks. To address these limitations, we propose the first task-adapted CS-MRI from the information-theoretic perspective to simultaneously achieve probabilistic inference for uncertainty prediction and adapt to arbitrary sampling ratios and versatile clinical applications. Specifically, we formalize the task-adapted CS-MRI optimization problem by maximizing the mutual information between undersampled k-space measurements and clinical tasks to enable probabilistic inference for addressing the uncertainty problem. We leverage amortized optimization and construct tractable variational bounds for mutual information to jointly optimize sampling, reconstruction, and task-inference models, which enables flexible sampling ratio control using a single end-to-end trained model. Furthermore, the proposed framework addresses two kinds of distinct clinical scenarios within a unified approach, i.e., i) joint task and reconstruction, where reconstruction serves as an auxiliary process to enhance task performance; and ii) task implementation with suppressed reconstruction, applicable for privacy protection. Extensive experiments on large-scale MRI datasets demonstrate that the proposed framework achieves highly competitive performance on standard metrics like Dice compared to deterministic counterpart but provides better distribution matching to the ground-truth posterior distribution as measured by the generalized energy distance (GED).