cs.LGMar 31, 2026

Unsupervised 4D Flow MRI Velocity Enhancement and Unwrapping Using Divergence-Free Neural Networks

Authors: Javier Bisbal, Julio Sotelo, Hernán Mella, Oliver Welin Odeback, Joaquín Mura, David Marlevi, Junya Matsuda, Kotomi Iwata, +3 more

Organizations: Biomedical Imaging Center, Pontificia Universidad Católica de Chile (PUC), Santiago, Chile · Department of Electrical Engineering, PUC, Santiago, Chile · Millennium Institute for Intelligent Healthcare Engineering, iHEALTH, Santiago, Chile · Departamento de Informática, Universidad Técnica Federico Santa Maria, Santiago, Chile · School of Electrical Engineering, Pontificia Universidad Católica de Valparaiso (PUCV), Valparaíso, Chile · Center for Interdisciplinary Research in Biomedicine, Biotechnology and Well-Being (CID3B), PUCV, Chile · Department of Medical Imaging and Radiation Sciences, School of Primary and Allied Health Care. Faculty of Medicine, Nursing and Health Sciences. Monash University, Melbourne, Australia · Karolinska Institute, Department of Molecular Medicine and Surgery, Stockholm, Sweden · Departamento de Ingeniería Mecánica, Universidad Técnica Federico Santa Maria, Santiago, Chile · Department of Cardiovascular Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan · Department of Radiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan

Abstract

This work introduces an unsupervised Divergence and Aliasing-Free neural network (DAF-FlowNet) for 4D Flow Magnetic Resonance Imaging (4D Flow MRI) that jointly enhances noisy velocity fields and corrects phase wrapping artifacts. DAF-FlowNet parameterizes velocities as the curl of a vector potential, enforcing mass conservation by construction and avoiding explicit divergence-penalty tuning. A cosine data-consistency loss enables simultaneous denoising and unwrapping from wrapped phase images. On synthetic aortic 4D Flow MRI generated from computational fluid dynamics, DAF-FlowNet achieved lower errors than existing techniques (up to 11% lower velocity normalized root mean square error, 11% lower directional error, and 44% lower divergence relative to the best-performing alternative across noise levels), with robustness to moderate segmentation perturbations. For unwrapping, at peak velocity/velocity-encoding ratios of 1.4 and 2.1, DAF-FlowNet achieved 0.18% and 5.2% residual wrapped voxels, representing reductions of 72% and 18% relative to the best alternative method, respectively. In scenarios with both noise and aliasing, the proposed single-stage formulation outperformed a state-of-the-art sequential pipeline (up to 15% lower velocity normalized root mean square error, 11% lower directional error, and 28% lower divergence). Across 10 hypertrophic cardiomyopathy patient datasets, DAF-FlowNet preserved fine-scale flow features, corrected aliased regions, and improved internal flow consistency, as indicated by reduced inter-plane flow bias in aortic and pulmonary mass-conservation analyses recommended by the 4D Flow MRI consensus guidelines. These results support DAF-FlowNet as a framework that unifies velocity enhancement and phase unwrapping to improve the reliability of cardiovascular 4D Flow MRI.

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