MedSR-Vision: Deep Learning Framework for Multi-Domain Medical Image Super-Resolution

Image super-resolution, which aims to reconstruct high-resolution images from their low-resolution observations, is fundamental to medical imaging, remote sensing, surveillance, microscopy, and scientific visualization. Traditional model-based methods formulate super-resolution as an inverse problem with hand-crafted regularization priors. While interpretable and theoretically grounded, they rely on fixed assumptions and require computationally intensive iterative solvers. Deep learning methods offer data-driven flexibility by learning nonlinear mappings from low- to high-resolution images, among which diffusion models have achieved particularly impressive perceptual quality. However, the standard diffusion training objective is a pixel-domain noise-prediction loss that does not explicitly enforce perceptual fidelity, which can lead to oversmoothing and loss of fine image structure. To address these limitations, we propose a perceptually regularized diffusion framework that incorporates prior knowledge through perceptual-loss-based regularization, improving training convergence and encouraging the recovery of meaningful image features. Experiments on benchmark datasets demonstrate improved perceptual quality and competitive distortion metrics, highlighting the effectiveness of regularization for diffusion-based super resolution.

High-resolution (HR) MRI acquisition is often hampered by scan time constraints, resulting in anisotropic or low-resolution scans (e.g., thick-slice FLAIR) that limit diagnostic accuracy. While deep learning-based super-resolution (SR) methods show promise, they often hallucinate anatomical details, which can compromise brain structural integrity. To mitigate this limitation, we introduce MR-DiffuSR, a Multi-Resolution Diffusion-based Super-Resolution framework that incorporates HR T1w structural image priors to guide the restoration of thick-slice FLAIR scans and operates in the 3D latent space. Our architecture introduces cross-modality structural swin-attention, which derives structural attention maps from the HR T1w and applies them to the low-resolution FLAIR latent features. This design disentangles anatomical structure from modality-specific contrast, effectively preventing hallucinations. Furthermore, we employ a mixed-scale degradation strategy, training the model on a continuum of downsampling factors to ensure robustness to varying slice thicknesses, while optimizing with a DINOv3-based perceptual loss to preserve high-frequency semantic details. Evaluated on the ADNI-4 dataset, MR-DiffuSR surpasses both CNN and 2D diffusion approaches, achieving an average PSNR of 32.46dB, SSIM of 0.97, and LPIPS of 0.07 across all downsampling factors. In downstream white matter hyperintensity segmentation, our model demonstrates exceptional robustness. While baseline performance collapses at 10x down-sampling (Dice: 0.51), MR-DiffuSR maintains a Dice score of 0.63, preserving utility even at 7mm equivalent slice thickness.

Super-resolution (SR) is a severely ill-posed problem with inherent ambiguity, as widely recognized in both empirical and theoretical studies. Although recent semantic-guided and multi-modal SR methods exploit large models or external priors to enhance semantic alignment, the fusion of heterogeneous modalities remains insufficiently understood in practice and theory. In this work, we provide the first theoretical modeling of multi-modal SR, revealing that prior methods are bottlenecked by sub-optimal modality utilization. Our analysis shows that the generalization risk bound can be improved by strengthening the alignment between modality weights and their effective contributions, while reducing representation complexity. This theoretical insight inspires us to propose the novel Multi-Modal Mixture-of-Experts Super-Resolution framework (M$^3$ESR) that employs generalization-oriented dynamic modality fusion for accurate risk control and modality contribution optimization. In detail, we propose a novel spatially dynamic modality weighting module and a temporally adaptive modality temperature scheduling mechanism, enabling flexible and adaptive spatial-temporal modality weighting for effective risk control. Extensive experiments demonstrate that our M$^3$ESR significantly boosts generalization and semantic consistency performances, which confirms our superiority.