Fiber-Resolved Microstructure Quantification from Multi-Shell Diffusion MRI using Detection Transformers

Fiber orientation and compartmental microstructure are central to the characterization of white matter tissue in diffusion MRI, yet existing methods either resolve fiber orientations without quantifying microstructure, or quantify microstructure while assuming a fixed number of compartments and a single fiber direction. Nonparametric approaches that recover both require tensor-valued diffusion encoding and computationally expensive Monte-Carlo inversion of an ill-posed inverse Laplace transform. We propose to reframe this problem as an object detection-like task, adopting the Detection Transformer (DETR) architecture to jointly predict mean diffusivity (MD), fractional anisotropy (FA), main fiber direction, and signal fraction for a variable number of compartments per voxel from standard multi-shell diffusion MRI with linear encoding. Hungarian matching during training resolves permutation invariance across compartments. We introduce mean Average Precision as a reproducible benchmark metric. Evaluated on synthetic test data with up to five compartments per voxel, our model achieves $R^2=0.95$ for MD, $R^2=0.88$ for FA, and a median angular error of 4.2°, with performance scaling naturally with compartmental signal fraction.