Magnetic Resonance Imaging

Also known as MRI

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Latest papers 236

29 papers in the last four weeks, up 4% on the four weeks before. 0.2% of all new papers.

Jun 8, 2026

A multi-agent system for spine MRI report generation from multi-sequence imaging

Spinal pathology is a leading cause of pain and disability worldwide. Spine MRI is central to clinical evaluation, yet its interpretation remains complex and time-consuming, requiring integration of information across multiple imaging sequences and anatomical regions. Despite recent advances in automated MRI analysis, effectively combining multi-sequence data while preserving sequence-specific diagnostic information remains an open challenge. Here we present SpineAgent, a multi-agent framework for spine MRI report generation built upon a multi-sequence foundation model trained on routine clinical data from 32,047 patients and 453,683 MRI series, comprising a total of 13,441,191 MRI slices. To accommodate diverse modalities of sequences, we first pre-train two DINOv3-based encoders separately on T1- and T2-weighted sequences. We then introduce a continual training strategy that learns a synthesizer to embed images of other sequences using the T1 and T2 encoders, producing patient-level embedding that integrates various signals across MRI sequences. Using these embeddings, SpineAgent achieves state-of-the-art performance, and demonstrates strong generalizability under cross-manufacturer and cross-cohort evaluation. Beyond classification, SpineAgent enables pathology localization by identifying findings-relevant slices and segmenting pathological regions. It also supports multimodal image-report retrieval, providing a solid foundation for scalable and explainable MRI report generation. We further integrate these validated capabilities of SpineAgent into 37 specialized agents. Finally, we incorporate their outputs as structured tokens within a Medical Report Agent trained end-to-end for report generation. Through both automated metrics and expert evaluation by five radiologists, SpineAgent achieves leading performance in spine MRI report generation.

Zhiping Xiao, Junwei Yang, Gongbo Sun +12

1Paul G. Allen School of Computer Science & Engineering, University of Washington, Seattle, WA, USA · School of Computer Science, Peking University, Beijing, China · Department of Computer Sciences, University of Wisconsin–Madison, Madison, WI, USA +3

Radiology Report Generation Medical Imaging Foundation Models Magnetic Resonance Imaging Multi-Agent Systems

Jun 3, 2026

Generalized TV-- $\ell_p$ Structured Priors for Bayesian $T_1$ Mapping

We propose an extended family of structured spatial priors that incorporates the total variation (TV) function with

\ell_p

norms. The prior is proven to be proper and incorporated into a Bayesian regression framework to enable uncertainty quantification in

T_1

mapping, with posterior inference performed using the No-U-Turn Sampler (NUTS). This TV--

\ell_p

construction is proven to constitute a well-defined family of prior distributions, and it naturally enforces spatial consistency and smooth variations in the estimated parameter maps. The method was evaluated in comparison to maximum-likelihood estimation and several Bayesian alternative priors based on the uniform, Gamma, and bounded TV priors. The evaluation includes experiments on synthetic brain and cardiac

T_1

mapping datasets, as well as a real in-vivo breast

T_1

mapping dataset. The results show that the TV--

\ell_p

prior yields more concentrated posterior densities, indicating reduced uncertainty. It also consistently achieves lower variance and smaller (negative) bias, leading to more reliable estimates. Overall, embedding a TV-based structured penalty along with

\ell_p

norms in a prior in a Bayesian model improves spatial coherence in

T_1

maps and enhances uncertainty quantification, offering a robust approach for

T_1

mapping with uncertainties.

Disi Lin, Martin Berggren, Tommy Löfstedt

Department of Computing Science, Ume˚a University, Sweden

Bayesian Inverse Problems Magnetic Resonance Imaging

Jun 3, 2026

L-TGVN: Leveraging Longitudinal Priors for Personalized Rapid MRI

MRI provides excellent soft-tissue contrast without ionizing radiation, but long acquisition times increase patient discomfort while also raising exam costs and limiting scanner throughput. A common approach to reduce scan time is to acquire fewer measurements, which yields an ill-posed linear inverse problem; recovering diagnostic-quality images therefore requires incorporating prior knowledge beyond the measured data. In follow-up exams, the most recent prior scan of a patient can provide a highly informative subject-specific context, but practical use is complicated by temporal changes (including pathology progression), misalignment between scans, and protocol drift across acquisitions. In this work, we introduce L-TGVN, a Longitudinal Trust-Guided Variational Network that leverages prior scans as side information to reconstruct the current scan from heavily undersampled measurements. Crucially, L-TGVN constrains the influence of prior scans to be consistent with the acquired measurements. Unlike many existing longitudinal reconstruction methods, it does not require explicit pre-registration between prior and current scans. It further accommodates differences in acquisition protocols across visits (e.g., changes in sequence parameters). We evaluate L-TGVN against matched-capacity baselines, including prior-guided methods and methods that do not use longitudinal priors, and observe consistent improvements in standard quantitative metrics together with better preservation of fine structures at challenging accelerations. Source code is available at github.com/sodicksonlab/L-TGVN.

Arda Atalık, Sumit Chopra, Daniel K. Sodickson

NYU Center for Data Science, NY, USA · Center for Advanced Imaging Innovation and Research (CAI²R), Department of Radiology, NYU Grossman School of Medicine, NY, USA · Courant Institute of Mathematical Sciences, NY, USA +1

Accelerated MRI Reconstruction Magnetic Resonance Imaging

Jun 3, 2026

Motion-Guided Causal Disentanglement for Robust Multi-View Cine Cardiac MRI Diagnosis

Multi-view cardiac magnetic resonance (CMR) imaging provides complementary anatomical information and is widely used for noninvasive disease assessment. Recent transformer-based models have demonstrated strong representation learning capabilities for CMR analysis; however, they typically learn unified latent embeddings that entangle view-specific anatomical variations with disease-related features. Such entanglement biases classifiers toward structural attributes rather than view-invariant pathological patterns. This issue is exacerbated in low-data regimes, particularly for underrepresented cardiac conditions, where limited samples increase the susceptibility to shortcut learning and view-dependent decision boundaries. To address this, we propose a Motion-Guided View--Disease Disentanglement framework MoViD built upon a ViT-MAE backbone. The model explicitly factorizes latent representations into view-specific and disease-discriminative components using dual-branch supervised contrastive objectives and a gradient-reversal adversarial constraint that minimizes disease leakage into the view embedding. Additionally, an annotation-free temporal motion feature, derived from inter-frame difference maps, is introduced to localize the beating heart region and suppress background artifacts. A focal reweighting mechanism is incorporated into the contrastive loss to mitigate class imbalance. We evaluate the framework on a private clinical venous thrombosis dataset and two public benchmarks (M&Ms, M&Ms2). Across disease classification and cardiac segmentation tasks, our approach consistently outperforms standard transformer baselines and demonstrates competitive performance against large-scale pretrained foundation models, validating the efficacy of structural disentanglement in medical image analysis.

Chuankai Xu, Cristiane De Carvalho Singulane, Mohammad Abuannadi +10

University of Virginia, Charlottesville, VA, USA · University of Chicago, Chicago, IL, USA · Ohio State University, Columbus, OH, USA +5

Disentangled Representation Learning Causal Representation Learning Multi-View Learning Medical Image Classification Magnetic Resonance Imaging Medical Image Segmentation+1

Jun 2, 2026

Prospective Dynamic 3D MRI Reconstruction via Latent-Space Motion Tracking from Single Measurement

Prospective reconstruction is crucial in many clinical applications such as MRI-guided radiotherapy, which demands accurate image reconstruction and fast motion estimation from currently acquired measurements. However, prospective reconstruction remains challenging due to ultra-sparse sampling and stringent latency requirements. In this work, we propose PDMR, a Prospective Dynamic 3D MRI Reconstruction framework with latent-space motion tracking. Our core idea is to learn an efficient and generalizable latent manifold of motion fields offline, enabling rapid online adaptation for prospective reconstruction. Specifically, we parameterize the deformation vector fields (DVFs) on a low-dimensional manifold, effectively reducing the search space for fast online adaptation, and employ a tri-plane representation to achieve geometry-aware and memory-efficient encoding of 3D motion. Experiments on both XCAT digital phantoms and in-house abdominal MRI datasets demonstrate that PDMR achieves high-fidelity and temporally consistent reconstruction across multiple prospective scenarios (Immediate and After-2min), outperforming state-of-the-art retrospective and online methods. Our results suggest a promising pathway toward ultra-fast, motion-aware prospective MRI reconstruction in clinical practice.

Lixuan Chen, Zhongnan Liu, Jesse Hamilton +3

University of Michigan

Accelerated MRI Reconstruction Magnetic Resonance Imaging

Jun 2, 2026

An Attention-Based Denoising Model for Diffusion Weighted Imaging

Diffusion-weighted imaging (DWI) is used for whole-body cancer screening, but it typically requires a long acquisition time. When the scan time is reduced, the image quality often suffers, leading to increased noise in the scans. Magnitude reconstruction in DWI introduces signal-dependent Rician noise, which makes denoising more challenging for conventional convolution-based methods. To address this limitation, we propose a noise-aware attention-driven denoising framework that integrates hierarchical Swin Transformer window attention with transformer-based multi-dimensional gated refinement for DWI restoration. The model incorporates explicit noise-level conditioning and residual reconstruction to enable adaptive suppression of heteroscedastic noise across a wide range of corruption levels. Experimental evaluation on corrupted DWI scans demonstrates strong restoration performance. Our model achieves a mean PSNR of 33.69~dB and SSIM of 0.8539 across noise levels from 1% to 15%, while maintaining stable behavior under severe noise conditions. These results indicate that attention-guided contextual modeling combined with channel-adaptive refinement provides a robust and generalizable solution for DWI denoising.

Prithviraj Verma, Pawan Kumar, Chandan Deshani +1

Institute of Infrastructure Technology Research and Management (IITRAM), India · University of Sheffield, United Kingdom

Magnetic Resonance Imaging Diffusion MRI Image Denoising

Jun 2, 2026

Efficient Transformer-Based Localized Patch Sampling for Choroid Plexus Segmentation in Multiple Sclerosis

Background: The lateral ventricle choroid plexus (LVCP) is gaining recognition as a key imaging biomarker for multiple sclerosis (MS) related to physical disability and neuroinflammation. Yet, manual segmentation of the LVCP is highly tedious, restricting its use in broad clinical trials and longitudinal assessments. This research aims to develop a SwinUNETR-driven pipeline that leverages targeted intra- and peri-ventricular small patch sampling to automatically segment the LVCP in MS from both standalone and multi-modal MRI inputs. Methods: We retrospectively assessed 3T MRI scans across three sets of data stemming from two separate MS-dominant cohorts (Dataset 1: n=177; Dataset 2: n=177; expanded test set: n=388). Our method employed a SwinUNETR architecture trained on 32x32x32 voxel patches, benchmarking it against the 3D UXNET model. The primary metric for evaluation was the Dice Similarity Coefficient (DSC), supplemented by computational demand (GFLOPs) and the 95th percentile Hausdorff Distance (HD95). Results: On the extended test set, the SwinUNETR model secured a mean DSC of 0.868 (95% CI: 0.863-0.872) with MPRAGE and FLAIR combined, showing a statistically significant gain over UXNET (DSC: 0.858 [95% CI: 0.853-0.862], p<0.0001). When restricted to standalone FLAIR inputs, the transformer-based approach sustained a high DSC of 0.863, while the spatial localization of UXNET worsened considerably (HD95: 1.86 vs. 3.00 mm). Importantly, the proposed framework lowered computational load by 99% (91.8 vs. 22,080 GFLOPs). By integrating localized patch sampling with a SwinUNETR architecture, this methodology offers an accurate, robust, and statistically superior alternative to current leading models for LVCP segmentation. Its vast reduction in computational cost makes it ideal for widespread implementation in clinical and research environments.

Po-Jui Lu, Alessandro Cagol, Mario Ocampo-Pineda +12

Translational Imaging in Neurology (ThINk) Basel, Department of Biomedical Engineering, Faculty of Medicine, University Hospital Basel and University of Basel, Basel, Switzerland · Department of Neurology, University Hospital Basel, Basel, Switzerland · Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB), University Hospital Basel and University of Basel, Basel, Switzerland +4

Efficient ViTs Magnetic Resonance Imaging Medical Image Segmentation 3D Medical Image Segmentation

Jun 1, 2026

Realistic noise synthesis reduces bias and improves tissue microstructure estimation with supervised machine learning

Diffusion MRI enables non-invasive probing of tissue microstructure, but accurate parameter estimation is challenged by noise-related effects. In supervised machine learning frameworks trained on simulated data, discrepancies between the noise characteristics of simulated and acquired signals introduce a form of covariate shift, whereby the input signal distribution differs between training and inference. We investigated the impact of this mismatch on microstructure parameter estimation and propose a realistic noise synthesis (RNS) framework to mitigate it. RNS incorporates both the Rician expectation and the effective post-processing noise variance into simulated training signals. The Rician expectation was modelled using a noise standard deviation estimated with MPPCA, while the effective standard deviation was derived from spherical harmonic residuals of preprocessed data. The method was evaluated using the cylinder-zeppelin and the SANDI models on simulated datasets across multiple SNR levels and on in vivo diffusion data with repeated acquisitions. Sensitivity to noise misestimation was also assessed. Ignoring magnitude-induced noise effects during training produced systematic, SNR-dependent parameter bias, particularly at low SNR. Incorporating the Rician expectation substantially reduced bias to the level of noise-aware nonlinear least-squares fitting. Modelling the effective standard deviation further improved precision. Performance was largely independent of regression architecture but sensitive to accurate noise estimation. These findings demonstrate that realistic noise modelling in simulated training data mitigates signal-domain covariate shift and is essential for unbiased supervised microstructure estimation, particularly in low-SNR regimes associated with high b-values or high spatial resolution.

Bradley G. Karat, Maëliss Jallais, Ali R. Khan +3

Robarts Research Institute, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Canada · Center for Biomedical Imaging, Department of Radiology, NYU Grossman School of Medicine, New York, New York, USA · Cardiff University Brain Research Imaging Center (CUBRIC), School of Psychology, Cardiff University, Cardiff, United Kingdom +3

Parameter Estimation Distribution Shift Covariate Shift Magnetic Resonance Imaging Diffusion MRI

Jun 1, 2026

Personalized 3D Myocardial Infarct Geometry Reconstruction from Cine MRI for Cardiac Digital Twins

Accurate 3D geometric characterization of myocardial infarction (MI) is essential for building cardiac digital twins (CDTs) to precisely simulate infarct-related electrophysiology. Late gadolinium enhancement magnetic resonance imaging (LGE MRI) is the clinical reference for locating MI, yet its reliance on contrast agents restricts use in renally impaired patients and limits longitudinal follow-ups. As an alternative, contrast-free cine MRI visualizes abnormal ventricular wall motion, which is highly indicative of the infarcted area. In this study, we propose a novel explicit geometry-motion embedded model to fully automatically reconstruct personalized, simulation-ready 3D MI geometries directly from multi-view cine MRIs. Specifically, we construct a 4D (3D + t) biventricular mesh to explicitly extract and decouple geometry-aware and motion-aware features. We further design a dual-branch module for adaptive geometry-motion fusion to capture spatiotemporal dependencies for mapping infarcted region. Furthermore, we introduce multi-scale supervision utilizing an AHA-17 segment-guided cross-attention mechanism to steer the prediction, ensuring biophysically consistent reconstruction. Experimental results on 225 cine MRIs demonstrated that the proposed 3D MI reconstruction achieved high performance with an average Dice score of 0.678

\pm

0.011. In the downstream in-silico electrophysiological simulation evaluations, the results were highly consistent with the LGE-derived ground truth, highlighting the great potential of the proposed model for contrast-free scar characterization and seamless integration into CDT modeling. The code will be released publicly upon acceptance of the manuscript for publication.

Yilin Lyu, Mark YY Chan, Ching-Hui Sia +1

Department of Biomedical Engineering, National University of Singapore, Singapore · Department of Medicine, National University of Singapore, Singapore · Department of Cardiology, National University Heart Centre Singapore, Singapore

3D Reconstruction 3D Medical Imaging Magnetic Resonance Imaging 3D Medical Image Segmentation Digital Twins Cardiac MRI

May 29, 2026

AutoIQ: An Ensemble Framework for Automatic Assessment of Geometric Distortion in Prostate Diffusion-Weighted Imaging

Geometric distortion in prostate diffusion-weighted imaging (DWI) can impair lesion localization and reduce the reliability of MRI-based clinical assessment. We propose AutoIQ, an ensemble machine learning framework for automatic quantification and classification of DWI geometric distortion severity. A total of 140 retrospective prostate biparametric MRI examinations were analyzed, including 33 scans with severe distortion requiring repeat acquisition and 107 scans with acceptable distortion based on expert radiologist assessment. AutoIQ combines two complementary distortion quantification strategies: a segmentation-based method measuring prostate boundary mismatch between T2-weighted imaging (T2WI) and DWI, and a registration-based method estimating deformation magnitude after DWI-to-T2WI alignment. The resulting distortion scores were used to train individual classifiers and a logistic-regression ensemble model. Both computational methods significantly differentiated severe from acceptable distortion cases (p < 0.001). On an independent test set, the ensemble model achieved an accuracy of 0.95, F1-score of 0.93, and AUC of 0.98, outperforming individual models. These results suggest that AutoIQ can provide automated, quantitative quality assessment for prostate DWI and may help identify scans that require repeat acquisition.

Haoran Sun, Lixia Wang, Yin-Chen Hsu +13

Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA · Siemens Medical Solutions USA Inc., Los Angeles, CA, USA · Siemens Healthineers AG, Forchheim, Germany +5

Medical Imaging Magnetic Resonance Imaging Diffusion MRI Image Quality Assessment

May 29, 2026

MoE-dqINR: A Unified Mixture-of-Experts Implicit Neural Representation Framework for Scan-Specific Dynamic and Quantitative MRI Reconstruction

Undersampled magnetic resonance imaging (MRI) reconstruction seeks to recover temporally or contrast-varying image series from incomplete multicoil k-space data while preserving state-dependent fidelity for dynamic and quantitative MRI (qMRI). Existing scan-specific implicit neural representations (INRs) often use monolithic spatiotemporal coordinate fields, explicit subspaces, motion or deformation models, calibration variables, or sequence-specific quantitative signal models. These design choices can limit flexibility in sharing spatial information while adapting image synthesis across acquisition states. Moreover, many INR-based baselines remain computationally demanding, typically requiring per-scan optimization times on the order of hundreds to thousands of seconds. We propose MoE-dqINR, a scan-specific multicoil MRI reconstruction framework that factorizes the image-domain representation into shared spatial experts and a state-conditioned routing pathway. Spatial experts encode reusable coordinate-dependent image content, whereas routing weights, conditioned on ordered acquisition states, synthesize each dynamic frame or contrast state from a common expert bank. The representation is coupled to a multicoil MRI forward model, uses the normalized state index to drive routing in both dynamic and quantitative MRI. By separating shared spatial representation from state-dependent synthesis, the framework provides an image-first architecture for dynamic and quantitative MRI while reducing scan-specific INR optimization to approximately 30 s per scan in our experiments. The proposed formulation establishes state-conditioned mixture-of-experts INR as a scan-specific multicoil MRI reconstruction prior that unifies shared spatial representation, dynamic- and qMRI-specific synthesis, and practical per-scan efficiency.

Yinzhe Wu, Fanwen Wang, Zhenxuan Zhang +3

Department of Bioengineering and I-X, Imperial College London, London, SW7 2AZ, United Kingdom · Cardiovascular Research Centre, Royal Brompton Hospital, London, SW3 6NP, United Kingdom · Shanghai Pudong Hospital and Human Phenome Institute, Fudan University, Shanghai, China +3

Implicit Neural Representations Mixture of Experts Accelerated MRI Reconstruction Magnetic Resonance Imaging

May 29, 2026

A physics-informed foundation model for quantitative diffusion MRI

Understanding the human brain requires access to its microscopic tissue architecture. Diffusion magnetic resonance imaging (MRI) provides the only noninvasive window into whole-brain microstructure in vivo, yet reliable quantitative mapping remains confined to specialized research settings requiring dense sampling and optimized acquisition protocols. To address this gap, we present a physics-informed generative microstructure network (PIGMENT) that learns a universal generative prior of human brain microstructure and adapts it zero-shot to each participant's measured data to recover subject-specific maps. Trained on 11375 scans spanning multiple sites, vendors, and field strengths, PIGMENT enabled reliable quantitative mapping for tensor, kurtosis, and NODDI models across external datasets from five independent centers. It remains effective where conventional fitting becomes unreliable, recovering meaningful maps from extremely sparse acquisitions while supporting downstream tractography and structural connectivity mapping. PIGMENT estimates demonstrated strong biological validity, preserving submillimeter cortical microarchitectural patterns and early-childhood white matter developmental trajectories from 10-fold accelerated scans. Furthermore, PIGMENT enables reliable quantitative tensor mapping on cost-efficient low-field systems and the extraction of tumor-related biomarkers using ultra-fast clinical protocols. Together, these results establish PIGMENT as a physics-informed foundation model that extends quantitative diffusion MRI into regimes traditionally too sparse, heterogeneous, or clinically constrained for reliable analysis.

Zihan Li, Jialan Zheng, Ziyu Li +18

School of Biomedical Engineering, Tsinghua University, Beijing, China. · Oxford Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom. · Department of Radiology, West China Second University Hospital, Sichuan University, Chengdu, China. +4

Physics-Informed Diffusion Models Medical Imaging Foundation Models Magnetic Resonance Imaging Physics-Informed ML Diffusion MRI Brain MRI

May 29, 2026

Multi-Contrast MRI Motion Correction via Parameter-Informed Disentanglement and Adaptive Experts

Motion artifacts in magnetic resonance imaging (MRI) degrade diagnostic reliability. Existing deep learning methods are typically contrast-specific and fail to generalize across diverse modalities and artifact severities. We propose a unified framework combining parameter-informed contrast disentanglement with severity-aware adaptive correction. ScanCLIP, pretrained on over 30,000 MRI text-image pairs, derives contrast embeddings from acquisition parameters to disentangle contrast style from anatomical content, yielding contrast-free features. A Vision Transformer then estimates motion severity and routes features through a Mixture-of-Experts network, enabling targeted artifact correction. A dual-pathway decoder reconstructs both the clean image and residual artifact map, enforcing image-space consistency. On IXI and HCP benchmarks, our method improves PSNR by 0.75 dB and SSIM by up to 0.0279 over state-of-the-art approaches, with larger gains at higher artifact severities. It further demonstrates robust zero-shot generalization on real-world clinical data acquired with unseen scanning parameters, where existing methods either fail to remove artifacts or introduce additional distortions.

Honglin Xiong, Yuxian Tang, Feng Li +4

Disentangled Representation Learning Magnetic Resonance Imaging Medical Image Representation Learning

May 28, 2026

CardioLens: Revealing the Clinical Reality Gap of MLLMs via Multi-Sequence Cardiac MRI Evaluations

Multimodal Large Language Models (MLLMs) have shown strong performance on public medical benchmarks, yet existing evaluations often remain weak proxies for clinical use, relying on isolated inputs and simplified recognition-style tasks. We introduce CardioLens, a leakage-resistant evaluation testbed for multi-sequence Cardiovascular Magnetic Resonance (CMR), constructed from private hospital archives through a rigorous report-to-QA construction and verification pipeline. CardioLens contains 473,896 slices and 13,494 verified QA pairs across 4D Cine, LGE, perfusion, and T2-weighted imaging, and evaluates three stages of CMR interpretation: image understanding, report generation, and disease diagnosis. Across 24 state-of-the-art MLLMs, CardioLens reveals a substantial clinical reality gap: models perform poorly overall, with performance degrading along the real CMR workflow. Confusion analysis further shows a category-collapse failure mode, where models default to frequent abnormal categories rather than distinguishing clinically distinct findings. To rule out MLLM-compatible input construction as the primary cause, we compare random, clinically motivated, and data-driven slice selection protocols under different slice budgets; performance changes only marginally, typically by about 1%. Explicit reasoning prompts also fail to rescue performance, often making models more conservative rather than improving visual evidence use. These results show that current MLLMs remain far from reliable CMR interpretation, where clinical decisions require integrating distributed evidence across sequences, views, and temporal phases. CardioLens provides a clinically grounded testbed for developing next-generation MLLMs toward real-world clinical deployment.

Zixian Su, Hongkai Zhang, Fan Gao +12

Beijing Academy of Artificial Intelligence · Beijing Anzhen Hospital · Beihang University +1

Magnetic Resonance Imaging Medical VLMs Multimodal Model Evaluation Medical Image Benchmarks Cardiac MRI

May 27, 2026

Enhancing Ultra-low-field MRI with Segmentation-guided Adversarial Learning

Ultra-low-field (ULF) MRI offers portable and low-cost imaging but suffers from poor image quality. To address this, we present our submission to the 2025 ULF Enhancement Challenge (ULF-EnC), where the goal is to synthesise high-field-like MRIs from 64 mT scans. Our pipeline enhances ULF MRI through a combination of anatomical conditioning and model ensembling. We first generate tissue segmentation priors using a Swin UNETR trained solely on challenge-provided data. These priors condition two independent enhancement networks - a CycleGAN and a transformer-based residual enhancement model (T-REX) - each trained to synthesise 3 T-like MRIs. Outputs from both models are combined using a weighted average. Our approach produces enhanced MRIs that were comparable to high-field scans both quantitatively and qualitatively.

James Grover, Andrew Phair, Michael Ferraro +1

Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney

Image Enhancement Magnetic Resonance Imaging Medical Image Synthesis

May 26, 2026

FM-fMRI: Event Conditioned Flow Matching for Rest-to-Task fMRI Time-Series Synthesis

Task-based fMRI provides a direct readout of task-evoked neural dynamics, but it is expensive and difficult to acquire at scale, motivating rest-to-task synthesis from widely available resting-state fMRI (rsfMRI). We propose FM-fMRI, an event-conditioned flow-matching model that learns a continuous-time conditional vector field to generate task ROI time series from a subject's rsfMRI and the task event information. The formulation enables fast ODE-based sampling and flexible conditioning over heterogeneous event schedules. Rather than optimizing for pointwise reconstruction, we evaluated generated signals using complementary criteria that probe temporal and spectral structure, subject and group-level connectome consistency, and distributional alignment. On the public Human Connectome Project and internal BioPoint autism cohort, FM-fMRI achieves the strongest spectral and connectivity agreement and improved distribution-level matching over conditional diffusion, generative adversarial networks (GANs), and variational autoencoders (VAEs) baselines. Furthermore, we augment the BioPoint cohort by synthesizing task-fMRI ROI time series with our method, improving downstream autism classification and demonstrating practical utility in data-limited clinical settings. The code will be available on GitHub.

Peiyu Duan, Jiyao Wang, Nicha C. Dvornek +4

Department of Biomedical Engineering, Yale University, New Haven, CT, USA · Department of Radiology & Biomedical Imaging, Yale University, New Haven, CT, USA · Department of Electrical Engineering, Yale University, New Haven, CT, USA

Flow Matching Synthetic Data Generation Magnetic Resonance Imaging Medical Image Synthesis Conditional Generative Modeling

May 25, 2026

SAFE-Diff: Scale-Aware Attention and Feature-Dispersive Diffusion with Uncertainty Estimation for Contrast-Enhanced Breast MRI Synthesis

Synthesizing high fidelity contrast enhanced MRI is clinically valuable for safer and more efficient breast cancer screening, yet remains challenging due to complex lesion textures and heterogeneous enhancement patterns.

Tianyu Zhang, Xinglong Liang, Jarek van Dijk +13

Department of Medical Imaging, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, The Netherlands · Department of Radiology, Netherlands Cancer Institute, Plesmanlaan 121, 1066May CX, Amsterdam, The Netherlands · Maastro Clinic, Dr. Tanslaan 12, 6229 ET, Maastricht, The Netherlands +2

Magnetic Resonance Imaging Medical Image Synthesis Diffusion Models

May 25, 2026

Artifact Correction for Echo-Planar Imaging at Low-Field and Ultra-Low-Field MRI

Purpose: Echo-planar imaging (EPI) in low-field (LF) and ultra-low-field MRI (ULF) suffers from severe Nyquist ghost artifacts due to odd-even k-space misalignment. This study develops a reference-free artifact correction pipeline that reduces reliance on conventional reference scans while achieving improved ghost suppression. Methods: Starting from the traditional reference-scan-based ghost artifact correction method, we first introduce a peak-alignment-based ghost artifact correction method to correct odd-even line displacement without reference data. To further reduce residual artifacts, an interpolation-and-resampling strategy is applied. The combined method was evaluated using EPI and diffusion-weighted EPI data in LF and ULF. Results: The proposed pipeline effectively mitigated Nyquist ghosts, improved structural continuity, and enhanced signal uniformity. Peak-alignment-based ghost artifact correction method alone provided comparable artifact suppression to reference-scan-based ghost artifact correction method, while interpolation and resampling further suppressed residual artifacts, enabling reliable visualization of brain structures under ULF conditions. Conclusion: A practical, reference-free correction pipeline is presented for LF and ULF EPI, combining peak-alignment-based ghost artifact correction method and interpolation-resampling to achieve efficient ghost suppression and expand the clinical applicability of low-field MRI systems, providing both theoretical guidance and practical experience for ULF EPI-based DWI imaging.

Sisi Qiao, Yilin Yu, Tiecheng Lin +3

School of Mechanical Engineering, Xi'an Jiaotong University, Xi'an, China

Magnetic Resonance Imaging

May 24, 2026

Self-Supervised Contrastive Learning for Cardiac MR Sequence Classification

Vision Transformer (ViT) models, utilizing self-attention mechanisms, have demonstrated robust generalization capabilities across various vision tasks, including image classification. However, these models, typically pretrained on general public datasets, often lack the specialized domain knowledge necessary for medical imaging applications. In this study, we investigate the adaptation of ViT models, specifically for cardiac magnetic resonance (MR) images, using an in-house dataset. We found that pretrained ViT features do not effectively transfer to the cardiac MR domain. To overcome this limitation, we introduce an adaptation strategy that utilizes image-based self-supervised contrastive learning, demonstrating superior performance compared to traditional supervised training approaches. Moreover, our adapted ViT model exhibits strong generalization to external MR datasets such as BraTS and ADNI. Through ablation studies, we further investigate the impact of batch size and dataset scale on performance. Ultimately, our adapted model achieves classification AUC exceeding 0.75 across the four most common cardiac MR sequences.

Yuli Wang, Hyewon Jung, Dongshen Peng +10

Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA · Department of Electrical and Computer Engineering, Johns Hopkins University,2026 Baltimore, MD, 21218, USA · Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 +4

Vision Transformer Vision Foundation Model Adaptation Medical Image Classification Magnetic Resonance Imaging Cardiac MRI

May 23, 2026

ULF-Synth: Physics-Guided Ultra-Low-Field MRI Enhancement for Pediatric Neuroimaging

Ultra-low-field (ULF) MRI offers portable and accessible neuroimaging but suffers from reduced signal-to-noise ratio and limited spatial resolution compared to high-field (HF) systems. Acquiring paired ULF-HF data for supervised enhancement is often difficult, particularly in resource-limited settings. We introduce ULF-Synth, a framework that combines: (i) acquisition-based synthesis of realistic ULF images from HF volumes to create large-scale paired training data, (ii) a spatial-frequency domain objective that prioritizes recovery of high-frequency anatomical detail. This formulation is architecture-agnostic, consistently improving structural similarity and perceptual fidelity across encoder-decoder, adversarial, and diffusion-based translation models. When trained exclusively on synthetic data, the resulting models generalize effectively to real 64mT ULF acquisitions, improving downstream multiclass brain segmentation and achieving higher radiologist preference and diagnostic acceptability in a blinded reader study. These findings demonstrate that synthetic paired supervision provides a practical and scalable pathway for enhancing ULF MRI without requiring real paired acquisitions. Code, Models and Dataset: https://github.com/toufiqmusah/ULF-Synth

Toufiq Musah, Salvatore Calcagno, Federica Proietto Salanitri +3

Kwame Nkrumah University of Science and Technology, Kumasi, Ghana · University of Catania, Catania, Italy · The Hong Kong University of Science and Technology, Hong Kong SAR, China +1

Medical Image Super-Resolution Magnetic Resonance Imaging Medical Image Synthesis Neuroimaging

May 23, 2026

Catching magnetic resonance imaging outliers in artificial intelligence-supported radiotherapy workflows: unsupervised detection and localization of image anomalies using deep learning

Artificial intelligence is increasingly integrated into radiotherapy workflows, yet such pipelines remain vulnerable to out-of-distribution image data that may introduce unexpected behavior in clinical tasks. Deep learning-based anomaly detection for pelvic magnetic resonance imaging (MRI) remains largely unexplored, and transparent evaluation of its feasibility for full automation is limited. We developed and evaluated a fully automated, unsupervised anomaly-detection framework for pelvic and brain MRI. A two-stage framework was trained on reference images from public datasets: LUND-PROBE for pelvic MRI, and IXI, fastMRI, and fastMRI+ for brain MRI. In the first stage, MRI slices were compressed into discrete tokens; in the second, the distribution of normal tokens was modeled. Anomaly evidence was estimated by combining perceptual image differences with token-surprisal scores based on negative log-likelihood. Automated detection was evaluated on pelvic MRI with synthetic global and real clinical anomalies, and on brain MRI with clinically annotated fastMRI+ abnormalities. Sensitivity, specificity, area under the receiver operating characteristic curve (AUC), and false-positive behavior in held-out normal cases were assessed. The framework achieved robust detection across hidden evaluation cohorts, with AUCs of 0.97 (95% CI, 0.95-0.98) and 0.81 (95% CI, 0.74-0.87) for pelvic and brain MRI, respectively. Heatmap analysis showed strong spatial agreement between detected anomalies and ground-truth locations, supporting localization accuracy and interpretability. These results support the potential of unsupervised anomaly detection as an automated MRI quality-control layer for radiotherapy workflows, with transparent visualization of image regions likely to compromise downstream AI-based tasks.

Mustafa Kadhim, Viktor Rogowski, Emilia Persson +7

Medical Radiation Physics, Lund University, Lund, Sweden. · Radiation Physics, Department of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund, Sweden. · Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden +4

Medical Image Anomaly Detection Anomaly Localization Magnetic Resonance Imaging Unsupervised Anomaly Detection OOD Detection

May 21, 2026

Robustness of breast lesion segmentation under MRI undersampling improves with k-space-aware deep learning

Purpose: To assess whether breast lesion segmentation can be learned directly from acquired MRI k-space, and whether doing so improves robustness when data are accelerated or noisy. Materials and Methods: This retrospective study used public breast dynamic contrast-enhanced MRI (DCE-MRI) datasets with acquired and synthetic k-space, together with a within-dataset synthetic control. We compared four 3D U-Net variants: a hybrid k-space-to-image model, a native k-space model, and magnitude and complex image-space baselines. Models were evaluated under increasing undersampling and added complex Gaussian k-space noise. The primary outcome was patient-level Dice similarity coefficient under cross-validation, with the hybrid model prespecified as the main comparison against the magnitude image-space baseline. Results: At full sampling, the hybrid and image-space models performed similarly. As acceleration increased, the hybrid model retained substantially more segmentation accuracy and significantly outperformed the magnitude image-space baseline across moderate to high undersampling levels. The same pattern was observed when noise was added directly to k-space: the hybrid model degraded more slowly, whereas the image-space baseline failed under heavier noise. This advantage was reproduced in the within-dataset synthetic control. Feature analysis suggested that the k-space stage and image-space stage played complementary roles, with frequency-domain filtering concentrated before image-domain lesion localization. Conclusion: K-space-aware deep learning improves the robustness of breast lesion segmentation under MRI undersampling and k-space noise, while matching image-space methods at full sampling.

Lukas T. Rotkopf, Marco Schlimbach, Julius C. Holzschuh +3

Institute for AI in Medicine (IKIM), University Hospital Essen, Essen, Germany · Department of Physics, Technical University Dortmund, Dortmund, Germany · 3Division of Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany +4

Magnetic Resonance Imaging Medical Image Segmentation 3D Medical Image Segmentation

May 21, 2026

MotionDPS: Motion-Compensated 3D Brain MRI Reconstruction

Magnetic resonance imaging (MRI) is highly susceptible to patient motion due to its relatively long acquisition times and the fact that data are acquired sequentially in k-space. Even small patient movements introduce phase inconsistencies across measurements, leading to severe artifacts such as blurring, ghosting, and geometric distortions that can compromise diagnostic quality. Retrospective motion compensation remains challenging, particularly in accelerated acquisitions, due to the ill-posed nature of the joint reconstruction and motion estimation problem. In this work, we propose a unified Bayesian framework for motion-compensated 3D MRI that jointly estimates the anatomical image, rigid-body motion parameters, and coil sensitivity maps directly from motion-corrupted k-space data. Our approach integrates pretrained 3D complex-valued score-based diffusion models as expressive anatomical image priors within a physics-based forward model. Inference is performed by alternating diffusion posterior image updates with efficient proximal optimization steps for motion and coil sensitivity estimation, enabling fully unsupervised reconstruction without the need for paired motion-free training data. Experiments on simulated and real-motion brain MRI datasets demonstrate that the proposed method achieves improved image quality and motion robustness compared to state-of-the-art classical and learning-based motion correction techniques, particularly in the presence of severe motion and high acceleration.

Antonio Ortiz-Gonzalez, Erich Kobler, Lukas Schletter +1

Life and Medical Sciences Institute, University of Bonn, Bonn, Germany · Institute for Machine Learning, LIT AI Lab, Department of Virtual Morphology, Clinical Research Institute Medical AI, Johannes Kepler University Linz, Linz, Austria · German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany +1

Accelerated MRI Reconstruction Magnetic Resonance Imaging Brain MRI

May 20, 2026

MRecover: A Conditional Generative Model for Recovering Motion-Corrupted MR images Using AI Generated Contrast

Hippocampal subfield segmentation requires high-resolution T2w turbo spin echo (TSE) MRI, yet this sequence is susceptible to motion artifacts, leading to substantial data loss. We developed a conditional generative model (MRecover) that synthesizes routinely acquired T1w images to create TSE images with autoregressive slice conditioning for volumetric consistency. Trained on 7T MRI data (n=577), the model achieved high in-domain fidelity (n=148, SSIM=0.84, FSIM=0.94) and generalized well to out-of-domain 3T data: subfield volumes from synthesized and the as-acquired images closely matched: (n=416, r=0.87-0.97) and yielded 31.8% more analyzable subjects in the motion-affected ADNI3 dataset after quality control (593 vs 450). The synthesized images also achieved larger effect sizes due to increasing the sample size for diagnostic group differences in hippocampal subfield atrophy (whole hippocampus

ε^2

= 0.121-0.100 vs. 0.086-0.062, left-right hemispheres). Project page: https://jinghangli98.github.io/MRecover/

Jinghang Li, Tales Santini, Courtney Clark +13

Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA · School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA · Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA +1

Conditional Image Generation Magnetic Resonance Imaging Medical Image Synthesis

May 20, 2026

Motion-Robust Deep Reconstruction for Free-Breathing Cardiac Cine MRI

Conventional cardiac cine MRI relies on breath-hold Cartesian acquisitions, which are vulnerable to motion artifacts and can be uncomfortable or infeasible, particularly for pediatric and other noncompliant patients who cannot reliably hold their breath. Free-breathing radial acquisitions can alleviate these limitations, but robust reconstruction at high acceleration remains challenging due to prominent streak artifacts. To address these limitations, we propose Cine-DL, a clinically oriented framework that couples targeted k-space preprocessing with fast, model-based deep reconstruction. In this pipeline, raw free-breathing radial data undergo retrospective cardiac binning and respiratory gating to resolve cardiac phases and discard motion-corrupted spokes. We then introduce Streak Optimized Coil Compression (SOC), which explicitly preserves cardiac signals while suppressing peripheral interference that typically drives the streak artifacts. The resulting 2D+t cine series is reconstructed with an unrolled network that alternates a ResNet proximal operator with physics-based data consistency updates solved via conjugate gradient. We further employ a memory-efficient training strategy that reduces peak memory usage. We evaluate Cine-DL on free-breathing volunteer data against established baselines (k-t SENSE and iGRASP) and demonstrate clinical translation via hospital deployment on newly acquired patient data. Our experiments show that Cine-DL consistently improves quantitative metrics and visual fidelity, supporting a practical route toward routine, time-sensitive clinical adoption of free-breathing cine MRI.

Mahmut Yurt, Kanghyun Ryu, Zhitao Li +8

Stanford University · KIST · GE Healthcare

Accelerated MRI Reconstruction Magnetic Resonance Imaging Cardiac MRI

May 18, 2026

Rapid online deep artifact suppression for real-time spiral bSSFP CMR with blipped-CAIPI simultaneous multi-slice imaging at 1.5 T

Purpose: Real-time (RT) bSSFP MRI enables fast free-breathing cardiovascular imaging but requires 10-16 slices for functional assessment, resulting in prolonged scan times. Simultaneous multi-slice (SMS) imaging can reduce acquisition time but when combined with non-Cartesian trajectories, it relies on iterative reconstructions that preclude online use. This study investigates deep artifact suppression to facilitate rapid, online reconstruction of RT-SMS. Methods: A spiral bSSFP SMS RT sequence with two simultaneously acquired slices was implemented at 1.5 T. Reconstruction used slice separation in k-space, followed by deep artifact suppression in image space using a 3D U-Net. Ten healthy volunteers were imaged. RT-SMS image quality and reconstruction time were compared between deep artifact suppression and compressed sensing (CS) reconstructions. Left (LV) and right (RV) ventricular volumes at end diastole (EDV) and end systole (ESV) and LV mass (LVM) were compared between RT-SMS with deep artifact suppression and reference-standard breath-hold (BH) imaging. Results: The RT-SMS acquisition was ~13x faster than BH imaging (15 s vs 3 min 15 s). RT-SMS reconstruction using deep artifact suppression was ~50x faster than CS (30 s vs 24 min 55 s). Deep artifact suppression consistently outperformed CS in quantitative and qualitative image quality (p<0.001). Functional agreement between BH and RT-SMS with deep artifact suppression was good (LVEDV: -7.5 +/- 6.8 ml, LVESV: -0.9 +/- 4.2 ml, RVEDV: -6.4 +/- 8.4 ml, RVESV: 0.2 +/- 10.7 ml, LVM: -10.3 +/- 11.0 g). Conclusion: Online deep artifact suppression reconstruction for RT-SMS bSSFP CMR enables free-breathing short-axis coverage with a substantial reduction in acquisition and reconstruction time while maintaining diagnostic image quality.

Julius Åkesson, Iulius Dragonu, Einar Heiberg +6

1: Centre for Translational Cardiovascular Imaging, Institute of Cardiovascular Science, University College London, London, United Kingdom. · 2: Clinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden. · 3: Department of Biomedical Engineering, Faculty of Engineering, Lund University, Lund, Sweden. +1

Accelerated MRI Reconstruction Magnetic Resonance Imaging Cardiac MRI

May 18, 2026

Speech-Guided Multimodal Learning for Vocal Tract Segmentation in Real-Time MRI

Segmenting vocal tract articulators in real-time MRI (rtMRI) is a challenging dynamic image segmentation problem characterized by low contrast, rapid motion, and limited spatial resolution. However, while rtMRI acquisitions may provide synchronized acoustic signals, existing methods discard this information, and the few multimodal approaches that incorporate audio cannot be deployed when audio is unavailable. We propose a three-stage framework that leverages acoustic and phonological supervision during training while requiring only the rtMRI image at inference: phonological representations are converted into spatial bounding-box priors for articulator localization, visual and acoustic encoders are aligned via dual-level cross-modal contrastive pretraining, and the learned representations are fused through a cross-attention decoder, effectively transferring multimodal knowledge into a single-modality inference pipeline. Evaluated on 75-Speaker~Annot-16 and USC-TIMIT datasets, our method outperforms existing unimodal and multimodal methods, demonstrating that multimodal supervision provides transferable benefits for precise and clinically deployable vocal tract segmentation.

Daiqi Liu, Lukas Mulzer, Md Hasan +11

Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany · Smart Imaging Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany · Harvard Medical School / Massachusetts General Hospital, Boston, USA +3

Cross-Modality Medical Image Segmentation Magnetic Resonance Imaging Medical Image Segmentation Multimodal Fusion

May 18, 2026

SIREM: Speech-Informed MRI Reconstruction with Learned Sampling

Real-time magnetic resonance imaging (rtMRI) of speech production enables non-invasive visualization of dynamic vocal-tract motion and is valuable for speech science and clinical assessment. However, rtMRI is fundamentally constrained by trade-offs among spatial resolution, temporal resolution, and acquisition speed, often leading to undersampled k-space measurements and degraded reconstructions. We propose SIREM, a speech-informed MRI reconstruction framework that uses synchronized speech as a cross-modal prior. The central idea is that vocal-tract configurations during speech are correlated with the produced acoustics, making part of the image content predictable from audio. SIREM models each frame as a fusion of an audio-driven component and an MRI-driven component through a spatial weighting map. The audio branch predicts articulator-related structure from speech, while the MRI branch reconstructs complementary content from measured k-space data. We further introduce a learnable soft weighting profile over spiral arms, enabling a differentiable study of how k-space arm usage interacts with speech-informed fusion. This yields a unified multimodal formulation that combines audio-driven prediction, MRI reconstruction, and sampling adaptation. We evaluate SIREM on the USC speech rtMRI benchmark against standard baselines, including gridding, wavelet-based compressed sensing, and total variation. SIREM introduces a speech-informed reconstruction paradigm that operates in a substantially higher-throughput regime than iterative methods while preserving anatomically plausible vocal-tract structure. These results establish an initial benchmark for multimodal speech-informed rtMRI reconstruction and highlight the potential of synchronized speech as an auxiliary prior for fast reconstruction. The source code is available at https://github.com/mdhasanai/SIREM

Md Hasan, Nyvenn Castro, Daiqi Liu +6

1Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany · Institute of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany · 3Institut für Informationsverarbeitung, Leibniz Universität Hannover, Hannover, Germany +1

Accelerated MRI Reconstruction Magnetic Resonance Imaging Adaptive Sampling

May 17, 2026

VISTA: Variance-Gated Inter-Sequence Test-Time Adaptation for Multi-Sequence MRI Segmentation

Deploying multi-sequence magnetic resonance imaging (MRI) segmentation models to new clinical environments is challenging due to variations in scanners and acquisition protocols. Although existing TTA methods handle basic per-modality shifts, they often fail under a fundamental dual-shift problem, as their adaptation signals fail to capture modality-interaction shifts that disrupt inter-sequence consistency. To address this, we propose Variance-gated Inter-Sequence Test-time Adaptation (VISTA), a source-free framework that tackles modality-interaction shifts. First, we design an Inter-Sequence Intervention Generator (ISIG) that generates a set of consistency probes by swapping low-frequency spectra and entropy-localized patches across sequences, preserving anatomical semantics while challenging inter-sequence dependencies. Second, we introduce Cross-View Disagreement-Aware Pseudo Labeling (CDPL), which establishes a voxel-wise reliability metric using cross-view disagreement variance to dynamically gate self-training and enforce interventional consistency, encouraging the network to rely on robust anatomical semantics. Extensive experiments adapting from standard adult MRI (BraTS-GLI-Pre) to African low-field (BraTS-SSA) and pediatric (BraTS-PED) cohorts show improved performance over competing methods under clinical shifts, achieving absolute Dice improvements of +1.89% (SSA) and +2.82% (PED) over the source model. The code is available at https://github.com/dzp2095/VISTA.

Zhipeng Deng, Jiale Zhou, Wenhan Jiang +4

Westlake University, Hangzhou, China · Hokkaido University, Sapporo, Japan · The Chinese University of Hong Kong, Hong Kong SAR, China +1

Multi-View Consistency Test-Time Adaptation Magnetic Resonance Imaging Medical Image Segmentation

May 15, 2026

Deep Learning for MRI Slice Interpolation: The Critical Role of Problem Formulation

Through-plane resolution in clinical MRI is typically much coarser than in-plane resolution, limiting diagnostic utility. This work investigates deep learning approaches to interpolate intermediate MRI slices in prostate imaging, effectively doubling through-plane resolution. I evaluated five architectures (CNN, U-Net, two GAN variants, and DDPM) and discovered that problem formulation has dramatically more impact than architectural complexity. By reformulating the interpolation task to use adjacent slices (i-1, i+1) rather than distant slices (i-2, i+2), I achieved a 58% improvement in SSIM performance across all deterministic architectures. The U-Net model achieved the best results with PSNR of 30.08 dB and SSIM of 0.898, representing a 10.1% improvement over linear interpolation baseline. A DDPM was also evaluated but showed poor reconstruction quality due to fundamental mismatch between stochastic generation and deterministic reconstruction requirements. These findings demonstrate that problem formulation can have 290x more impact than architectural sophistication in medical imaging tasks.

Shamit Savant

University of Florida, Gainesville, FL 32611, USA

Medical Image Super-Resolution Magnetic Resonance Imaging