High-performance rapid MR parameter mapping using model-based deep adversarial learning

HDNLS: Hybrid Deep-Learning and Non-Linear Least Squares-Based Method for Fast Multi-Component T1ρ Mapping in the Knee Joint

Non-linear least squares (NLS) methods are commonly used for quantitative magnetic resonance imaging (MRI), especially for multi-exponential T1ρ mapping, which provides precise parameter estimation for different relaxation models in tissues, such as mono-exponential (ME), bi-exponential (BE), and stretched-exponential (SE) models. However, NLS may suffer from problems like sensitivity to initial guesses, slow convergence speed, and high computational cost. While deep learning (DL)-based T1ρ fitting methods offer faster alternatives, they often face challenges such as noise sensitivity and reliance on NLS-generated reference data for training. To address these limitations of both approaches, we propose the HDNLS, a hybrid model for fast multi-component parameter mapping, particularly targeted for T1ρ mapping in the knee joint. HDNLS combines voxel-wise DL, trained with synthetic data, with a few iterations of NLS to accelerate the fitting process, thus eliminating the need for reference MRI data for training. Due to the inverse-problem nature of the parameter mapping, certain parameters in a specific model may be more sensitive to noise, such as the short component in the BE model. To address this, the number of NLS iterations in HDNLS can act as a regularization, stabilizing the estimation to obtain meaningful solutions. Thus, in this work, we conducted a comprehensive analysis of the impact of NLS iterations on HDNLS performance and proposed four variants that balance estimation accuracy and computational speed. These variants are Ultrafast-NLS, Superfast-HDNLS, HDNLS, and Relaxed-HDNLS. These methods allow users to select a suitable configuration based on their specific speed and performance requirements. Among these, HDNLS emerges as the optimal trade-off between performance and fitting time. Extensive experiments on synthetic data demonstrate that HDNLS achieves comparable performance to NLS and regularized-NLS (RNLS) with a minimum of a 13-fold improvement in speed. HDNLS is just a little slower than DL-based methods; however, it significantly improves estimation quality, offering a solution for T1ρ fitting that is fast and reliable.

DeepEMC-T2 mapping: Deep learning-enabled T2 mapping based on echo modulation curve modeling

PURPOSE

Echo modulation curve (EMC) modeling enables accurate quantification of T2 relaxation times in multi-echo spin-echo (MESE) imaging. The standard EMC-T2 mapping framework, however, requires sufficient echoes and cumbersome pixel-wise dictionary-matching steps. This work proposes a deep learning version of EMC-T2 mapping, called DeepEMC-T2 mapping, to efficiently estimate accurate T2 maps from fewer echoes.

METHODS

DeepEMC-T2 mapping was developed using a modified U-Net to estimate both T2 and proton density (PD) maps directly from MESE images. The network implements several new features to improve the accuracy of T2/PD estimation. A total of 67 MESE datasets acquired in axial orientation were used for network training and evaluation. An additional 57 datasets acquired in coronal orientation with different scan parameters were used to evaluate the generalizability of the framework. The performance of DeepEMC-T2 mapping was evaluated in seven experiments.

RESULTS

Compared to the reference, DeepEMC-T2 mapping achieved T2 estimation errors from 1% to 11% and PD estimation errors from 0.4% to 1.5% with ten/seven/five/three echoes, which are more accurate than standard EMC-T2 mapping. By incorporating datasets acquired with different scan parameters and orientations for joint training, DeepEMC-T2 exhibits robust generalizability across varying imaging protocols. Increasing the echo spacing and including longer echoes improve the accuracy of parameter estimation. The new features proposed in DeepEMC-T2 mapping all enabled more accurate T2 estimation.

CONCLUSIONS

DeepEMC-T2 mapping enables simplified, efficient, and accurate T2 quantification directly from MESE images without dictionary matching. Accurate T2 estimation from fewer echoes allows for increased volumetric coverage and/or higher slice resolution without prolonging total scan times.

Diffusion Modeling with Domain-conditioned Prior Guidance for Accelerated MRI and qMRI Reconstruction

This study introduces a novel image reconstruction technique based on a diffusion model that is conditioned on the native data domain. Our method is applied to multi-coil MRI and quantitative MRI (qMRI) reconstruction, leveraging the domain-conditioned diffusion model within the frequency and parameter domains. The prior MRI physics are used as embeddings in the diffusion model, enforcing data consistency to guide the training and sampling process, characterizing MRI k-space encoding in MRI reconstruction, and leveraging MR signal modeling for qMRI reconstruction. Furthermore, a gradient descent optimization is incorporated into the diffusion steps, enhancing feature learning and improving denoising. The proposed method demonstrates a significant promise, particularly for reconstructing images at high acceleration factors. Notably, it maintains great reconstruction accuracy for static and quantitative MRI reconstruction across diverse anatomical structures. Beyond its immediate applications, this method provides potential generalization capability, making it adaptable to inverse problems across various domains.

Fast Whole-Brain MR Multi-Parametric Mapping with Scan-Specific Self-Supervised Networks

Quantification of tissue parameters using MRI is emerging as a powerful tool in clinical diagnosis and research studies. The need for multiple long scans with different acquisition parameters prohibits quantitative MRI from reaching widespread adoption in routine clinical and research exams. Accelerated parameter mapping techniques leverage parallel imaging, signal modelling and deep learning to offer more practical quantitative MRI acquisitions. However, the achievable acceleration and the quality of maps are often limited. Joint MAPLE is a recent state-of-the-art multi-parametric and scan-specific parameter mapping technique with promising performance at high acceleration rates. It synergistically combines parallel imaging, model-based and machine learning approaches for joint mapping ofT 1 , T 2 * , proton density and the field inhomogeneity. However, Joint MAPLE suffers from prohibitively long reconstruction time to estimate the maps from a multi-echo, multi-flip angle (MEMFA) dataset at high resolution in a scan-specific manner. In this work, we propose a faster version of Joint MAPLE which retains the mapping performance of the original version. Coil compression, random slice selection, parameter-specific learning rates and transfer learning are synergistically combined in the proposed framework. It speeds-up the reconstruction time up to 700 times than the original version and processes a whole-brain MEMFA dataset in 21 minutes on average, which originally requires ~260 hours for Joint MAPLE. The mapping performance of the proposed framework is ~2-fold better than the standard and the state-of-the-art evaluated reconstruction techniques on average in terms of the root mean squared error.

Knowledge-driven deep learning for fast MR imaging: Undersampled MR image reconstruction from supervised to un-supervised learning

Deep learning (DL) has emerged as a leading approach in accelerating MRI. It employs deep neural networks to extract knowledge from available datasets and then applies the trained networks to reconstruct accurate images from limited measurements. Unlike natural image restoration problems, MRI involves physics-based imaging processes, unique data properties, and diverse imaging tasks. This domain knowledge needs to be integrated with data-driven approaches. Our review will introduce the significant challenges faced by such knowledge-driven DL approaches in the context of fast MRI along with several notable solutions, which include learning neural networks and addressing different imaging application scenarios. The traits and trends of these techniques have also been given which have shifted from supervised learning to semi-supervised learning, and finally, to unsupervised learning methods. In addition, MR vendors' choices of DL reconstruction have been provided along with some discussions on open questions and future directions, which are critical for the reliable imaging systems.

Highly accelerated parameter mapping using model-based alternating reconstruction coupling fitting

Objective.A model-based alternating reconstruction coupling fitting, termed Model-based Alternating Reconstruction COupling fitting (MARCO), is proposed for accurate and fast magnetic resonance parameter mapping.Approach.MARCO utilizes the signal model as a regularization by minimizing the bias between the image series and the signal produced by the suitable signal model based on iteratively updated parameter maps when reconstructing. The technique can incorporate prior knowledge of both image series and parameters by adding sparsity constraints. The optimization problem is decomposed into three subproblems and solved through three alternating steps involving reconstruction and nonlinear least-square fitting, which can produce both contrast-weighted images and parameter maps simultaneously.Main results.The algorithm is applied toT2mapping with extended phase graph algorithm integrated and validated on undersampled multi-echo spin-echo data from both phantom and in vivo sources. Compared with traditional compressed sensing and model-based methods, the proposed approach yields more accurateT2maps with more details at high acceleration factors.Significance.The proposed method provides a basic framework for quantitative MR relaxometry, theoretically applicable to all quantitative MR relaxometry. It has the potential to improve the diagnostic utility of quantitative imaging techniques.

Improving quantitative MRI using self-supervised deep learning with model reinforcement: Demonstration for rapid T1 mapping

PURPOSE

This paper proposes a novel self-supervised learning framework that uses model reinforcement, REference-free LAtent map eXtraction with MOdel REinforcement (RELAX-MORE), for accelerated quantitative MRI (qMRI) reconstruction. The proposed method uses an optimization algorithm to unroll an iterative model-based qMRI reconstruction into a deep learning framework, enabling accelerated MR parameter maps that are highly accurate and robust.

METHODS

Unlike conventional deep learning methods which require large amounts of training data, RELAX-MORE is a subject-specific method that can be trained on single-subject data through self-supervised learning, making it accessible and practically applicable to many qMRI studies. Using quantitativeT 1 $$ {\mathrm{T}}_1 $$ mapping as an example, the proposed method was applied to the brain, knee and phantom data.

RESULTS

The proposed method generates high-quality MR parameter maps that correct for image artifacts, removes noise, and recovers image features in regions of imperfect image conditions. Compared with other state-of-the-art conventional and deep learning methods, RELAX-MORE significantly improves efficiency, accuracy, robustness, and generalizability for rapid MR parameter mapping.

CONCLUSION

This work demonstrates the feasibility of a new self-supervised learning method for rapid MR parameter mapping, that is readily adaptable to the clinical translation of qMRI.

Joint MAPLE: Accelerated joint T1 and T 2 * $$ {{\mathrm{T}}_2}^{\ast } $$ mapping with scan-specific self-supervised networks

PURPOSE

Quantitative MRI finds important applications in clinical and research studies. However, it is encoding intensive and may suffer from prohibitively long scan times. Accelerated MR parameter mapping techniques have been developed to help address these challenges. Here, an accelerated joint T1,T 2 * $$ {{\mathrm{T}}_2}^{\ast } $$ , frequency and proton density mapping technique with scan-specific self-supervised network reconstruction is proposed to synergistically combine parallel imaging, model-based, and deep learning approaches to speed up parameter mapping.

METHODS

Proposed framework, Joint MAPLE, includes parallel imaging, signal modeling, and data consistency blocks which are optimized jointly in a combined loss function. A scan-specific self-supervised reconstruction is embedded into the framework, which takes advantage of multi-contrast data from a multi-echo, multi-flip angle, gradient echo acquisition.

RESULTS

In comparison with parallel reconstruction techniques powered by low-rank methods, emerging scan specific networks, and model-basedT 2 * $$ {{\mathrm{T}}_2}^{\ast } $$ estimation approaches, the proposed framework reduces the reconstruction error in parameter maps by approximately two-fold on average at acceleration rates as high as R = 16 with uniform sampling. It can outperform evaluated parallel reconstruction techniques up to four-fold on average in the presence of challenging sub-sampling masks. It is observed that Joint MAPLE performs well at extreme acceleration rates of R = 25 and R = 36 with error values less than 20%.

CONCLUSION

Joint MAPLE enables higher fidelity parameter estimation at high acceleration rates by synergistically combining parallel imaging and model-based parameter mapping and exploiting multi-echo, multi-flip angle datasets. Utilizing a scan-specific self-supervised reconstruction obviates the need for large data sets for training while improving the parameter estimation ability.

A model-based MR parameter mapping network robust to substantial variations in acquisition settings

Deep learning methods show great potential for the efficient and precise estimation of quantitative parameter maps from multiple magnetic resonance (MR) images. Current deep learning-based MR parameter mapping (MPM) methods are mostly trained and tested using data with specific acquisition settings. However, scan protocols usually vary with centers, scanners, and studies in practice. Thus, deep learning methods applicable to MPM with varying acquisition settings are highly required but still rarely investigated. In this work, we develop a model-based deep network termed MMPM-Net for robust MPM with varying acquisition settings. A deep learning-based denoiser is introduced to construct the regularization term in the nonlinear inversion problem of MPM. The alternating direction method of multipliers is used to solve the optimization problem and then unrolled to construct MMPM-Net. The variation in acquisition parameters can be addressed by the data fidelity component in MMPM-Net. Extensive experiments are performed on R2 mapping and R1 mapping datasets with substantial variations in acquisition settings, and the results demonstrate that the proposed MMPM-Net method outperforms other state-of-the-art MR parameter mapping methods both qualitatively and quantitatively.

A CT-based integrated model for preoperative prediction of occult lymph node metastasis in early tongue cancer

Background

Occult lymph node metastasis (OLNM) is an essential prognostic factor for early-stage tongue cancer (cT1-2N0M0) and a determinant of treatment decisions. Therefore, accurate prediction of OLNM can significantly impact the clinical management and outcomes of patients with tongue cancer. The aim of this study was to develop and validate a multiomics-based model to predict OLNM in patients with early-stage tongue cancer.

Methods

The data of 125 patients diagnosed with early-stage tongue cancer (cT1-2N0M0) who underwent primary surgical treatment and elective neck dissection were retrospectively analyzed. A total of 100 patients were randomly assigned to the training set and 25 to the test set. The preoperative contrast-enhanced computed tomography (CT) and clinical data on these patients were collected. Radiomics features were extracted from the primary tumor as the region of interest (ROI) on CT images, and correlation analysis and the least absolute shrinkage and selection operator (LASSO) method were used to identify the most relevant features. A support vector machine (SVM) classifier was constructed and compared with other machine learning algorithms. With the same method, a clinical model was built and the peri-tumoral and intra-tumoral images were selected as the input for the deep learning model. The stacking ensemble technique was used to combine the multiple models. The predictive performance of the integrated model was evaluated for accuracy, sensitivity, specificity, and the area under the receiver operating characteristic curve (AUC-ROC), and compared with expert assessment. Internal validation was performed using a stratified five-fold cross-validation approach.

Results

Of the 125 patients, 41 (32.8%) showed OLNM on postoperative pathological examination. The integrated model achieved higher predictive performance compared with the individual models, with an accuracy of 84%, a sensitivity of 100%, a specificity of 76.5%, and an AUC-ROC of 0.949 (95% CI [0.870-1.000]). In addition, the performance of the integrated model surpassed that of younger doctors and was comparable to the evaluation of experienced doctors.

Conclusions

The multiomics-based model can accurately predict OLNM in patients with early-stage tongue cancer, and may serve as a valuable decision-making tool to determine the appropriate treatment and avoid unnecessary neck surgery in patients without OLNM.

Ultrafast Brain MRI Protocol at 1.5 T Using Deep Learning and Multi-shot EPI

RATIONALE AND OBJECTIVES

To evaluate clinical feasibility and image quality of a comprehensive ultrafast brain MRI protocol with multi-shot echo planar imaging and deep learning-enhanced reconstruction at 1.5T.

MATERIALS AND METHODS

Thirty consecutive patients who underwent clinically indicated MRI at a 1.5 T scanner were prospectively included. A conventional MRI (c-MRI) protocol, including T1-, T2-, T2*-, T2-FLAIR, and diffusion-weighted images (DWI)-weighted sequences were acquired. In addition, ultrafast brain imaging with deep learning-enhanced reconstruction and multi-shot EPI (DLe-MRI) was performed. Subjective image quality was evaluated by three readers using a 4-point Likert scale. To assess interrater agreement, Fleiss' kappa (ϰ) was determined. For objective image analysis, relative signal intensity levels for grey matter, white matter, and cerebrospinal fluid were calculated.

RESULTS

Time of acquisition (TA) of c-MRI protocols added up to 13:55 minutes, whereas the TA of DLe-MRI-based protocol added up to 3:04 minutes, resulting in a time reduction of 78%. All DLe-MRI acquisitions yielded diagnostic image quality with good absolute values for subjective image quality. C-MRI demonstrated slight advantages for DWI in overall subjective image quality (c-MRI: 3.93 [+/- 0.25] vs DLe-MRI: 3.87 [+/- 0.37], P = .04) and diagnostic confidence (c-MRI: 3.93 [+/- 0.25] vs DLe-MRI: 3.83 [+/- 3.83], P = .01). For most evaluated quality scores, moderate interobserver agreement was found. Objective image evaluation revealed comparable results for both techniques.

CONCLUSION

DLe-MRI is feasible and allows for highly accelerated comprehensive brain MRI within 3minutes at 1.5 T with good image quality. This technique may potentially strengthen the role of MRI in neurological emergencies.

Denoising and uncertainty estimation in parameter mapping with approximate Bayesian deep image priors

PURPOSE

To mitigate the problem of noisy parameter maps with high uncertainties by casting parameter mapping as a denoising task based on Deep Image Priors.

METHODS

We extend the concept of denoising with Deep Image Prior (DIP) into parameter mapping by treating the output of an image-generating network as a parametrization of tissue parameter maps. The method implicitly denoises the parameter mapping process by filtering low-level image features with an untrained convolutional neural network (CNN). Our implementation includes uncertainty estimation from Bernoulli approximate variational inference, implemented with MC dropout, which provides model uncertainty in each voxel of the denoised parameter maps. The method is modular, so the specifics of different applications (e.g., T1 mapping) separate into application-specific signal equation blocks. We evaluate the method on variable flip angle T1 mapping, multi-echo T2 mapping, and apparent diffusion coefficient mapping.

RESULTS

We found that deep image prior adapts successfully to several applications in parameter mapping. In all evaluations, the method produces noise-reduced parameter maps with decreased uncertainty compared to conventional methods. The downsides of the proposed method are the long computational time and the introduction of some bias from the denoising prior.

CONCLUSION

DIP successfully denoise the parameter mapping process and applies to several applications with limited hyperparameter tuning. Further, it is easy to implement since DIP methods do not use network training data. Although time-consuming, uncertainty information from MC dropout makes the method more robust and provides useful information when properly calibrated.

Emerging Trends in Fast MRI Using Deep-Learning Reconstruction on Undersampled k-Space Data: A Systematic Review

Magnetic Resonance Imaging (MRI) is an essential medical imaging modality that provides excellent soft-tissue contrast and high-resolution images of the human body, allowing us to understand detailed information on morphology, structural integrity, and physiologic processes. However, MRI exams usually require lengthy acquisition times. Methods such as parallel MRI and Compressive Sensing (CS) have significantly reduced the MRI acquisition time by acquiring less data through undersampling k-space. The state-of-the-art of fast MRI has recently been redefined by integrating Deep Learning (DL) models with these undersampled approaches. This Systematic Literature Review (SLR) comprehensively analyzes deep MRI reconstruction models, emphasizing the key elements of recently proposed methods and highlighting their strengths and weaknesses. This SLR involves searching and selecting relevant studies from various databases, including Web of Science and Scopus, followed by a rigorous screening and data extraction process using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. It focuses on various techniques, such as residual learning, image representation using encoders and decoders, data-consistency layers, unrolled networks, learned activations, attention modules, plug-and-play priors, diffusion models, and Bayesian methods. This SLR also discusses the use of loss functions and training with adversarial networks to enhance deep MRI reconstruction methods. Moreover, we explore various MRI reconstruction applications, including non-Cartesian reconstruction, super-resolution, dynamic MRI, joint learning of reconstruction with coil sensitivity and sampling, quantitative mapping, and MR fingerprinting. This paper also addresses research questions, provides insights for future directions, and emphasizes robust generalization and artifact handling. Therefore, this SLR serves as a valuable resource for advancing fast MRI, guiding research and development efforts of MRI reconstruction for better image quality and faster data acquisition.

[Physical model-based cascaded generative adversarial networks for accelerating quantitative multi-parametric magnetic resonance imaging]

OBJECTIVE

To explore the feasibility and interpretation of physical model- based cascaded generative adversarial networks for accelerating quantitative multi-echo multi-parametric magnetic resonance imaging using raw multi-echo multicoil k-space data.

METHODS

A physical model-based cascaded generative adversarial network is proposed to enhance image feature information to obtain high-quality reconstructed images using joint training of multi-domain information and learning of key parameters required for image reconstruction through a system matrix and adaptively optimizing the k-space generator and image generator structures. Raw multi-echo multi-coil k-space data are used to accelerate multi-contrast multi-parametric magnetic resonance imaging. A physically driven deep learning reconstruction method is used to increase the generalization capability and improve the model performance by building a system matrix function instead of direct end-to-end training of the model.

RESULTS

In terms of overall image quality, the proposed model achieved significant improvements compared to other methods. On an 80- case test set, the average PSNR value of the reconstructed images was 34.13, SSIM was 0.965, and NRMSE was 0.114. In terms of multi-contrast multi-parametric image reconstruction, the model achieved PSNR values of 38.87 for PDW, 35.62 for T1W, and 34.38 for T2* Map, which were significantly better than those of other methods for quantitative evaluation. The model also produced clearer features of the brain gray matter, white matter, and cerebrospinal fluid. Furthermore, compared with the existing methods with a reconstruction time difference of less than 10%, the proposed method achieved the highest improvement of up to 20% in the metrics of PSNR, SSIM, and NRMSE.

CONCLUSION

Compared with other existing methods, the physical model-based cascaded generative adversarial networks can reconstruct more image details and features, thus improving the quality and accuracy of the reconstructed images.

Magnetic Resonance Parameter Mapping using Self-supervised Deep Learning with Model Reinforcement

This paper proposes a novel self-supervised learning method, RELAX-MORE, for quantitative MRI (qMRI) reconstruction. The proposed method uses an optimization algorithm to unroll a model-based qMRI reconstruction into a deep learning framework, enabling the generation of highly accurate and robust MR parameter maps at imaging acceleration. Unlike conventional deep learning methods requiring a large amount of training data, RELAX-MORE is a subject-specific method that can be trained on single-subject data through self-supervised learning, making it accessible and practically applicable to many qMRI studies. Using the quantitative T 1 mapping as an example at different brain, knee and phantom experiments, the proposed method demonstrates excellent performance in reconstructing MR parameters, correcting imaging artifacts, removing noises, and recovering image features at imperfect imaging conditions. Compared with other state-of-the-art conventional and deep learning methods, RELAX-MORE significantly improves efficiency, accuracy, robustness, and generalizability for rapid MR parameter mapping. This work demonstrates the feasibility of a new self-supervised learning method for rapid MR parameter mapping, with great potential to enhance the clinical translation of qMRI.

Updates on Compositional MRI Mapping of the Cartilage: Emerging Techniques and Applications

Osteoarthritis (OA) is a widely occurring degenerative joint disease that is severely debilitating and causes significant socioeconomic burdens to society. Magnetic resonance imaging (MRI) is the preferred imaging modality for the morphological evaluation of cartilage due to its excellent soft tissue contrast and high spatial resolution. However, its utilization typically involves subjective qualitative assessment of cartilage. Compositional MRI, which refers to the quantitative characterization of cartilage using a variety of MRI methods, can provide important information regarding underlying compositional and ultrastructural changes that occur during early OA. Cartilage compositional MRI could serve as early imaging biomarkers for the objective evaluation of cartilage and help drive diagnostics, disease characterization, and response to novel therapies. This review will summarize current and ongoing state-of-the-art cartilage compositional MRI techniques and highlight emerging methods for cartilage compositional MRI including MR fingerprinting, compressed sensing, multiexponential relaxometry, improved and robust radio-frequency pulse sequences, and deep learning-based acquisition, reconstruction, and segmentation. The review will also briefly discuss the current challenges and future directions for adopting these emerging cartilage compositional MRI techniques for use in clinical practice and translational OA research studies. EVIDENCE LEVEL: 2 TECHNICAL EFFICACY: Stage 2.

Cascade of Denoising and Mapping Neural Networks for MRI R2* Relaxometry of Iron-Loaded Liver

MRI of effective transverse relaxation rate (R2*) measurement is a reliable method for liver iron concentration quantification. However, R2* mapping can be degraded by noise, especially in the case of iron overload. This study aimed to develop a deep learning method for MRI R2* relaxometry of an iron-loaded liver using a two-stage cascaded neural network. The proposed method, named CadamNet, combines two convolutional neural networks separately designed for image denoising and parameter mapping into a cascade framework, and the physics-based R2* decay model was incorporated in training the mapping network to enforce data consistency further. CadamNet was trained using simulated liver data with Rician noise, which was constructed from clinical liver data. The performance of CadamNet was quantitatively evaluated on simulated data with varying noise levels as well as clinical liver data and compared with the single-stage parameter mapping network (MappingNet) and two conventional model-based R2* mapping methods. CadamNet consistently achieved high-quality R2* maps and outperformed MappingNet at varying noise levels. Compared with conventional R2* mapping methods, CadamNet yielded R2* maps with lower errors, higher quality, and substantially increased efficiency. In conclusion, the proposed CadamNet enables accurate and efficient iron-loaded liver R2* mapping, especially in the presence of severe noise.

Free-breathing and instantaneous abdominal T2 mapping via single-shot multiple overlapping-echo acquisition and deep learning reconstruction

OBJECTIVES

To develop a real-time abdominal T₂ mapping method without requiring breath-holding or respiratory-gating.

METHODS

The single-shot multiple overlapping-echo detachment (MOLED) pulse sequence was employed to achieve free-breathing T₂ mapping of the abdomen. Deep learning was used to untangle the non-linear relationship between the MOLED signal and T₂ mapping. A synthetic data generation flow based on Bloch simulation, modality synthesis, and randomization was proposed to overcome the inadequacy of real-world training set.

RESULTS

The results from simulation and in vivo experiments demonstrated that our method could deliver high-quality T₂ mapping. The average NMSE and R² values of linear regression in the digital phantom experiments were 0.0178 and 0.9751. Pearson's correlation coefficient between our predicted T₂ and reference T₂ in the phantom experiments was 0.9996. In the measurements for the patients, real-time capture of the T₂ value changes of various abdominal organs before and after contrast agent injection was realized. A total of 33 focal liver lesions were detected in the group, and the mean and standard deviation of T₂ values were 141.1 ± 50.0 ms for benign and 63.3 ± 16.0 ms for malignant lesions. The coefficients of variance in a test-retest experiment were 2.9%, 1.2%, 0.9%, 3.1%, and 1.8% for the liver, kidney, gallbladder, spleen, and skeletal muscle, respectively.

CONCLUSIONS

Free-breathing abdominal T₂ mapping is achieved in about 100 ms on a clinical MRI scanner. The work paved the way for the development of real-time dynamic T₂ mapping in the abdomen.

KEY POINTS

• MOLED achieves free-breathing abdominal T₂ mapping in about 100 ms, enabling real-time capture of T₂ value changes due to CA injection in abdominal organs. • Synthetic data generation flow mitigates the issue of lack of sizable abdominal training datasets.

Region of interest-specific loss functions improve T2 quantification with ultrafast T2 mapping MRI sequences in knee, hip and lumbar spine

MRI T2 mapping sequences quantitatively assess tissue health and depict early degenerative changes in musculoskeletal (MSK) tissues like cartilage and intervertebral discs (IVDs) but require long acquisition times. In MSK imaging, small features in cartilage and IVDs are crucial for diagnoses and must be preserved when reconstructing accelerated data. To these ends, we propose region of interest-specific postprocessing of accelerated acquisitions: a recurrent UNet deep learning architecture that provides T2 maps in knee cartilage, hip cartilage, and lumbar spine IVDs from accelerated T2-prepared snapshot gradient-echo acquisitions, optimizing for cartilage and IVD performance with a multi-component loss function that most heavily penalizes errors in those regions. Quantification errors in knee and hip cartilage were under 10% and 9% from acceleration factors R = 2 through 10, respectively, with bias for both under 3 ms for most of R = 2 through 12. In IVDs, mean quantification errors were under 12% from R = 2 through 6. A Gray Level Co-Occurrence Matrix-based scheme showed knee and hip pipelines outperformed state-of-the-art models, retaining smooth textures for most R and sharper ones through moderate R. Our methodology yields robust T2 maps while offering new approaches for optimizing and evaluating reconstruction algorithms to facilitate better preservation of small, clinically relevant features.

Artificial intelligence in cardiac magnetic resonance fingerprinting

Magnetic resonance fingerprinting (MRF) is a fast MRI-based technique that allows for multiparametric quantitative characterization of the tissues of interest in a single acquisition. In particular, it has gained attention in the field of cardiac imaging due to its ability to provide simultaneous and co-registered myocardial T₁ and T₂ mapping in a single breath-held cardiac MRF scan, in addition to other parameters. Initial results in small healthy subject groups and clinical studies have demonstrated the feasibility and potential of MRF imaging. Ongoing research is being conducted to improve the accuracy, efficiency, and robustness of cardiac MRF. However, these improvements usually increase the complexity of image reconstruction and dictionary generation and introduce the need for sequence optimization. Each of these steps increase the computational demand and processing time of MRF. The latest advances in artificial intelligence (AI), including progress in deep learning and the development of neural networks for MRI, now present an opportunity to efficiently address these issues. Artificial intelligence can be used to optimize candidate sequences and reduce the memory demand and computational time required for reconstruction and post-processing. Recently, proposed machine learning-based approaches have been shown to reduce dictionary generation and reconstruction times by several orders of magnitude. Such applications of AI should help to remove these bottlenecks and speed up cardiac MRF, improving its practical utility and allowing for its potential inclusion in clinical routine. This review aims to summarize the latest developments in artificial intelligence applied to cardiac MRF. Particularly, we focus on the application of machine learning at different steps of the MRF process, such as sequence optimization, dictionary generation and image reconstruction.

Rapid MR relaxometry using deep learning: An overview of current techniques and emerging trends

Quantitative mapping of MR tissue parameters such as the spin-lattice relaxation time (T1 ), the spin-spin relaxation time (T2 ), and the spin-lattice relaxation in the rotating frame (T1ρ ), referred to as MR relaxometry in general, has demonstrated improved assessment in a wide range of clinical applications. Compared with conventional contrast-weighted (eg T1 -, T2 -, or T1ρ -weighted) MRI, MR relaxometry provides increased sensitivity to pathologies and delivers important information that can be more specific to tissue composition and microenvironment. The rise of deep learning in the past several years has been revolutionizing many aspects of MRI research, including image reconstruction, image analysis, and disease diagnosis and prognosis. Although deep learning has also shown great potential for MR relaxometry and quantitative MRI in general, this research direction has been much less explored to date. The goal of this paper is to discuss the applications of deep learning for rapid MR relaxometry and to review emerging deep-learning-based techniques that can be applied to improve MR relaxometry in terms of imaging speed, image quality, and quantification robustness. The paper is comprised of an introduction and four more sections. Section 2 describes a summary of the imaging models of quantitative MR relaxometry. In Section 3, we review existing "classical" methods for accelerating MR relaxometry, including state-of-the-art spatiotemporal acceleration techniques, model-based reconstruction methods, and efficient parameter generation approaches. Section 4 then presents how deep learning can be used to improve MR relaxometry and how it is linked to conventional techniques. The final section concludes the review by discussing the promise and existing challenges of deep learning for rapid MR relaxometry and potential solutions to address these challenges.

BUDA-MESMERISE: Rapid acquisition and unsupervised parameter estimation for T1 , T2 , M0 , B0 , and B1 maps

PURPOSE

Rapid acquisition scheme and parameter estimation method are proposed to acquire distortion-free spin- and stimulated-echo signals and combine the signals with a physics-driven unsupervised network to estimate T₁ , T₂ , and proton density (M₀ ) parameter maps, along with B₀ and B₁ information from the acquired signals.

THEORY AND METHODS

An imaging sequence with three 90° RF pulses is utilized to acquire spin- and stimulated-echo signals. We utilize blip-up/-down acquisition to eliminate geometric distortion incurred by the effects of B₀ inhomogeneity on rapid EPI acquisitions. For multislice imaging, echo-shifting is applied to utilize dead time between the second and third RF pulses to encode information from additional slice positions. To estimate parameter maps from the spin- and stimulated-echo signals with high fidelity, 2 estimation methods, analytic fitting and a novel unsupervised deep neural network method, are developed.

RESULTS

The proposed acquisition provided distortion-free T₁ , T₂ , relative proton density (M0), B₀ , and B₁ maps with high fidelity both in phantom and in vivo brain experiments. From the rapidly acquired spin- and stimulated-echo signals, analytic fitting and the network-based method were able to estimate T₁ , T₂ , M₀ , B₀ , and B₁ maps with high accuracy. Network estimates demonstrated noise robustness owing to the fact that the convolutional layers take information into account from spatially adjacent voxels.

CONCLUSION

The proposed acquisition/reconstruction technique enabled whole-brain acquisition of coregistered, distortion-free, T₁ , T₂ , M₀ , B₀ , and B₁ maps at 1 × 1 × 5 mm³ resolution in 50 s. The proposed unsupervised neural network provided noise-robust parameter estimates from this rapid acquisition.

Magnetic resonance parameter mapping using model-guided self-supervised deep learning

PURPOSE

To develop a model-guided self-supervised deep learning MRI reconstruction framework called reference-free latent map extraction (RELAX) for rapid quantitative MR parameter mapping.

METHODS

Two physical models are incorporated for network training in RELAX, including the inherent MR imaging model and a quantitative model that is used to fit parameters in quantitative MRI. By enforcing these physical model constraints, RELAX eliminates the need for full sampled reference data sets that are required in standard supervised learning. Meanwhile, RELAX also enables direct reconstruction of corresponding MR parameter maps from undersampled k-space. Generic sparsity constraints used in conventional iterative reconstruction, such as the total variation constraint, can be additionally included in the RELAX framework to improve reconstruction quality. The performance of RELAX was tested for accelerated T1 and T2 mapping in both simulated and actually acquired MRI data sets and was compared with supervised learning and conventional constrained reconstruction for suppressing noise and/or undersampling-induced artifacts.

RESULTS

In the simulated data sets, RELAX generated good T1 /T2 maps in the presence of noise and/or undersampling artifacts, comparable to artifact/noise-free ground truth. The inclusion of a spatial total variation constraint helps improve image quality. For the in vivo T1 /T2 mapping data sets, RELAX achieved superior reconstruction quality compared with conventional iterative reconstruction, and similar reconstruction performance to supervised deep learning reconstruction.

CONCLUSION

This work has demonstrated the initial feasibility of rapid quantitative MR parameter mapping based on self-supervised deep learning. The RELAX framework may also be further extended to other quantitative MRI applications by incorporating corresponding quantitative imaging models.