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Purpose: Magnetic Resonance Imaging (MRI) enables non‐invasive assessment of brain abnormalities during early life development. Permanent magnet scanners operating in the neonatal intensive care unit (NICU) facilitate MRI of sick infants, but have long scan times due to lower signal‐to‐noise ratios (SNR) and limited receive coils. This work accelerates in‐NICU MRI with diffusion probabilistic generative models by developing a training pipeline accounting for these challenges. Methods: We establish a novel training dataset of clinical, 1 Tesla neonatal MR images in collaboration with Aspect Imaging and Sha'are Zedek Medical Center. We propose a pipeline to handle the low quantity and SNR of our real‐world dataset (1) modifying existing network architectures to support varying resolutions; (2) training a single model on all data with learned class embedding vectors; (3) applying self‐supervised denoising before training; and (4) reconstructing by averaging posterior samples. Retrospective under‐sampling experiments, accounting for signal decay, evaluated each item of our proposed methodology. A clinical reader study with practicing pediatric neuroradiologists evaluated our proposed images reconstructed from under‐sampled data. Results: Combining all data, denoising pre‐training, and averaging posterior samples yields quantitative improvements in reconstruction. The generative model decouples the learned prior from the measurement model and functions at two acceleration rates without re‐training. The reader study suggests that proposed images reconstructed from under‐sampled data are adequate for clinical use. Conclusion: Diffusion probabilistic generative models applied with the proposed pipeline to handle challenging real‐world datasets could reduce the scan time of in‐NICU neonatal MRI. 

Abstract PurposeTo examine the effect of incorporating self‐supervised denoising as a pre‐processing step for training deep learning (DL) based reconstruction methods on data corrupted by Gaussian noise. K‐space data employed for training are typically multi‐coil and inherently noisy. Although DL‐based reconstruction methods trained on fully sampled data can enable high reconstruction quality, obtaining large, noise‐free datasets is impractical. MethodsWe leverage Generalized Stein's Unbiased Risk Estimate (GSURE) for denoising. We evaluate two DL‐based reconstruction methods: Diffusion Probabilistic Models (DPMs) and Model‐Based Deep Learning (MoDL). We evaluate the impact of denoising on the performance of these DL‐based methods in solving accelerated multi‐coil magnetic resonance imaging (MRI) reconstruction. The experiments were carried out on T2‐weighted brain and fat‐suppressed proton‐density knee scans. ResultsWe observed that self‐supervised denoising enhances the quality and efficiency of MRI reconstructions across various scenarios. Specifically, employing denoised images rather than noisy counterparts when training DL networks results in lower normalized root mean squared error (NRMSE), higher structural similarity index measure (SSIM) and peak signal‐to‐noise ratio (PSNR) across different SNR levels, including 32, 22, and 12 dB for T2‐weighted brain data, and 24, 14, and 4 dB for fat‐suppressed knee data. ConclusionWe showed that denoising is an essential pre‐processing technique capable of improving the efficacy of DL‐based MRI reconstruction methods under diverse conditions. By refining the quality of input data, denoising enables training more effective DL networks, potentially bypassing the need for noise‐free reference MRI scans. 

We provide a framework for solving inverse problems with diffusion models learned from linearly corrupted data. Firstly, we extend the Ambient Diffusion framework to enable training directly from measurements corrupted in the Fourier domain. Subsequently, we train diffusion models for MRI with access only to Fourier sub- sampled multi-coil measurements at acceleration factors R= 2,4,6,8. Secondly, we propose Ambient Diffusion Posterior Sampling (A-DPS), a reconstruction al- gorithm that leverages generative models pre-trained on one type of corruption (e.g. image inpainting) to perform posterior sampling on measurements from a different forward process (e.g. image blurring). For MRI reconstruction in high acceleration regimes, we observe that A-DPS models trained on subsampled data are better suited to solving inverse problems than models trained on fully sampled data. We also test the efficacy of A-DPS on natural image datasets (CelebA, FFHQ, and AFHQ) and show that A-DPS can sometimes outperform models trained on clean data for several image restoration tasks in both speed and performance. 

Implicit Neural Representations (INRs) are a learning-based approach to accelerate Magnetic Resonance Imaging (MRI) acquisitions, particularly in scan-specific settings when only data from the under-sampled scan itself are available. Previous work has shown that INRs improve rapid MRI through inherent regularization imposed by neural network architectures. Typically parameterized by fully connected neural networks, INRs provide continuous image representations by mapping a physical coordinate location to its intensity. Prior approaches have applied unlearned regularization priors during INR training and were limited to 2D or low-resolution 3D acquisitions. Meanwhile, diffusion-based generative models have recently gained attention for learning powerful image priors independent of the measurement model. This work proposes INFusion, a technique that regularizes INR optimization from under-sampled MR measurements using pre-trained diffusion models to enhance reconstruction quality. In addition, a hybrid 3D approach is introduced, enabling INR application on large-scale 3D MR datasets. Experimental results show that in 2D settings, diffusion regularization improves INR training, while in 3D, it enables feasible INR training on matrix sizes of 256 × 256 × 80. 

Given the enormous output and pace of development of artificial intelligence (AI) methods in medical imaging, it can be challenging to identify the true success stories to determine the state-of-the-art of the field. This report seeks to provide the magnetic resonance imaging (MRI) community with an initial guide into the major areas in which the methods of AI are contributing to MRI in oncology. After a general introduction to artificial intelligence, we proceed to discuss the successes and current limitations of AI in MRI when used for image acquisition, reconstruction, registration, and segmentation, as well as its utility for assisting in diagnostic and prognostic settings. Within each section, we attempt to present a balanced summary by first presenting common techniques, state of readiness, current clinical needs, and barriers to practical deployment in the clinical setting. We conclude by presenting areas in which new advances must be realized to address questions regarding generalizability, quality assurance and control, and uncertainty quantification when applying MRI to cancer to maintain patient safety and practical utility. 

Motivation: We explore the “Implicit Data Crime” of datasets whose subsampled k-space is filled using parallel imaging. These datasets are treated as fully-sampled, but their points derive from (1)prospective sampling, and (2)reconstruction of un-sampled points, creating artificial data correlations given low SNR or high acceleration. Goal(s): How will downstream tasks, including reconstruction algorithm comparison and optimal trajectory design, be biased by effects of parallel imaging on a prospectively undersampled dataset? Approach: Comparing reconstruction performance using data that are fully sampled with data that are completed using the SENSE algorithm. Results: Utilizing parallel imaging filled k-space results in biased downstream perception of algorithm performance. Impact: This study demonstrates evidence of overly-optimistic bias resulting from the use of k-space filled in with parallel imaging as ground truth data. Researchers should be aware of this possibility and carefully examine the computational pipeline behind datasets they use.