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Diffusion weighted imaging (DWI) with multiple, high b-values is critical for extracting tissue microstructure measurements; however, high b-value DWI images contain high noise levels that can overwhelm the signal of interest and bias microstructural measurements. Here, we propose a simple denoising method that can be applied to any dataset, provided a low-noise, single-subject dataset is acquired using the same DWI sequence. The denoising method uses a one-dimensional convolutional neural network (1D-CNN) and deep learning to learn from a low-noise dataset, voxel-by-voxel. The trained model can then be applied to high-noise datasets from other subjects. We validated the 1D-CNN denoising method by first demonstrating that 1D-CNN denoising resulted in DWI images that were more similar to the noise-free ground truth than comparable denoising methods, e.g., MP-PCA, using simulated DWI data. Using the same DWI acquisition but reconstructed with two common reconstruction methods, i.e. SENSE1 and sum-of-square, to generate a pair of low-noise and high-noise datasets, we then demonstrated that 1D-CNN denoising of high-noise DWI data collected from human subjects showed promising results in three domains: DWI images, diffusion metrics, and tractography. In particular, the denoised images were very similar to a low-noise reference image of that subject, more than the similarity between repeated low-noise images (i.e. computational reproducibility). Finally, we demonstrated the use of the 1D-CNN method in two practical examples to reduce noise from parallel imaging and simultaneous multi-slice acquisition. We conclude that the 1D-CNN denoising method is a simple, effective denoising method for DWI images that overcomes some of the limitations of current state-of-the-art denoising methods, such as the need for a large number of training subjects and the need to account for the rectified noise floor. 

Experimental datasets are growing rapidly in size, scope, and detail, but the value of these datasets is limited by unwanted measurement noise. It is therefore tempting to apply analysis techniques that attempt to reduce noise and enhance signals of interest. In this paper, we draw attention to the possibility that denoising methods may introduce bias and lead to incorrect scientific inferences. To present our case, we first review the basic statistical concepts of bias and variance. Denoising techniques typically reduce variance observed across repeated measurements, but this can come at the expense of introducing bias to the average expected outcome. We then conduct three simple simulations that provide concrete examples of how bias may manifest in everyday situations. These simulations reveal several findings that may be surprising and counterintuitive: (i) different methods can be equally effective at reducing variance but some incur bias while others do not, (ii) identifying methods that better recover ground truth does not guarantee the absence of bias, (iii) bias can arise even if one has specific knowledge of properties of the signal of interest. We suggest that researchers should consider and possibly quantify bias before deploying denoising methods on important research data.