Elfar Adalsteinsson

Nalini M. Singh, Neel Dey, Malte Hoffmann et al. · mit

Motion artifacts are a pervasive problem in MRI, leading to misdiagnosis or mischaracterization in population-level imaging studies. Current retrospective rigid intra-slice motion correction techniques jointly optimize estimates of the image and the motion parameters. In this paper, we use a deep network to reduce the joint image-motion parameter search to a search over rigid motion parameters alone. Our network produces a reconstruction as a function of two inputs: corrupted k-space data and motion parameters. We train the network using simulated, motion-corrupted k-space data generated with known motion parameters. At test-time, we estimate unknown motion parameters by minimizing a data consistency loss between the motion parameters, the network-based image reconstruction given those parameters, and the acquired measurements. Intra-slice motion correction experiments on simulated and realistic 2D fast spin echo brain MRI achieve high reconstruction fidelity while providing the benefits of explicit data consistency optimization. Our code is publicly available at https://www.github.com/nalinimsingh/neuroMoCo.

Sebo Diaz, Polina Golland, Elfar Adalsteinsson et al. · mit

We present DropGen, a simple and theoretically-grounded approach for domain generalization in 3D biomedical image segmentation. Modern segmentation models degrade sharply under shifts in modality, disease severity, clinical sites, and other factors, creating brittle models that limit reliable deployment. Existing domain generalization methods rely on extreme augmentations, mixing domain statistics, or architectural redesigns, yet incur significant implementation overhead and yield inconsistent performance across biomedical settings. DropGen instead proposes a principled learning strategy with minimal overhead that leverages both source-domain image intensities and domain-stable foundation model representations to train robust segmentation models. As a result, DropGen achieves strong gains in both fully supervised and few-shot segmentation across a broad range of shifts in biomedical studies. Unlike prior approaches, DropGen is architecture- and loss-agnostic, compatible with standard augmentation pipelines, computationally lightweight, and tackles arbitrary anatomical regions. Our implementation is freely available at https://github.com/sebodiaz/DropGen.

Junshen Xu, Daniel Moyer, P. Ellen Grant et al. · mit

Volumetric reconstruction of fetal brains from multiple stacks of MR slices, acquired in the presence of almost unpredictable and often severe subject motion, is a challenging task that is highly sensitive to the initialization of slice-to-volume transformations. We propose a novel slice-to-volume registration method using Transformers trained on synthetically transformed data, which model multiple stacks of MR slices as a sequence. With the attention mechanism, our model automatically detects the relevance between slices and predicts the transformation of one slice using information from other slices. We also estimate the underlying 3D volume to assist slice-to-volume registration and update the volume and transformations alternately to improve accuracy. Results on synthetic data show that our method achieves lower registration error and better reconstruction quality compared with existing state-of-the-art methods. Experiments with real-world MRI data are also performed to demonstrate the ability of the proposed model to improve the quality of 3D reconstruction under severe fetal motion.

Ramya Muthukrishnan, Borjan Gagoski, Aryn Lee et al.

We present E(3)-Pose, a novel fast pose estimation method that jointly and explicitly models rotation equivariance and object symmetry. Our work is motivated by the challenging problem of accounting for fetal head motion during a diagnostic MRI scan. We aim to enable automatic adaptive prescription of 2D diagnostic MRI slices with 6-DoF head pose estimation, supported by 3D MRI volumes rapidly acquired before each 2D slice. Existing methods struggle to generalize to clinical volumes, due to pose ambiguities induced by inherent anatomical symmetries, as well as low resolution, noise, and artifacts. In contrast, E(3)-Pose captures anatomical symmetries and rigid pose equivariance by construction, and yields robust estimates of the fetal head pose. Our experiments on publicly available and representative clinical fetal MRI datasets demonstrate the superior robustness and generalization of our method across domains. Crucially, E(3)-Pose achieves state-of-the-art accuracy on clinical MRI volumes, supporting future clinical translation. Our implementation is publicly available at github.com/MedicalVisionGroup/E3-Pose.

Ekaterina Kuzmina, Artem Razumov, Oleg Y. Rogov et al.

Image corruption by motion artifacts is an ingrained problem in Magnetic Resonance Imaging (MRI). In this work, we propose a neural network-based regularization term to enhance Autofocusing, a classic optimization-based method to remove motion artifacts. The method takes the best of both worlds: the optimization-based routine iteratively executes the blind demotion and deep learning-based prior penalizes for unrealistic restorations and speeds up the convergence. We validate the method on three models of motion trajectories, using synthetic and real noisy data. The method proves resilient to noise and anatomic structure variation, outperforming the state-of-the-art demotion methods.

Margherita Firenze, Sean I. Young, Clinton J. Wang et al.

Fully convolutional networks have become the backbone of modern medical imaging due to their ability to learn multi-scale representations and perform end-to-end inference. Yet their potential for slice-to-volume reconstruction (SVR), the task of jointly estimating 3D anatomy and slice poses from misaligned 2D acquisitions, remains underexplored. We introduce a fast convolutional framework that fuses multiple orthogonal 2D slice stacks to recover coherent 3D structure and refines slice alignment through lightweight model-based optimization. Applied to fetal brain MRI, our approach reconstructs high-quality 3D volumes in under 10s, with 1s slice registration and accuracy on par with state-of-the-art iterative SVR pipelines, offering more than speedup. The framework uses non-rigid displacement fields to represent transformations, generalizing to other SVR problems like fetal body and placental MRI. Additionally, the fast inference time paves the way for real-time, scanner-side volumetric feedback during MRI acquisition.

Sebastian Diaz, Benjamin Billot, Neel Dey et al. · mit

Fetal motion is a critical indicator of neurological development and intrauterine health, yet its quantification remains challenging, particularly at earlier gestational ages (GA). Current methods track fetal motion by predicting the location of annotated landmarks on 3D echo planar imaging (EPI) time-series, primarily in third-trimester fetuses. The predicted landmarks enable simplification of the fetal body for downstream analysis. While these methods perform well within their training age distribution, they consistently fail to generalize to early GAs due to significant anatomical changes in both mother and fetus across gestation, as well as the difficulty of obtaining annotated early GA EPI data. In this work, we develop a cross-population data augmentation framework that enables pose estimation models to robustly generalize to younger GA clinical cohorts using only annotated images from older GA cohorts. Specifically, we introduce a fetal-specific augmentation strategy that simulates the distinct intrauterine environment and fetal positioning of early GAs. Our experiments find that cross-population augmentation yields reduced variability and significant improvements across both older GA and challenging early GA cases. By enabling more reliable pose estimation across gestation, our work potentially facilitates early clinical detection and intervention in challenging 4D fetal imaging settings. Code is available at https://github.com/sebodiaz/cross-population-pose.

Nalini M. Singh, Juan Eugenio Iglesias, Elfar Adalsteinsson et al.

We propose neural network layers that explicitly combine frequency and image feature representations and show that they can be used as a versatile building block for reconstruction from frequency space data. Our work is motivated by the challenges arising in MRI acquisition where the signal is a corrupted Fourier transform of the desired image. The proposed joint learning schemes enable both correction of artifacts native to the frequency space and manipulation of image space representations to reconstruct coherent image structures at every layer of the network. This is in contrast to most current deep learning approaches for image reconstruction that treat frequency and image space features separately and often operate exclusively in one of the two spaces. We demonstrate the advantages of joint convolutional learning for a variety of tasks, including motion correction, denoising, reconstruction from undersampled acquisitions, and combined undersampling and motion correction on simulated and real world multicoil MRI data. The joint models produce consistently high quality output images across all tasks and datasets. When integrated into a state of the art unrolled optimization network with physics-inspired data consistency constraints for undersampled reconstruction, the proposed architectures significantly improve the optimization landscape, which yields an order of magnitude reduction of training time. This result suggests that joint representations are particularly well suited for MRI signals in deep learning networks. Our code and pretrained models are publicly available at https://github.com/nalinimsingh/interlacer.

Molin Zhang, Polina Golland, Patricia Ellen Grant et al.

The quality of fetal MRI is significantly affected by unpredictable and substantial fetal motion, leading to the introduction of artifacts even when fast acquisition sequences are employed. The development of 3D real-time fetal pose estimation approaches on volumetric EPI fetal MRI opens up a promising avenue for fetal motion monitoring and prediction. Challenges arise in fetal pose estimation due to limited number of real scanned fetal MR training images, hindering model generalization when the acquired fetal MRI lacks adequate pose. In this study, we introduce FetalDiffusion, a novel approach utilizing a conditional diffusion model to generate 3D synthetic fetal MRI with controllable pose. Additionally, an auxiliary pose-level loss is adopted to enhance model performance. Our work demonstrates the success of this proposed model by producing high-quality synthetic fetal MRI images with accurate and recognizable fetal poses, comparing favorably with in-vivo real fetal MRI. Furthermore, we show that the integration of synthetic fetal MR images enhances the fetal pose estimation model's performance, particularly when the number of available real scanned data is limited resulting in 15.4% increase in PCK and 50.2% reduced in mean error. All experiments are done on a single 32GB V100 GPU. Our method holds promise for improving real-time tracking models, thereby addressing fetal motion issues more effectively.

Malte Hoffmann, Esra Abaci Turk, Borjan Gagoski et al.

In fetal-brain MRI, head-pose changes between prescription and acquisition present a challenge to obtaining the standard sagittal, coronal and axial views essential to clinical assessment. As motion limits acquisitions to thick slices that preclude retrospective resampling, technologists repeat ~55-second stack-of-slices scans (HASTE) with incrementally reoriented field of view numerous times, deducing the head pose from previous stacks. To address this inefficient workflow, we propose a robust head-pose detection algorithm using full-uterus scout scans (EPI) which take ~5 seconds to acquire. Our ~2-second procedure automatically locates the fetal brain and eyes, which we derive from maximally stable extremal regions (MSERs). The success rate of the method exceeds 94% in the third trimester, outperforming a trained technologist by up to 20%. The pipeline may be used to automatically orient the anatomical sequence, removing the need to estimate the head pose from 2D views and reducing delays during which motion can occur.

Junshen Xu, Esra Abaci Turk, P. Ellen Grant et al.

Fetal motion is unpredictable and rapid on the scale of conventional MR scan times. Therefore, dynamic fetal MRI, which aims at capturing fetal motion and dynamics of fetal function, is limited to fast imaging techniques with compromises in image quality and resolution. Super-resolution for dynamic fetal MRI is still a challenge, especially when multi-oriented stacks of image slices for oversampling are not available and high temporal resolution for recording the dynamics of the fetus or placenta is desired. Further, fetal motion makes it difficult to acquire high-resolution images for supervised learning methods. To address this problem, in this work, we propose STRESS (Spatio-Temporal Resolution Enhancement with Simulated Scans), a self-supervised super-resolution framework for dynamic fetal MRI with interleaved slice acquisitions. Our proposed method simulates an interleaved slice acquisition along the high-resolution axis on the originally acquired data to generate pairs of low- and high-resolution images. Then, it trains a super-resolution network by exploiting both spatial and temporal correlations in the MR time series, which is used to enhance the resolution of the original data. Evaluations on both simulated and in utero data show that our proposed method outperforms other self-supervised super-resolution methods and improves image quality, which is beneficial to other downstream tasks and evaluations.

Junshen Xu, Elfar Adalsteinsson

Image denoising is of great importance for medical imaging system, since it can improve image quality for disease diagnosis and downstream image analyses. In a variety of applications, dynamic imaging techniques are utilized to capture the time-varying features of the subject, where multiple images are acquired for the same subject at different time points. Although signal-to-noise ratio of each time frame is usually limited by the short acquisition time, the correlation among different time frames can be exploited to improve denoising results with shared information across time frames. With the success of neural networks in computer vision, supervised deep learning methods show prominent performance in single-image denoising, which rely on large datasets with clean-vs-noisy image pairs. Recently, several self-supervised deep denoising models have been proposed, achieving promising results without needing the pairwise ground truth of clean images. In the field of multi-image denoising, however, very few works have been done on extracting correlated information from multiple slices for denoising using self-supervised deep learning methods. In this work, we propose Deformed2Self, an end-to-end self-supervised deep learning framework for dynamic imaging denoising. It combines single-image and multi-image denoising to improve image quality and use a spatial transformer network to model motion between different slices. Further, it only requires a single noisy image with a few auxiliary observations at different time frames for training and inference. Evaluations on phantom and in vivo data with different noise statistics show that our method has comparable performance to other state-of-the-art unsupervised or self-supervised denoising methods and outperforms under high noise levels.

Yamin Arefeen, Onur Beker, Jaejin Cho et al.

Purpose: To develop a scan-specific model that estimates and corrects k-space errors made when reconstructing accelerated Magnetic Resonance Imaging (MRI) data. Methods: Scan-Specific Artifact Reduction in k-space (SPARK) trains a convolutional-neural-network to estimate and correct k-space errors made by an input reconstruction technique by back-propagating from the mean-squared-error loss between an auto-calibration signal (ACS) and the input technique's reconstructed ACS. First, SPARK is applied to GRAPPA and demonstrates improved robustness over other scan-specific models, such as RAKI and residual-RAKI. Subsequent experiments demonstrate that SPARK synergizes with residual-RAKI to improve reconstruction performance. SPARK also improves reconstruction quality when applied to advanced acquisition and reconstruction techniques like 2D virtual coil (VC-) GRAPPA, 2D LORAKS, 3D GRAPPA without an integrated ACS region, and 2D/3D wave-encoded images. Results: SPARK yields 1.5x - 2x RMSE reduction when applied to GRAPPA and improves robustness to ACS size for various acceleration rates in comparison to other scan-specific techniques. When applied to advanced reconstruction techniques such as residual-RAKI, 2D VC-GRAPPA and LORAKS, SPARK achieves up to 20% RMSE improvement. SPARK with 3D GRAPPA also improves performance by ~2x and perceived image quality without a fully sampled ACS region. Finally, SPARK synergizes with non-cartesian 2D and 3D wave-encoding imaging by reducing RMSE between 20-25% and providing qualitative improvements. Conclusion: SPARK synergizes with physics-based acquisition and reconstruction techniques to improve accelerated MRI by training scan-specific models to estimate and correct reconstruction errors in k-space.

Molin Zhang, Junshen Xu, Esra Abaci Turk et al.

Fetal MRI is heavily constrained by unpredictable and substantial fetal motion that causes image artifacts and limits the set of viable diagnostic image contrasts. Current mitigation of motion artifacts is predominantly performed by fast, single-shot MRI and retrospective motion correction. Estimation of fetal pose in real time during MRI stands to benefit prospective methods to detect and mitigate fetal motion artifacts where inferred fetal motion is combined with online slice prescription with low-latency decision making. Current developments of deep reinforcement learning (DRL), offer a novel approach for fetal landmarks detection. In this task 15 agents are deployed to detect 15 landmarks simultaneously by DRL. The optimization is challenging, and here we propose an improved DRL that incorporates priors on physical structure of the fetal body. First, we use graph communication layers to improve the communication among agents based on a graph where each node represents a fetal-body landmark. Further, additional reward based on the distance between agents and physical structures such as the fetal limbs is used to fully exploit physical structure. Evaluation of this method on a repository of 3-mm resolution in vivo data demonstrates a mean accuracy of landmark estimation within 10 mm of ground truth as 87.3%, and a mean error of 6.9 mm. The proposed DRL for fetal pose landmark search demonstrates a potential clinical utility for online detection of fetal motion that guides real-time mitigation of motion artifacts as well as health diagnosis during MRI of the pregnant mother.

Junshen Xu, Sayeri Lala, Borjan Gagoski et al.

Fetal brain MRI is useful for diagnosing brain abnormalities but is challenged by fetal motion. The current protocol for T2-weighted fetal brain MRI is not robust to motion so image volumes are degraded by inter- and intra- slice motion artifacts. Besides, manual annotation for fetal MR image quality assessment are usually time-consuming. Therefore, in this work, a semi-supervised deep learning method that detects slices with artifacts during the brain volume scan is proposed. Our method is based on the mean teacher model, where we not only enforce consistency between student and teacher models on the whole image, but also adopt an ROI consistency loss to guide the network to focus on the brain region. The proposed method is evaluated on a fetal brain MR dataset with 11,223 labeled images and more than 200,000 unlabeled images. Results show that compared with supervised learning, the proposed method can improve model accuracy by about 6\% and outperform other state-of-the-art semi-supervised learning methods. The proposed method is also implemented and evaluated on an MR scanner, which demonstrates the feasibility of online image quality assessment and image reacquisition during fetal MR scans.

Daniel Polak, Itthi Chatnuntawech, Jaeyeon Yoon et al.

We propose Nonlinear Dipole Inversion (NDI) for high-quality Quantitative Susceptibility Mapping (QSM) without regularization tuning, while matching the image quality of state-of-the-art reconstruction techniques. In addition to avoiding over-smoothing that these techniques often suffer from, we also obviate the need for parameter selection. NDI is flexible enough to allow for reconstruction from an arbitrary number of head orientations, and outperforms COSMOS even when using as few as 1-direction data. This is made possible by a nonlinear forward-model that uses the magnitude as an effective prior, for which we derived a simple gradient descent update rule. We synergistically combine this physics-model with a Variational Network (VN) to leverage the power of deep learning in the VaNDI algorithm. This technique adopts the simple gradient descent rule from NDI and learns the network parameters during training, hence requires no additional parameter tuning. Further, we evaluate NDI at 7T using highly accelerated Wave-CAIPI acquisitions at 0.5 mm isotropic resolution and demonstrate high-quality QSM from as few as 2-direction data.

Junshen Xu, Molin Zhang, Esra Abaci Turk et al.

The performance and diagnostic utility of magnetic resonance imaging (MRI) in pregnancy is fundamentally constrained by fetal motion. Motion of the fetus, which is unpredictable and rapid on the scale of conventional imaging times, limits the set of viable acquisition techniques to single-shot imaging with severe compromises in signal-to-noise ratio and diagnostic contrast, and frequently results in unacceptable image quality. Surprisingly little is known about the characteristics of fetal motion during MRI and here we propose and demonstrate methods that exploit a growing repository of MRI observations of the gravid abdomen that are acquired at low spatial resolution but relatively high temporal resolution and over long durations (10-30 minutes). We estimate fetal pose per frame in MRI volumes of the pregnant abdomen via deep learning algorithms that detect key fetal landmarks. Evaluation of the proposed method shows that our framework achieves quantitatively an average error of 4.47 mm and 96.4\% accuracy (with error less than 10 mm). Fetal pose estimation in MRI time series yields novel means of quantifying fetal movements in health and disease, and enables the learning of kinematic models that may enhance prospective mitigation of fetal motion artifacts during MRI acquisition.

Ruizhi Liao, Esra A. Turk, Miaomiao Zhang et al.

We present a robust method to correct for motion in volumetric in-utero MRI time series. Time-course analysis for in-utero volumetric MRI time series often suffers from substantial and unpredictable fetal motion. Registration provides voxel correspondences between images and is commonly employed for motion correction. Current registration methods often fail when aligning images that are substantially different from a template (reference image). To achieve accurate and robust alignment, we make a Markov assumption on the nature of motion and take advantage of the temporal smoothness in the image data. Forward message passing in the corresponding hidden Markov model (HMM) yields an estimation algorithm that only has to account for relatively small motion between consecutive frames. We evaluate the utility of the temporal model in the context of in-utero MRI time series alignment by examining the accuracy of propagated segmentation label maps. Our results suggest that the proposed model captures accurately the temporal dynamics of transformations in in-utero MRI time series.

Ruizhi Liao, Esra Turk, Miaomiao Zhang et al.

We present a robust method to correct for motion and deformations for in-utero volumetric MRI time series. Spatio-temporal analysis of dynamic MRI requires robust alignment across time in the presence of substantial and unpredictable motion. We make a Markov assumption on the nature of deformations to take advantage of the temporal structure in the image data. Forward message passing in the corresponding hidden Markov model (HMM) yields an estimation algorithm that only has to account for relatively small motion between consecutive frames. We demonstrate the utility of the temporal model by showing that its use improves the accuracy of the segmentation propagation through temporal registration. Our results suggest that the proposed model captures accurately the temporal dynamics of deformations in in-utero MRI time series.

Adam C. Zelinski, Vivek K Goyal, Elfar Adalsteinsson

A linear inverse problem is proposed that requires the determination of multiple unknown signal vectors. Each unknown vector passes through a different system matrix and the results are added to yield a single observation vector. Given the matrices and lone observation, the objective is to find a simultaneously sparse set of unknown vectors that solves the system. We will refer to this as the multiple-system single-output (MSSO) simultaneous sparsity problem. This manuscript contrasts the MSSO problem with other simultaneous sparsity problems and conducts a thorough initial exploration of algorithms with which to solve it. Seven algorithms are formulated that approximately solve this NP-Hard problem. Three greedy techniques are developed (matching pursuit, orthogonal matching pursuit, and least squares matching pursuit) along with four methods based on a convex relaxation (iteratively reweighted least squares, two forms of iterative shrinkage, and formulation as a second-order cone program). The algorithms are evaluated across three experiments: the first and second involve sparsity profile recovery in noiseless and noisy scenarios, respectively, while the third deals with magnetic resonance imaging radio-frequency excitation pulse design.