Mara Cercignani

Ivor J. A. Simpson, Ashley McManamon, Balázs Örzsik et al.

Streamlined qBOLD acquisitions enable experimentally straightforward observations of brain oxygen metabolism. $R_2^\prime$ maps are easily inferred; however, the Oxygen extraction fraction (OEF) and deoxygenated blood volume (DBV) are more ambiguously determined from the data. As such, existing inference methods tend to yield very noisy and underestimated OEF maps, while overestimating DBV. This work describes a novel probabilistic machine learning approach that can infer plausible distributions of OEF and DBV. Initially, we create a model that produces informative voxelwise prior distribution based on synthetic training data. Contrary to prior work, we model the joint distribution of OEF and DBV through a scaled multivariate logit-Normal distribution, which enables the values to be constrained within a plausible range. The prior distribution model is used to train an efficient amortized variational Bayesian inference model. This model learns to infer OEF and DBV by predicting real image data, with few training data required, using the signal equations as a forward model. We demonstrate that our approach enables the inference of smooth OEF and DBV maps, with a physiologically plausible distribution that can be adapted through specification of an informative prior distribution. Other benefits include model comparison (via the evidence lower bound) and uncertainty quantification for identifying image artefacts. Results are demonstrated on a small study comparing subjects undergoing hyperventilation and at rest. We illustrate that the proposed approach allows measurement of gray matter differences in OEF and DBV and enables voxelwise comparison between conditions, where we observe significant increases in OEF and $R_2^\prime$ during hyperventilation.

Tanishq Patil, Snigdha Sen, Malwina Molendowska et al.

Diffusion MRI (dMRI) enables non-invasive assessment of prostate microstructure but conventional metrics such as the Apparent Diffusion Coefficient in multiparametric MRI lack specificity to underlying histology. Integrating dMRI with the compartment-based biophysical VERDICT (Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumours) framework offers richer microstructural insights, though clinical gradient systems (40-80 mT/m) suffer from poor signal-to-noise ratio (SNR) at stronger diffusion weightings due to prolonged echo times. Ultra-strong gradients (up to 300 mT/m) can mitigate these limitations by improving SNR and contrast-to-noise ratios (CNR) but their adoption has until recently been limited to research environments due to challenges with peripheral nerve stimulation thresholds and gradient non-uniformity. This study investigates whether physics-informed self-supervised VERDICT (ssVERDICT) fitting applied to ultra-strong gradients enhances prostate cancer characterization relative to current clinical acquisitions. We developed enhanced ssVERDICT fitting approaches using dense multilayer perceptron (Dense MLP) and convolutional U-Net architectures, benchmarking them against non-linear least-squares (NLLS) fitting and Diffusion Kurtosis Imaging across clinical- to ultra-strong gradient systems. Dense ssVERDICT at ultra-strong gradient notably outperformed NLLS VERDICT, boosting median CNR by 47%, cutting inter-patient Coefficient of Variation by 52%, and reducing pooled f_ic variation by 50%. Overall, it delivered the highest CNR, the most stable parameter estimates, and the clearest tumour-normal contrast compared with conventional methods and clinical gradient systems. These findings highlight the potential of advanced gradient systems and deep learning-based modelling to improve non-invasive prostate cancer characterization and reduce unnecessary biopsies.