Yuchi Han

Yi Yu, Parker Martin, Zhenyu Bu et al.

Converting free-text cardiac magnetic resonance (CMR) reports into auditable structured data remains a bottleneck for cohort assembly, longitudinal curation, and clinical decision support. We present CMR-EXTR, a lightweight framework that converts free-text CMR reports into structured data and assigns per-field confidence for quality control. A teacher-student distillation pipeline enables fully offline inference while limiting manual annotation. Uncertainty integrates three complementary principles -- distribution plausibility, sampling stability, and cross-field consistency -- to triage human review. Experiments show that CMR-EXTR achieves 99.65% variable-level accuracy, demonstrating both reliable extraction and informative confidence scores. To our knowledge, this is the first CMR-specific extraction system with integrated confidence estimation. The code is available at https://github.com/yuyi1005/CMR-EXTR.

Marc Vornehm, Chong Chen, Muhammad Ahmad Sultan et al.

Cardiovascular magnetic resonance imaging is a powerful diagnostic tool for assessing cardiac structure and function. However, traditional breath-held imaging protocols pose challenges for patients with arrhythmias or limited breath-holding capacity. This work aims to overcome these limitations by developing a reconstruction framework that enables high-quality imaging in free-breathing conditions for various dynamic cardiac MRI protocols. Multi-Dynamic Deep Image Prior (M-DIP), a novel unsupervised reconstruction framework for accelerated real-time cardiac MRI, is introduced. To capture contrast or content variation, M-DIP first employs a spatial dictionary to synthesize a time-dependent intermediate image. Then, this intermediate image is further refined using time-dependent deformation fields that model cardiac and respiratory motion. Unlike prior DIP-based methods, M-DIP simultaneously captures physiological motion and frame-to-frame content variations, making it applicable to a wide range of dynamic applications. We validate M-DIP using simulated MRXCAT cine phantom data as well as free-breathing real-time cine, single-shot late gadolinium enhancement (LGE), and first-pass perfusion data from clinical patients. Comparative analyses against state-of-the-art supervised and unsupervised approaches demonstrate M-DIP's performance and versatility. M-DIP achieved better image quality metrics on phantom data, higher reader scores on in-vivo cine and LGE data, and comparable scores on in-vivo perfusion data relative to another DIP-based approach. M-DIP enables high-quality reconstructions of real-time free-breathing cardiac MRI without requiring external training data. Its ability to model physiological motion and content variations makes it a promising approach for various dynamic imaging applications.

Yidong Zhao, Peter Kellman, Hui Xue et al.

Pretrained segmentation models for cardiac magnetic resonance imaging (MRI) struggle to generalize across different imaging sequences due to significant variations in image contrast. These variations arise from changes in imaging protocols, yet the same fundamental spin properties, including proton density, T1, and T2 values, govern all acquired images. With this core principle, we introduce Reverse Imaging, a novel physics-driven method for cardiac MRI data augmentation and domain adaptation to fundamentally solve the generalization problem. Our method reversely infers the underlying spin properties from observed cardiac MRI images, by solving ill-posed nonlinear inverse problems regularized by the prior distribution of spin properties. We acquire this "spin prior" by learning a generative diffusion model from the multiparametric SAturation-recovery single-SHot acquisition sequence (mSASHA) dataset, which offers joint cardiac T1 and T2 maps. Our method enables approximate but meaningful spin-property estimates from MR images, which provide an interpretable "latent variable" that lead to highly flexible image synthesis of arbitrary novel sequences. We show that Reverse Imaging enables highly accurate segmentation across vastly different image contrasts and imaging protocols, realizing wide-spectrum generalization of cardiac MRI segmentation.