Cornelis A. T. van den Berg

Jelmer van Lune, Stefano Mandija, Oscar van der Heide et al.

Magnetic resonance imaging (MRI) is a cornerstone of clinical neuroimaging, yet conventional MRIs provide qualitative information heavily dependent on scanner hardware and acquisition settings. While quantitative MRI (qMRI) offers intrinsic tissue parameters, the requirement for specialized acquisition protocols and reconstruction algorithms restricts its availability and impedes large-scale biomarker research. This study presents a self-supervised physics-guided deep learning framework to infer quantitative T1, T2, and proton-density (PD) maps directly from widely available clinical conventional T1-weighted, T2-weighted, and FLAIR MRIs. The framework was trained and evaluated on a large-scale, clinically heterogeneous dataset comprising 4,121 scan sessions acquired at our institution over six years on four different 3 T MRI scanner systems, capturing real-world clinical variability. The framework integrates Bloch-based signal models directly into the training objective. Across more than 600 test sessions, the generated maps exhibited white matter and gray matter values consistent with literature ranges. Additionally, the generated maps showed invariance to scanner hardware and acquisition protocol groups, with inter-group coefficients of variation $\leq$ 1.1%. Subject-specific analyses demonstrated excellent voxel-wise reproducibility across scanner systems and sequence parameters, with Pearson $r$ and concordance correlation coefficients exceeding 0.82 for T1 and T2. Mean relative voxel-wise differences were low across all quantitative parameters, especially for T2 ($<$ 6%). These results indicate that the proposed framework can robustly transform diverse clinical conventional MRI data into quantitative maps, potentially paving the way for large-scale quantitative biomarker research.

Luuk Jacobs, Stefano Mandija, Hongyan Liu et al.

In this study, we develop a physics-informed deep learning-based method to synthesize multiple brain magnetic resonance imaging (MRI) contrasts from a single five-minute acquisition and investigate its ability to generalize to arbitrary contrasts to accelerate neuroimaging protocols. A dataset of fifty-five subjects acquired with a standard MRI protocol and a five-minute transient-state sequence was used to develop a physics-informed deep learning-based method. The model, based on a generative adversarial network, maps data acquired from the five-minute scan to "effective" quantitative parameter maps, here named q*-maps, by using its generated PD, T1, and T2 values in a signal model to synthesize four standard contrasts (proton density-weighted, T1-weighted, T2-weighted, and T2-weighted fluid-attenuated inversion recovery), from which losses are computed. The q*-maps are compared to literature values and the synthetic contrasts are compared to an end-to-end deep learning-based method proposed by literature. The generalizability of the proposed method is investigated for five volunteers by synthesizing three non-standard contrasts unseen during training and comparing these to respective ground truth acquisitions via contrast-to-noise ratio and quantitative assessment. The physics-informed method was able to match the high-quality synthMRI of the end-to-end method for the four standard contrasts, with mean \pm standard deviation structural similarity metrics above 0.75 \pm 0.08 and peak signal-to-noise ratios above 22.4 \pm 1.9 and 22.6 \pm 2.1. Additionally, the physics-informed method provided retrospective contrast adjustment, with visually similar signal contrast and comparable contrast-to-noise ratios to the ground truth acquisitions for three sequences unused for model training, demonstrating its generalizability and potential application to accelerate neuroimaging protocols.

Jelmer M. Wolterink, Anna M. Dinkla, Mark H. F. Savenije et al.

MR-only radiotherapy treatment planning requires accurate MR-to-CT synthesis. Current deep learning methods for MR-to-CT synthesis depend on pairwise aligned MR and CT training images of the same patient. However, misalignment between paired images could lead to errors in synthesized CT images. To overcome this, we propose to train a generative adversarial network (GAN) with unpaired MR and CT images. A GAN consisting of two synthesis convolutional neural networks (CNNs) and two discriminator CNNs was trained with cycle consistency to transform 2D brain MR image slices into 2D brain CT image slices and vice versa. Brain MR and CT images of 24 patients were analyzed. A quantitative evaluation showed that the model was able to synthesize CT images that closely approximate reference CT images, and was able to outperform a GAN model trained with paired MR and CT images.