Florian Wiesinger

Shishuai Wang, Florian Wiesinger, Noemi Sgambelluri et al.

The 3D fast silent multi-parametric mapping sequence with zero echo time (MuPa-ZTE) is a novel quantitative MRI (qMRI) acquisition that enables nearly silent scanning by using a 3D phyllotaxis sampling scheme. MuPa-ZTE improves patient comfort and motion robustness, and generates quantitative maps of T1, T2, and proton density using the acquired weighted image series. In this work, we propose a diffusion model-based qMRI mapping method that leverages both a deep generative model and physics-based data consistency to further improve the mapping performance. Furthermore, our method enables additional acquisition acceleration, allowing high-quality qMRI mapping from a fourfold-accelerated MuPa-ZTE scan (approximately 1 minute). Specifically, we trained a denoising diffusion probabilistic model (DDPM) to map MuPa-ZTE image series to qMRI maps, and we incorporated the MuPa-ZTE forward signal model as an explicit data consistency (DC) constraint during inference. We compared our mapping method against a baseline dictionary matching approach and a purely data-driven diffusion model. The diffusion models were trained entirely on synthetic data generated from digital brain phantoms, eliminating the need for large real-scan datasets. We evaluated on synthetic data, a NISM/ISMRM phantom, healthy volunteers, and a patient with brain metastases. The results demonstrated that our method produces 3D qMRI maps with high accuracy, reduced noise and better preservation of structural details. Notably, it generalised well to real scans despite training on synthetic data alone. The combination of the MuPa-ZTE acquisition and our physics-informed diffusion model is termed q3-MuPa, a quick, quiet, and quantitative multi-parametric mapping framework, and our findings highlight its strong clinical potential.

Alireza Samadifardheris, Dirk H. J. Poot, Florian Wiesinger et al.

High-resolution (HR) quantitative MRI (qMRI) relaxometry provides objective tissue characterization but remains clinically underutilized due to lengthy acquisition times. We propose a physics-informed, self-supervised framework for qMRI super-resolution that uses routinely acquired HR weighted MRI (wMRI) scans as guidance, thus, removing the necessity for HR qMRI ground truth during training. We formulate super-resolution as Bayesian maximum a posteriori inference, minimizing two discrepancies: (1) between HR images synthesized from super-resolved qMRI maps and acquired wMRI guides via forward signal models, and (2) between acquired LR qMRI and downsampled predictions. This physics-informed objective allows the models to learn from clinical wMRI without HR qMRI supervision. To validate the concept, we generate training data by synthesizing wMRI guides from HR qMRI using signal equations, then degrading qMRI resolution via k-space truncation. A deep neural network learns the super-resolution mapping. Ablation experiments demonstrate that T1-weighted images primarily enhance T1 maps, T2-weighted images improve T2 maps, and combined guidance optimally enhances all parameters simultaneously. Validation on independently acquired in-vivo data from a different qMRI sequence confirms cross-qMRI sequence generalizability. Models trained on synthetic data can produce super-resolved maps from a 1-minute acquisition with quality comparable to a 5-minute reference scan, leveraging the scanner-independent nature of relaxometry parameters. By decoupling training from HR qMRI requirement, our framework enables fast qMRI acquisitions enhanced via routine clinical images, offering a practical pathway for integrating quantitative relaxometry into clinical workflows with acceptable additional scan time.

Sandeep Kaushik, Mikael Bylund, Cristina Cozzini et al.

In this work, we present a method for synthetic CT (sCT) generation from zero-echo-time (ZTE) MRI aimed at structural and quantitative accuracies of the image, with a particular focus on the accurate bone density value prediction. We propose a loss function that favors a spatially sparse region in the image. We harness the ability of a multi-task network to produce correlated outputs as a framework to enable localisation of region of interest (RoI) via classification, emphasize regression of values within RoI and still retain the overall accuracy via global regression. The network is optimized by a composite loss function that combines a dedicated loss from each task. We demonstrate how the multi-task network with RoI focused loss offers an advantage over other configurations of the network to achieve higher accuracy of performance. This is relevant to sCT where failure to accurately estimate high Hounsfield Unit values of bone could lead to impaired accuracy in clinical applications. We compare the dose calculation maps from the proposed sCT and the real CT in a radiation therapy treatment planning setup.

Hidetoshi Matsuo, Mizuho Nishio, Munenobu Nogami et al.

The integrated positron emission tomography/magnetic resonance imaging (PET/MRI) scanner facilitates the simultaneous acquisition of metabolic information via PET and morphological information with high soft-tissue contrast using MRI. Although PET/MRI facilitates the capture of high-accuracy fusion images, its major drawback can be attributed to the difficulty encountered when performing attenuation correction, which is necessary for quantitative PET evaluation. The combined PET/MRI scanning requires the generation of attenuation-correction maps from MRI owing to no direct relationship between the gamma-ray attenuation information and MRIs. While MRI-based bone-tissue segmentation can be readily performed for the head and pelvis regions, the realization of accurate bone segmentation via chest CT generation remains a challenging task. This can be attributed to the respiratory and cardiac motions occurring in the chest as well as its anatomically complicated structure and relatively thin bone cortex. This paper presents a means to minimise the anatomical structural changes without human annotation by adding structural constraints using a modality-independent neighbourhood descriptor (MIND) to a generative adversarial network (GAN) that can transform unpaired images. The results obtained in this study revealed the proposed U-GAT-IT + MIND approach to outperform all other competing approaches. The findings of this study hint towards possibility of synthesising clinically acceptable CT images from chest MRI without human annotation, thereby minimising the changes in the anatomical structure.