Neha Koonjoo

Aryan Kalluvila, Neha Koonjoo, Danyal Bhutto et al.

Low-field (LF) MRI scanners have the power to revolutionize medical imaging by providing a portable and cheaper alternative to high-field MRI scanners. However, such scanners are usually significantly noisier and lower quality than their high-field counterparts. The aim of this paper is to improve the SNR and overall image quality of low-field MRI scans to improve diagnostic capability. To address this issue, we propose a Nested U-Net neural network architecture super-resolution algorithm that outperforms previously suggested deep learning methods with an average PSNR of 78.83 and SSIM of 0.9551. We tested our network on artificial noisy downsampled synthetic data from a major T1 weighted MRI image dataset called the T1-mix dataset. One board-certified radiologist scored 25 images on the Likert scale (1-5) assessing overall image quality, anatomical structure, and diagnostic confidence across our architecture and other published works (SR DenseNet, Generator Block, SRCNN, etc.). We also introduce a new type of loss function called natural log mean squared error (NLMSE). In conclusion, we present a more accurate deep learning method for single image super-resolution applied to synthetic low-field MRI via a Nested U-Net architecture.

Danyal F. Bhutto, Bo Zhu, Jeremiah Z. Liu et al.

Accurate image reconstruction is at the heart of diagnostics in medical imaging. Supervised deep learning-based approaches have been investigated for solving inverse problems including image reconstruction. However, these trained models encounter unseen data distributions that are widely shifted from training data during deployment. Therefore, it is essential to assess whether a given input falls within the training data distribution for diagnostic purposes. Uncertainty estimation approaches exist but focus on providing an uncertainty map to radiologists, rather than assessing the training distribution fit. In this work, we propose a method based on the local Lipschitz-based metric to distinguish out-of-distribution images from in-distribution with an area under the curve of 99.94%. Empirically, we demonstrate a very strong relationship between the local Lipschitz value and mean absolute error (MAE), supported by a high Spearman's rank correlation coefficient of 0.8475, which determines the uncertainty estimation threshold for optimal model performance. Through the identification of false positives, the local Lipschitz and MAE relationship was used to guide data augmentation and reduce model uncertainty. Our study was validated using the AUTOMAP architecture for sensor-to-image Magnetic Resonance Imaging (MRI) reconstruction. We compare our proposed approach with baseline methods: Monte-Carlo dropout and deep ensembles, and further analysis included MRI denoising and Computed Tomography (CT) sparse-to-full view reconstruction using UNET architectures. We show that our approach is applicable to various architectures and learned functions, especially in the realm of medical image reconstruction, where preserving the diagnostic accuracy of reconstructed images remains paramount.

David E. J. Waddington, Nicholas Hindley, Neha Koonjoo et al.

MRI-guidance techniques that dynamically adapt radiation beams to follow tumor motion in real-time will lead to more accurate cancer treatments and reduced collateral healthy tissue damage. The gold-standard for reconstruction of undersampled MR data is compressed sensing (CS) which is computationally slow and limits the rate that images can be available for real-time adaptation. Here, we demonstrate the use of automated transform by manifold approximation (AUTOMAP), a generalized framework that maps raw MR signal to the target image domain, to rapidly reconstruct images from undersampled radial k-space data. The AUTOMAP neural network was trained to reconstruct images from a golden-angle radial acquisition, a benchmark for motion-sensitive imaging, on lung cancer patient data and generic images from ImageNet. Model training was subsequently augmented with motion-encoded k-space data derived from videos in the YouTube-8M dataset to encourage motion robust reconstruction. We find that AUTOMAP-reconstructed radial k-space has equivalent accuracy to CS but with much shorter processing times after initial fine-tuning on retrospectively acquired lung cancer patient data. Validation of motion-trained models with a virtual dynamic lung tumor phantom showed that the generalized motion properties learned from YouTube lead to improved target tracking accuracy. Our work shows that AUTOMAP can achieve real-time, accurate reconstruction of radial data. These findings imply that neural-network-based reconstruction is potentially superior to existing approaches for real-time image guidance applications.