John M. Pauly

Ke Lei, Ali B. Syed, Xucheng Zhu et al.

Manual prescription of the field of view (FOV) by MRI technologists is variable and prolongs the scanning process. Often, the FOV is too large or crops critical anatomy. We propose a deep-learning framework, trained by radiologists' supervision, for automating FOV prescription. An intra-stack shared feature extraction network and an attention network are used to process a stack of 2D image inputs to generate output scalars defining the location of a rectangular region of interest (ROI). The attention mechanism is used to make the model focus on the small number of informative slices in a stack. Then the smallest FOV that makes the neural network predicted ROI free of aliasing is calculated by an algebraic operation derived from MR sampling theory. We retrospectively collected 595 cases between February 2018 and February 2022. The framework's performance is examined quantitatively with intersection over union (IoU) and pixel error on position, and qualitatively with a reader study. We use the t-test for comparing quantitative results from all models and a radiologist. The proposed model achieves an average IoU of 0.867 and average ROI position error of 9.06 out of 512 pixels on 80 test cases, significantly better (P<0.05) than two baseline models and not significantly different from a radiologist (P>0.12). Finally, the FOV given by the proposed framework achieves an acceptance rate of 92% from an experienced radiologist.

Joseph Y. Cheng, Feiyu Chen, Christopher Sandino et al.

Compressed sensing in MRI enables high subsampling factors while maintaining diagnostic image quality. This technique enables shortened scan durations and/or improved image resolution. Further, compressed sensing can increase the diagnostic information and value from each scan performed. Overall, compressed sensing has significant clinical impact in improving the diagnostic quality and patient experience for imaging exams. However, a number of challenges exist when moving compressed sensing from research to the clinic. These challenges include hand-crafted image priors, sensitive tuning parameters, and long reconstruction times. Data-driven learning provides a solution to address these challenges. As a result, compressed sensing can have greater clinical impact. In this tutorial, we will review the compressed sensing formulation and outline steps needed to transform this formulation to a deep learning framework. Supplementary open source code in python will be used to demonstrate this approach with open databases. Further, we will discuss considerations in applying data-driven compressed sensing in the clinical setting.

Ke Lei, John M. Pauly, Shreyas S. Vasanawala

In clinical practice MR images are often first seen by radiologists long after the scan. If image quality is inadequate either patients have to return for an additional scan, or a suboptimal interpretation is rendered. An automatic image quality assessment (IQA) would enable real-time remediation. Existing IQA works for MRI give only a general quality score, agnostic to the cause of and solution to low-quality scans. Furthermore, radiologists' image quality requirements vary with the scan type and diagnostic task. Therefore, the same score may have different implications for different scans. We propose a framework with multi-task CNN model trained with calibrated labels and inferenced with image rulers. Labels calibrated by human inputs follow a well-defined and efficient labeling task. Image rulers address varying quality standards and provide a concrete way of interpreting raw scores from the CNN. The model supports assessments of two of the most common artifacts in MRI: noise and motion. It achieves accuracies of around 90%, 6% better than the best previous method examined, and 3% better than human experts on noise assessment. Our experiments show that label calibration, image rulers, and multi-task training improve the model's performance and generalizability.

Elizabeth K. Cole, John M. Pauly, Shreyas S. Vasanawala et al.

Deep learning-based image reconstruction methods have achieved promising results across multiple MRI applications. However, most approaches require large-scale fully-sampled ground truth data for supervised training. Acquiring fully-sampled data is often either difficult or impossible, particularly for dynamic contrast enhancement (DCE), 3D cardiac cine, and 4D flow. We present a deep learning framework for MRI reconstruction without any fully-sampled data using generative adversarial networks. We test the proposed method in two scenarios: retrospectively undersampled fast spin echo knee exams and prospectively undersampled abdominal DCE. The method recovers more anatomical structure compared to conventional methods.

Liyue Shen, Wentao Zhu, Xiaosong Wang et al.

Multi-domain data are widely leveraged in vision applications taking advantage of complementary information from different modalities, e.g., brain tumor segmentation from multi-parametric magnetic resonance imaging (MRI). However, due to possible data corruption and different imaging protocols, the availability of images for each domain could vary amongst multiple data sources in practice, which makes it challenging to build a universal model with a varied set of input data. To tackle this problem, we propose a general approach to complete the random missing domain(s) data in real applications. Specifically, we develop a novel multi-domain image completion method that utilizes a generative adversarial network (GAN) with a representational disentanglement scheme to extract shared skeleton encoding and separate flesh encoding across multiple domains. We further illustrate that the learned representation in multi-domain image completion could be leveraged for high-level tasks, e.g., segmentation, by introducing a unified framework consisting of image completion and segmentation with a shared content encoder. The experiments demonstrate consistent performance improvement on three datasets for brain tumor segmentation, prostate segmentation, and facial expression image completion respectively.

Elizabeth K. Cole, Joseph Y. Cheng, John M. Pauly et al.

Many real-world signal sources are complex-valued, having real and imaginary components. However, the vast majority of existing deep learning platforms and network architectures do not support the use of complex-valued data. MRI data is inherently complex-valued, so existing approaches discard the richer algebraic structure of the complex data. In this work, we investigate end-to-end complex-valued convolutional neural networks - specifically, for image reconstruction in lieu of two-channel real-valued networks. We apply this to magnetic resonance imaging reconstruction for the purpose of accelerating scan times and determine the performance of various promising complex-valued activation functions. We find that complex-valued CNNs with complex-valued convolutions provide superior reconstructions compared to real-valued convolutions with the same number of trainable parameters, over a variety of network architectures and datasets.

Jeffrey Ma, Ukash Nakarmi, Cedric Yue Sik Kin et al.

Magnetic Resonance Imaging (MRI) suffers from several artifacts, the most common of which are motion artifacts. These artifacts often yield images that are of non-diagnostic quality. To detect such artifacts, images are prospectively evaluated by experts for their diagnostic quality, which necessitates patient-revisits and rescans whenever non-diagnostic quality scans are encountered. This motivates the need to develop an automated framework capable of accessing medical image quality and detecting diagnostic and non-diagnostic images. In this paper, we explore several convolutional neural network-based frameworks for medical image quality assessment and investigate several challenges therein.

Ke Lei, Morteza Mardani, John M. Pauly et al.

Lack of ground-truth MR images impedes the common supervised training of neural networks for image reconstruction. To cope with this challenge, this paper leverages unpaired adversarial training for reconstruction networks, where the inputs are undersampled k-space and naively reconstructed images from one dataset, and the labels are high-quality images from another dataset. The reconstruction networks consist of a generator which suppresses the input image artifacts, and a discriminator using a pool of (unpaired) labels to adjust the reconstruction quality. The generator is an unrolled neural network -- a cascade of convolutional and data consistency layers. The discriminator is also a multilayer CNN that plays the role of a critic scoring the quality of reconstructed images based on the Wasserstein distance. Our experiments with knee MRI datasets demonstrate that the proposed unpaired training enables diagnostic-quality reconstruction when high-quality image labels are not available for the input types of interest, or when the amount of labels is small. In addition, our adversarial training scheme can achieve better image quality (as rated by expert radiologists) compared with the paired training schemes with pixel-wise loss.

Joseph Y. Cheng, Feiyu Chen, Marcus T. Alley et al.

To increase the flexibility and scalability of deep neural networks for image reconstruction, a framework is proposed based on bandpass filtering. For many applications, sensing measurements are performed indirectly. For example, in magnetic resonance imaging, data are sampled in the frequency domain. The introduction of bandpass filtering enables leveraging known imaging physics while ensuring that the final reconstruction is consistent with actual measurements to maintain reconstruction accuracy. We demonstrate this flexible architecture for reconstructing subsampled datasets of MRI scans. The resulting high subsampling rates increase the speed of MRI acquisitions and enable the visualization rapid hemodynamics.

Morteza Mardani, Enhao Gong, Joseph Y. Cheng et al.

Magnetic resonance image (MRI) reconstruction is a severely ill-posed linear inverse task demanding time and resource intensive computations that can substantially trade off {\it accuracy} for {\it speed} in real-time imaging. In addition, state-of-the-art compressed sensing (CS) analytics are not cognizant of the image {\it diagnostic quality}. To cope with these challenges we put forth a novel CS framework that permeates benefits from generative adversarial networks (GAN) to train a (low-dimensional) manifold of diagnostic-quality MR images from historical patients. Leveraging a mixture of least-squares (LS) GANs and pixel-wise $\ell_1$ cost, a deep residual network with skip connections is trained as the generator that learns to remove the {\it aliasing} artifacts by projecting onto the manifold. LSGAN learns the texture details, while $\ell_1$ controls the high-frequency noise. A multilayer convolutional neural network is then jointly trained based on diagnostic quality images to discriminate the projection quality. The test phase performs feed-forward propagation over the generator network that demands a very low computational overhead. Extensive evaluations are performed on a large contrast-enhanced MR dataset of pediatric patients. In particular, images rated based on expert radiologists corroborate that GANCS retrieves high contrast images with detailed texture relative to conventional CS, and pixel-wise schemes. In addition, it offers reconstruction under a few milliseconds, two orders of magnitude faster than state-of-the-art CS-MRI schemes.