William Moore

Jingjia Chen, Haoyang Pei, Christoph Maier et al.

Purpose: This study aims to improve 0.55T T2-weighted PROPELLER lung MRI through a self-supervised joint reconstruction and denoising model. Methods: T2-weighted 0.55T lung MRI dataset including 44 patients with previous covid infection were used. A self-supervised learning framework was developed, where each blade of the PROPELLER acquisition was split along the readout direction into two partitions. One subset trains the unrolled reconstruction network, while the other subset is used for loss calculation, enabling self-supervised training without clean targets and leveraging matched noise statistics for denoising. For comparison, Marchenko-Pastur Principal Component Analysis (MPPCA) was performed along the coil dimension, followed by conventional parallel imaging reconstruction. The quality of the reconstructed lung MRI was assessed visually by two experienced radiologists independently. Results: The proposed self-supervised model improved the clarity and structural integrity of the lung images. For cases with available CT scans, the reconstructed images demonstrated strong alignment with corresponding CT images. Additionally, the proposed model enables further scan time reduction by requiring only half the number of blades. Reader evaluations confirmed that the proposed method outperformed MPPCA-denoised images across all categories (Wilcoxon signed-rank test, p<0.001), with moderate inter-reader agreement (weighted Cohen's kappa=0.55; percentage of exact and within +/-1 point agreement=91%). Conclusion: By leveraging intrinsic structural redundancies between two disjoint splits of k-space subsets, the proposed self-supervised learning model effectively reconstructs the image while suppressing the noise for 0.55T T2-weighted lung MRI with PROPELLER sampling.

Haoyang Pei, Ding Xia, Xiang Xu et al.

Purpose: Deep learning has demonstrated strong potential for MRI reconstruction, but conventional supervised learning methods require high-quality reference images, which are often unavailable in practice. Self-supervised learning offers an alternative, yet its performance degrades at high acceleration rates. To overcome these limitations, we propose hybrid learning, a novel two-stage training framework that combines self-supervised and supervised learning for robust image reconstruction. Methods: Hybrid learning is implemented in two sequential stages. In the first stage, self-supervised learning is employed to generate improved images from noisy or undersampled reference data. These enhanced images then serve as pseudo-ground truths for the second stage, which uses supervised learning to refine reconstruction performance and support higher acceleration rates. We evaluated hybrid learning in two representative applications: (1) accelerated 0.55T spiral-UTE lung MRI using noisy reference data, and (2) 3D T1 mapping of the brain without access to fully sampled ground truth. Results: For spiral-UTE lung MRI, hybrid learning consistently improved image quality over both self-supervised and conventional supervised methods across different acceleration rates, as measured by SSIM and NMSE. For 3D T1 mapping, hybrid learning achieved superior T1 quantification accuracy across a wide dynamic range, outperforming self-supervised learning in all tested conditions. Conclusions: Hybrid learning provides a practical and effective solution for training deep MRI reconstruction networks when only low-quality or incomplete reference data are available. It enables improved image quality and accurate quantitative mapping across different applications and field strengths, representing a promising technique toward broader clinical deployment of deep learning-based MRI.

Anuroop Sriram, Matthew Muckley, Koustuv Sinha et al.

The rapid spread of COVID-19 cases in recent months has strained hospital resources, making rapid and accurate triage of patients presenting to emergency departments a necessity. Machine learning techniques using clinical data such as chest X-rays have been used to predict which patients are most at risk of deterioration. We consider the task of predicting two types of patient deterioration based on chest X-rays: adverse event deterioration (i.e., transfer to the intensive care unit, intubation, or mortality) and increased oxygen requirements beyond 6 L per day. Due to the relative scarcity of COVID-19 patient data, existing solutions leverage supervised pretraining on related non-COVID images, but this is limited by the differences between the pretraining data and the target COVID-19 patient data. In this paper, we use self-supervised learning based on the momentum contrast (MoCo) method in the pretraining phase to learn more general image representations to use for downstream tasks. We present three results. The first is deterioration prediction from a single image, where our model achieves an area under receiver operating characteristic curve (AUC) of 0.742 for predicting an adverse event within 96 hours (compared to 0.703 with supervised pretraining) and an AUC of 0.765 for predicting oxygen requirements greater than 6 L a day at 24 hours (compared to 0.749 with supervised pretraining). We then propose a new transformer-based architecture that can process sequences of multiple images for prediction and show that this model can achieve an improved AUC of 0.786 for predicting an adverse event at 96 hours and an AUC of 0.848 for predicting mortalities at 96 hours. A small pilot clinical study suggested that the prediction accuracy of our model is comparable to that of experienced radiologists analyzing the same information.

Farah E. Shamout, Yiqiu Shen, Nan Wu et al.

During the coronavirus disease 2019 (COVID-19) pandemic, rapid and accurate triage of patients at the emergency department is critical to inform decision-making. We propose a data-driven approach for automatic prediction of deterioration risk using a deep neural network that learns from chest X-ray images and a gradient boosting model that learns from routine clinical variables. Our AI prognosis system, trained using data from 3,661 patients, achieves an area under the receiver operating characteristic curve (AUC) of 0.786 (95% CI: 0.745-0.830) when predicting deterioration within 96 hours. The deep neural network extracts informative areas of chest X-ray images to assist clinicians in interpreting the predictions and performs comparably to two radiologists in a reader study. In order to verify performance in a real clinical setting, we silently deployed a preliminary version of the deep neural network at New York University Langone Health during the first wave of the pandemic, which produced accurate predictions in real-time. In summary, our findings demonstrate the potential of the proposed system for assisting front-line physicians in the triage of COVID-19 patients.