Hongfu Sun

Zhuang Xiong, Yang Gao, Yin Liu et al.

The data-driven approach of supervised learning methods has limited applicability in solving dipole inversion in Quantitative Susceptibility Mapping (QSM) with varying scan parameters across different objects. To address this generalization issue in supervised QSM methods, we propose a novel training-free model-based unsupervised method called MoDIP (Model-based Deep Image Prior). MoDIP comprises a small, untrained network and a Data Fidelity Optimization (DFO) module. The network converges to an interim state, acting as an implicit prior for image regularization, while the optimization process enforces the physical model of QSM dipole inversion. Experimental results demonstrate MoDIP's excellent generalizability in solving QSM dipole inversion across different scan parameters. It exhibits robustness against pathological brain QSM, achieving over 32% accuracy improvement than supervised deep learning and traditional iterative methods. It is also 33% more computationally efficient and runs 4 times faster than conventional DIP-based approaches, enabling 3D high-resolution image reconstruction in under 4.5 minutes.

Zhuang Xiong, Yang Gao, Feng Liu et al.

Deep neural networks have demonstrated great potential in solving dipole inversion for Quantitative Susceptibility Mapping (QSM). However, the performances of most existing deep learning methods drastically degrade with mismatched sequence parameters such as acquisition orientation and spatial resolution. We propose an end-to-end AFfine Transformation Edited and Refined (AFTER) deep neural network for QSM, which is robust against arbitrary acquisition orientation and spatial resolution up to 0.6 mm isotropic at the finest. The AFTER-QSM neural network starts with a forward affine transformation layer, followed by an Unet for dipole inversion, then an inverse affine transformation layer, followed by a Residual Dense Network (RDN) for QSM refinement. Simulation and in-vivo experiments demonstrated that the proposed AFTER-QSM network architecture had excellent generalizability. It can successfully reconstruct susceptibility maps from highly oblique and anisotropic scans, leading to the best image quality assessments in simulation tests and suppressed streaking artifacts and noise levels for in-vivo experiments compared with other methods. Furthermore, ablation studies showed that the RDN refinement network significantly reduced image blurring and susceptibility underestimation due to affine transformations. In addition, the AFTER-QSM network substantially shortened the reconstruction time from minutes using conventional methods to only a few seconds.

Xuanyu Zhu, Yang Gao, Feng Liu et al.

Introduction: Background field removal (BFR) is a critical step required for successful quantitative susceptibility mapping (QSM). However, eliminating the background field in brains containing significant susceptibility sources, such as intracranial hemorrhages, is challenging due to the relatively large scale of the field induced by these pathological susceptibility sources. Method: This study proposes a new deep learning-based method, BFRnet, to remove background field in healthy and hemorrhagic subjects. The network is built with the dual-frequency octave convolutions on the U-net architecture, trained with synthetic field maps containing significant susceptibility sources. The BFRnet method is compared with three conventional BFR methods and one previous deep learning method using simulated and in vivo brains from 4 healthy and 2 hemorrhagic subjects. Robustness against acquisition field-of-view (FOV) orientation and brain masking are also investigated. Results: For both simulation and in vivo experiments, BFRnet led to the best visually appealing results in the local field and QSM results with the minimum contrast loss and the most accurate hemorrhage susceptibility measurements among all five methods. In addition, BFRnet produced the most consistent local field and susceptibility maps between different sizes of brain masks, while conventional methods depend drastically on precise brain extraction and further brain edge erosions. It is also observed that BFRnet performed the best among all BFR methods for acquisition FOVs oblique to the main magnetic field. Conclusion: The proposed BFRnet improved the accuracy of local field reconstruction in the hemorrhagic subjects compared with conventional BFR algorithms. The BFRnet method was effective for acquisitions of titled orientations and retained whole brains without edge erosion as often required by traditional BFR methods.

Yu Ren, Guoli Wang, Pingping Wang et al. · pku

Background and Objective: Bladder cancer is a common malignant urinary carcinoma, with muscle-invasive and non-muscle-invasive as its two major subtypes. This paper aims to achieve automated bladder cancer invasiveness localization and classification based on MRI. Method: Different from previous efforts that segment bladder wall and tumor, we propose a novel end-to-end multi-scale multi-task spatial feature encoder network (MM-SFENet) for locating and classifying bladder cancer, according to the classification criteria of the spatial relationship between the tumor and bladder wall. First, we built a backbone with residual blocks to distinguish bladder wall and tumor; then, a spatial feature encoder is designed to encode the multi-level features of the backbone to learn the criteria. Results: We substitute Smooth-L1 Loss with IoU Loss for multi-task learning, to improve the accuracy of the classification task. By testing a total of 1287 MRIs collected from 98 patients at the hospital, the mAP and IoU are used as the evaluation metrics. The experimental result could reach 93.34\% and 83.16\% on test set. Conclusions: The experimental result demonstrates the effectiveness of the proposed MM-SFENet on the localization and classification of bladder cancer. It may provide an effective supplementary diagnosis method for bladder cancer staging.

Hossein Askari, Yadan Luo, Hongfu Sun et al.

Recent advances in inverse problem solving have increasingly adopted flow priors over diffusion models due to their ability to construct straight probability paths from noise to data, thereby enhancing efficiency in both training and inference. However, current flow-based inverse solvers face two primary limitations: (i) they operate directly in pixel space, which demands heavy computational resources for training and restricts scalability to high-resolution images, and (ii) they employ guidance strategies with prior-agnostic posterior covariances, which can weaken alignment with the generative trajectory and degrade posterior coverage. In this paper, we propose LFlow (Latent Refinement via Flows), a training-free framework for solving linear inverse problems via pretrained latent flow priors. LFlow leverages the efficiency of flow matching to perform ODE sampling in latent space along an optimal path. This latent formulation further allows us to introduce a theoretically grounded posterior covariance, derived from the optimal vector field, enabling effective flow guidance. Experimental results demonstrate that our proposed method outperforms state-of-the-art latent diffusion solvers in reconstruction quality across most tasks. The code will be publicly available at https://github.com/hosseinaskari-cs/LFlow .

Zhao Wang, Wei Dai, Thuy Thanh Dao et al.

Accurate magnetic resonance imaging (MRI) segmentation is crucial for clinical decision-making, but remains labor-intensive when performed manually. Convolutional neural network (CNN)-based methods can be accurate and efficient, but often generalize poorly to MRI's variable contrast, intensity inhomogeneity, and protocols. Although the transformer-based Segment Anything Model (SAM) has demonstrated remarkable generalizability in natural images, existing adaptations often treat MRI as another imaging modality, overlooking these modality-specific challenges. We present SAMRI, an MRI-specialized SAM trained and validated on 1.1 million labeled MR slices spanning whole-body organs and pathologies. We demonstrate that SAM can be effectively adapted to MRI by simply fine-tuning its mask decoder using a two-stage strategy, reducing training time by 94% and trainable parameters by 96% versus full-model retraining. Across diverse MRI segmentation tasks, SAMRI achieves a mean Dice of 0.87, delivering state-of-the-art accuracy across anatomical regions and robust generalization on unseen structures, particularly small and clinically important structures.

Wei Jiang, Zhuang Xiong, Feng Liu et al.

Supervised deep learning methods have shown promise in undersampled Magnetic Resonance Imaging (MRI) reconstruction, but their requirement for paired data limits their generalizability to the diverse MRI acquisition parameters. Recently, unsupervised controllable generative diffusion models have been applied to undersampled MRI reconstruction, without paired data or model retraining for different MRI acquisitions. However, diffusion models are generally slow in sampling and state-of-the-art acceleration techniques can lead to sub-optimal results when directly applied to the controllable generation process. This study introduces a new algorithm called Predictor-Projector-Noisor (PPN), which enhances and accelerates controllable generation of diffusion models for undersampled MRI reconstruction. Our results demonstrate that PPN produces high-fidelity MR images that conform to undersampled k-space measurements with significantly shorter reconstruction time than other controllable sampling methods. In addition, the unsupervised PPN accelerated diffusion models are adaptable to different MRI acquisition parameters, making them more practical for clinical use than supervised learning techniques.

Wei Jiang, Feng Liu, Nan Ye et al.

Adapting foundation models to medical segmentation typically requires either backbone fine-tuning or high-capacity task-specific decoders, both of which are difficult to fit reliably when annotations are scarce. We show that frozen DINOv3 features already contain useful structural and boundary cues for medical segmentation, and that the main bottleneck lies in how these features are read out. We propose DINO-MVR, a Multi-View Readout framework for annotation-efficient medical segmentation. DINO-MVR trains only lightweight MLP probes on features from the final three transformer blocks of a frozen DINOv3 backbone, without updating the backbone itself. At inference, each input is interpreted through complementary resolutions and test-time augmentations, whose probability maps are combined by entropy-weighted fusion and refined with simple spatial regularization. For volumetric inputs, Gaussian z-axis smoothing further improves inter-slice consistency. Under fixed evaluation protocols on endoscopy, dermoscopy, and MRI benchmarks, DINO-MVR achieves strong readout-only performance, including 0.895 Dice on Kvasir-SEG, 0.897 Dice on ISIC 2018, and 0.908 Dice on BraTS FLAIR whole-tumor segmentation. With only five annotated BraTS patients, it recovers 98.4% of the performance obtained by the 40-patient BraTS reference run. These results suggest that frozen self-supervised vision backbones can support accurate medical segmentation when paired with an effective multi-view readout.

Rui Jin, Chen Chen, Yin Liu et al.

Accurate diagnosis of Parkinson's disease (PD) from MRI remains challenging due to symptom variability and pathological heterogeneity. Most existing methods rely on conventional magnitude-based MRI modalities, such as T1-weighted images (T1w), which are less sensitive to PD pathology than Quantitative Susceptibility Mapping (QSM), a phase-based MRI technique that quantifies iron deposition in deep gray matter nuclei. In this study, we propose GateFuseNet, an adaptive 3D multimodal fusion network that integrates QSM and T1w images for PD diagnosis. The core innovation lies in a gated fusion module that learns modality-specific attention weights and channel-wise gating vectors for selective feature modulation. This hierarchical gating mechanism enhances ROI-aware features while suppressing irrelevant signals. Experimental results show that our method outperforms three existing state-of-the-art approaches, achieving 85.00% accuracy and 92.06% AUC. Ablation studies further validate the contributions of ROI guidance, multimodal integration, and fusion positioning. Grad-CAM visualizations confirm the model's focus on clinically relevant pathological regions. The source codes and pretrained models can be found at https://github.com/YangGaoUQ/GateFuseNet

Wendi Ma, Marlon Bran Lorenzana, Wei Dai et al.

As aliasing artefacts are highly structural and non-local, many MRI reconstruction networks use pooling to enlarge filter coverage and incorporate global context. However, this inadvertently impedes fine detail recovery as downsampling creates a resolution bottleneck. Moreover, real and imaginary features are commonly split into separate channels, discarding phase information particularly important to high frequency textures. In this work, we introduce an efficient multi-scale reconstruction network using dilated convolutions to preserve resolution and experiment with a complex-valued version using complex convolutions. Inspired by parallel dilated filters, multiple receptive fields are processed simultaneously with branches that see both large structural artefacts and fine local features. We also adopt dense residual connections for feature aggregation to efficiently increase scale and the deep cascade global architecture to reduce overfitting. The real-valued version of this model outperformed common reconstruction architectures as well as a state-of-the-art multi-scale network whilst being three times more efficient. The complex-valued network yielded better qualitative results when more phase information was present.

Hossein Askari, Fred Roosta, Hongfu Sun

In the realm of medical imaging, inverse problems aim to infer high-quality images from incomplete, noisy measurements, with the objective of minimizing expenses and risks to patients in clinical settings. The Diffusion Models have recently emerged as a promising approach to such practical challenges, proving particularly useful for the zero-shot inference of images from partially acquired measurements in Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). A central challenge in this approach, however, is how to guide an unconditional prediction to conform to the measurement information. Existing methods rely on deficient projection or inefficient posterior score approximation guidance, which often leads to suboptimal performance. In this paper, we propose \underline{\textbf{B}}i-level \underline{G}uided \underline{D}iffusion \underline{M}odels ({BGDM}), a zero-shot imaging framework that efficiently steers the initial unconditional prediction through a \emph{bi-level} guidance strategy. Specifically, BGDM first approximates an \emph{inner-level} conditional posterior mean as an initial measurement-consistent reference point and then solves an \emph{outer-level} proximal optimization objective to reinforce the measurement consistency. Our experimental findings, using publicly available MRI and CT medical datasets, reveal that BGDM is more effective and efficient compared to the baselines, faithfully generating high-fidelity medical images and substantially reducing hallucinatory artifacts in cases of severe degradation.

Zhuang Xiong, Wei Jiang, Yang Gao et al.

Quantitative Susceptibility Mapping (QSM) dipole inversion is an ill-posed inverse problem for quantifying magnetic susceptibility distributions from MRI tissue phases. While supervised deep learning methods have shown success in specific QSM tasks, their generalizability across different acquisition scenarios remains constrained. Recent developments in diffusion models have demonstrated potential for solving 2D medical imaging inverse problems. However, their application to 3D modalities, such as QSM, remains challenging due to high computational demands. In this work, we developed a 3D image patch-based diffusion model, namely QSMDiff, for robust QSM reconstruction across different scan parameters, alongside simultaneous super-resolution and image-denoising tasks. QSMDiff adopts unsupervised 3D image patch training and full-size measurement guidance during inference for controlled image generation. Evaluation on simulated and in-vivo human brains, using gradient-echo and echo-planar imaging sequences across different acquisition parameters, demonstrates superior performance. The method proposed in QSMDiff also holds promise for impacting other 3D medical imaging applications beyond QSM.

Tianyi Ding, Hongli Chen, Yang Gao et al.

Magnetic Resonance Fingerprinting (MRF) enables fast quantitative imaging by matching signal evolutions to a predefined dictionary. However, conventional dictionary matching suffers from exponential growth in computational cost and memory usage as the number of parameters increases, limiting its scalability to multi-parametric mapping. To address this, recent work has explored deep learning-based approaches as alternatives to DM. We propose GAST-Mamba, an end-to-end framework that combines a dual Mamba-based encoder with a Gate-Aware Spatial-Temporal (GAST) processor. Built on structured state-space models, our architecture efficiently captures long-range spatial dependencies with linear complexity. On 5 times accelerated simulated MRF data (200 frames), GAST-Mamba achieved a T1 PSNR of 33.12~dB, outperforming SCQ (31.69~dB). For T2 mapping, it reached a PSNR of 30.62~dB and SSIM of 0.9124. In vivo experiments further demonstrated improved anatomical detail and reduced artifacts. Ablation studies confirmed that each component contributes to performance, with the GAST module being particularly important under strong undersampling. These results demonstrate the effectiveness of GAST-Mamba for accurate and robust reconstruction from highly undersampled MRF acquisitions, offering a scalable alternative to traditional DM-based methods.

Min Li, Chen Chen, Zhuang Xiong et al.

Quantitative susceptibility mapping (QSM) is an MRI phase-based post-processing technique to extract the distribution of tissue susceptibilities, demonstrating significant potential in studying neurological diseases. However, the ill-conditioned nature of dipole inversion makes QSM reconstruction from the tissue field prone to noise and artifacts. In this work, we propose a novel deep learning-based IR2QSM method for QSM reconstruction. It is designed by iterating four times of a reverse concatenations and middle recurrent modules enhanced U-net, which could dramatically improve the efficiency of latent feature utilization. Simulated and in vivo experiments were conducted to compare IR2QSM with several traditional algorithms (MEDI and iLSQR) and state-of-the-art deep learning methods (U-net, xQSM, and LPCNN). The results indicated that IR2QSM was able to obtain QSM images with significantly increased accuracy and mitigated artifacts over other methods. Particularly, IR2QSM demonstrated on average the best NRMSE (27.59%) in simulated experiments, which is 15.48%, 7.86%, 17.24%, 9.26%, and 29.13% lower than iLSQR, MEDI, U-net, xQSM, LPCNN, respectively, and led to improved QSM results with fewer artifacts for the in vivo data.