René M. Botnar

Tabita Catalán, Matías Courdurier, Axel Osses et al.

Cardiac cine MRI is the gold standard for cardiac functional assessment, but the inherently slow acquisition process creates the necessity of reconstruction approaches for accelerated undersampled acquisitions. Several regularization approaches that exploit spatial-temporal redundancy have been proposed to reconstruct undersampled cardiac cine MRI. More recently, methods based on supervised deep learning have been also proposed to further accelerate acquisition and reconstruction. However, these techniques rely on usually large dataset for training, which are not always available. In this work, we propose an unsupervised approach based on implicit neural field representations for cardiac cine MRI (so called NF-cMRI). The proposed method was evaluated in in-vivo undersampled golden-angle radial multi-coil acquisitions for undersampling factors of 26x and 52x, achieving good image quality, and comparable spatial and improved temporal depiction than a state-of-the-art reconstruction technique.

Andreas Kofler, Dongyue Si, David Schote et al.

Recent innovations in Magnetic Resonance Imaging (MRI) hardware and software have reignited interest in low-field ($<1\,\mathrm{T}$) and ultra-low-field MRI ($<0.1\,\mathrm{T}$). These technologies offer advantages such as lower power consumption, reduced specific absorption rate, reduced field-inhomogeneities, and cost-effectiveness, presenting a promising alternative for resource-limited and point-of-care settings. However, low-field MRI faces inherent challenges like reduced signal-to-noise ratio and therefore, potentially lower spatial resolution or longer scan times. This chapter examines the challenges and opportunities of low-field and ultra-low-field MRI, with a focus on the role of machine learning (ML) in overcoming these limitations. We provide an overview of deep neural networks and their application in enhancing low-field and ultra-low-field MRI performance. Specific ML-based solutions, including advanced image reconstruction, denoising, and super-resolution algorithms, are discussed. The chapter concludes by exploring how integrating ML with low-field MRI could expand its clinical applications and improve accessibility, potentially revolutionizing its use in diverse healthcare settings.

Ilkay Oksuz, Gastao Cruz, James Clough et al.

Magnetic Resonance Fingerprinting (MRF) is a new approach to quantitative magnetic resonance imaging that allows simultaneous measurement of multiple tissue properties in a single, time-efficient acquisition. Standard MRF reconstructs parametric maps using dictionary matching and lacks scalability due to computational inefficiency. We propose to perform MRF map reconstruction using a recurrent neural network, which exploits the time-dependent information of the MRF signal evolution. We evaluate our method on multiparametric synthetic signals and compare it to existing MRF map reconstruction approaches, including those based on neural networks. Our method achieves state-of-the-art estimates of T1 and T2 values. In addition, the reconstruction time is significantly reduced compared to dictionary-matching based approaches.

Ilkay Oksuz, Bram Ruijsink, Esther Puyol-Anton et al.

Good quality of medical images is a prerequisite for the success of subsequent image analysis pipelines. Quality assessment of medical images is therefore an essential activity and for large population studies such as the UK Biobank (UKBB), manual identification of artefacts such as those caused by unanticipated motion is tedious and time-consuming. Therefore, there is an urgent need for automatic image quality assessment techniques. In this paper, we propose a method to automatically detect the presence of motion-related artefacts in cardiac magnetic resonance (CMR) cine images. We compare two deep learning architectures to classify poor quality CMR images: 1) 3D spatio-temporal Convolutional Neural Networks (3D-CNN), 2) Long-term Recurrent Convolutional Network (LRCN). Though in real clinical setup motion artefacts are common, high-quality imaging of UKBB, which comprises cross-sectional population data of volunteers who do not necessarily have health problems creates a highly imbalanced classification problem. Due to the high number of good quality images compared to the relatively low number of images with motion artefacts, we propose a novel data augmentation scheme based on synthetic artefact creation in k-space. We also investigate a learning approach using a predetermined curriculum based on synthetic artefact severity. We evaluate our pipeline on a subset of the UK Biobank data set consisting of 3510 CMR images. The LRCN architecture outperformed the 3D-CNN architecture and was able to detect 2D+time short axis images with motion artefacts in less than 1ms with high recall. We compare our approach to a range of state-of-the-art quality assessment methods. The novel data augmentation and curriculum learning approaches both improved classification performance achieving overall area under the ROC curve of 0.89.