Xia Li

Xinyang Wu, Muheng Li, Xia Li et al.

Four-dimensional MRI (4D-MRI) is an promising technique for capturing respiratory-induced motion in radiation therapy planning and delivery. Conventional 4D reconstruction methods, which typically rely on phase binning or separate template scans, struggle to capture temporal variability, complicate workflows, and impose heavy computational loads. We introduce a neural representation framework that considers respiratory motion as a smooth, continuous deformation steered by a 1D surrogate signal, completely replacing the conventional discrete sorting approach. The new method fuses motion modeling with image reconstruction through two synergistic networks: the Spatial Anatomy Network (SAN) encodes a continuous 3D anatomical representation, while a Temporal Motion Network (TMN), guided by Transformer-derived respiratory signals, produces temporally consistent deformation fields. Evaluation using a free-breathing dataset of 19 volunteers demonstrates that our template- and phase-free method accurately captures both regular and irregular respiratory patterns, while preserving vessel and bronchial continuity with high anatomical fidelity. The proposed method significantly improves efficiency, reducing the total processing time from approximately five hours required by conventional discrete sorting methods to just 15 minutes of training. Furthermore, it enables inference of each 3D volume in under one second. The framework accurately reconstructs 3D images at any respiratory state, achieves superior performance compared to conventional methods, and demonstrates strong potential for application in 4D radiation therapy planning and real-time adaptive treatment.

Jihe Li, Xiang Liu, Fabian Zhang et al.

Deformable Image Registration (DIR) is essential for aligning medical images that exhibit anatomical variations, facilitating applications such as disease tracking and radiotherapy planning. While classical iterative methods and deep learning approaches have achieved success in DIR, they are often hindered by computational inefficiency or poor generalization. In this paper, we introduce GaussianDIR, a novel, case-specific optimization DIR method inspired by 3D Gaussian splatting. In general, GaussianDIR represents image deformations using a sparse set of mobile and flexible Gaussian primitives, each defined by a center position, covariance, and local rigid transformation. This compact and explicit representation reduces noise and computational overhead while improving interpretability. Furthermore, the movement of individual voxel is derived via blending the local rigid transformation of the neighboring Gaussian primitives. By this, GaussianDIR captures both global smoothness and local rigidity as well as reduces the computational burden. To address varying levels of deformation complexity, GaussianDIR also integrates an adaptive density control mechanism that dynamically adjusts the density of Gaussian primitives. Additionally, we employ multi-scale Gaussian primitives to capture both coarse and fine deformations, reducing optimization to local minima. Experimental results on brain MRI, lung CT, and cardiac MRI datasets demonstrate that GaussianDIR outperforms existing DIR methods in both accuracy and efficiency, highlighting its potential for clinical applications. Finally, as a training-free approach, it challenges the stereotype that iterative methods are inherently slow and transcend the limitations of poor generalization.