Edward DiBella

K M Arefeen Sultan, Md Hasibul Husain Hisham, Benjamin Orkild et al.

The accurate evaluation of left atrial fibrosis via high-quality 3D Late Gadolinium Enhancement (LGE) MRI is crucial for atrial fibrillation management but is hindered by factors like patient movement and imaging variability. The pursuit of automated LGE MRI quality assessment is critical for enhancing diagnostic accuracy, standardizing evaluations, and improving patient outcomes. The deep learning models aimed at automating this process face significant challenges due to the scarcity of expert annotations, high computational costs, and the need to capture subtle diagnostic details in highly variable images. This study introduces HAMIL-QA, a multiple instance learning (MIL) framework, designed to overcome these obstacles. HAMIL-QA employs a hierarchical bag and sub-bag structure that allows for targeted analysis within sub-bags and aggregates insights at the volume level. This hierarchical MIL approach reduces reliance on extensive annotations, lessens computational load, and ensures clinically relevant quality predictions by focusing on diagnostically critical image features. Our experiments show that HAMIL-QA surpasses existing MIL methods and traditional supervised approaches in accuracy, AUROC, and F1-Score on an LGE MRI scan dataset, demonstrating its potential as a scalable solution for LGE MRI quality assessment automation. The code is available at: $\href{https://github.com/arf111/HAMIL-QA}{\text{this https URL}}$

K M Arefeen Sultan, Benjamin Orkild, Alan Morris et al.

Accurate assessment of left atrial fibrosis in patients with atrial fibrillation relies on high-quality 3D late gadolinium enhancement (LGE) MRI images. However, obtaining such images is challenging due to patient motion, changing breathing patterns, or sub-optimal choice of pulse sequence parameters. Automated assessment of LGE-MRI image diagnostic quality is clinically significant as it would enhance diagnostic accuracy, improve efficiency, ensure standardization, and contributes to better patient outcomes by providing reliable and high-quality LGE-MRI scans for fibrosis quantification and treatment planning. To address this, we propose a two-stage deep-learning approach for automated LGE-MRI image diagnostic quality assessment. The method includes a left atrium detector to focus on relevant regions and a deep network to evaluate diagnostic quality. We explore two training strategies, multi-task learning, and pretraining using contrastive learning, to overcome limited annotated data in medical imaging. Contrastive Learning result shows about $4\%$, and $9\%$ improvement in F1-Score and Specificity compared to Multi-Task learning when there's limited data.

Md Hasibul Husain Hisham, Shireen Elhabian, Ganesh Adluru et al.

Accelerated 3D late gadolinium enhancement (LGE) MRI requires robust reconstruction methods to recover thin atrial structures from undersampled k-space data. While unrolled model-based networks effectively integrate physics-driven data consistency with learned priors, they operate at the acquired resolution and may fail to fully recover high-frequency detail. We propose a hybrid unrolled reconstruction framework in which an Enhanced Deep Super-Resolution (EDSR) network replaces the proximal operator within each iteration of the optimization loop, enabling joint super-resolution enhancement and data consistency enforcement. The model is trained end-to-end on retrospectively undersampled preclinical 3D LGE datasets and compared against compressed sensing, Model-Based Deep Learning (MoDL), and self-guided Deep Image Prior (DIP) baselines. Across acceleration factors, the proposed method consistently improves PSNR and SSIM over standard unrolled reconstruction and better preserves fine cardiac structures, leading to improved LA (left atrium) segmentation performance. These results demonstrate that integrating super-resolution priors directly within model-based reconstruction provides measurable gains in accelerated 3D LGE MRI.

Sajan Goud Lingala, Edward DiBella, Mathews Jacob

We propose a novel deformation corrected compressed sensing (DC-CS) framework to recover dynamic magnetic resonance images from undersampled measurements. We introduce a generalized formulation that is capable of handling a wide class of sparsity/compactness priors on the deformation corrected dynamic signal. In this work, we consider example compactness priors such as sparsity in temporal Fourier domain, sparsity in temporal finite difference domain, and nuclear norm penalty to exploit low rank structure. Using variable splitting, we decouple the complex optimization problem to simpler and well understood sub problems; the resulting algorithm alternates between simple steps of shrinkage based denoising, deformable registration, and a quadratic optimization step. Additionally, we employ efficient continuation strategies to minimize the risk of convergence to local minima. The proposed formulation contrasts with existing DC-CS schemes that are customized for free breathing cardiac cine applications, and other schemes that rely on fully sampled reference frames or navigator signals to estimate the deformation parameters. The efficient decoupling enabled by the proposed scheme allows its application to a wide range of applications including contrast enhanced dynamic MRI. Through experiments on numerical phantom and in vivo myocardial perfusion MRI datasets, we demonstrate the utility of the proposed DC-CS scheme in providing robust reconstructions with reduced motion artifacts over classical compressed sensing schemes that utilize the compact priors on the original deformation un-corrected signal.