Seung Hong Choi

Han Jang, Junhyeok Lee, Heeseong Eum et al.

Precise molecular subtyping of gliomas, including isocitrate dehydrogenase (IDH) mutation and 1p/19q codeletion, directly guides surgical and therapeutic decisions, yet currently relies on invasive tissue sampling. Deep learning on structural MRI has emerged as a non-invasive alternative, but anatomy-only approaches cannot capture the hemodynamic signatures that distinguish molecular subtypes. Radiogenomics based on dynamic susceptibility contrast (DSC) MRI holds immense potential for non-invasively characterizing glioma molecular subtypes, yet clinical deployment has been hindered by inter-site variability and the limitations of voxel-wise analysis. We introduce HiPerfGNN, a framework that first learns discrete hemodynamic representations from raw time-intensity curves using a vector-quantized variational autoencoder (VQ-VAE). These quantized perfusion codes define coarse-level graph nodes representing functional tumor habitats, each of which is hierarchically subdivided into fine-level subregions guided by structural MRI. A hierarchical graph neural network then propagates information across scales for molecular prediction. On an internal cohort (n=475), the model achieved AUCs of 0.96 (IDH), 0.89 (1p/19q), and 0.84 (WHO grade), and maintained robust IDH performance (AUC 0.89) on an independent external cohort (n=397) without recalibration. Gradient-based saliency analysis confirms biologically grounded attention patterns aligned with known glioma pathophysiology. Our results demonstrate the added value of integrating perfusion dynamics into radiogenomic pipelines for glioma molecular subtyping. Code is available at https://github.com/janghana/HiPerfGNN.

Juhyung Park, Rokgi Hong, Roh-Eul Yoo et al.

Recent advancements in artificial intelligence have created transformative capabilities in image synthesis and generation, enabling diverse research fields to innovate at revolutionary speed and spectrum. In this study, we leverage this generative power to introduce a new paradigm for accelerating Magnetic Resonance Imaging (MRI), introducing a shift from image reconstruction to proactive predictive imaging. Despite being a cornerstone of modern patient care, MRI's lengthy acquisition times limit clinical throughput. Our novel framework addresses this challenge by first predicting a target contrast image, which then serves as a data-driven prior for reconstructing highly under-sampled data. This informative prior is predicted by a generative model conditioned on diverse data sources, such as other contrast images, previously scanned images, acquisition parameters, patient information. We demonstrate this approach with two key applications: (1) reconstructing FLAIR images using predictions from T1w and/or T2w scans, and (2) reconstructing T1w images using predictions from previously acquired T1w scans. The framework was evaluated on internal and multiple public datasets (total 14,921 scans; 1,051,904 slices), including multi-channel k-space data, for a range of high acceleration factors (x4, x8 and x12). The results demonstrate that our prediction-prior reconstruction method significantly outperforms other approaches, including those with alternative or no prior information. Through this framework we introduce a fundamental shift from image reconstruction towards a new paradigm of predictive imaging.