Shanhui Sun

Siyuan Dong, Gilbert Hangel, Eric Z. Chen et al.

Magnetic Resonance Spectroscopic Imaging (MRSI) is an essential tool for quantifying metabolites in the body, but the low spatial resolution limits its clinical applications. Deep learning-based super-resolution methods provided promising results for improving the spatial resolution of MRSI, but the super-resolved images are often blurry compared to the experimentally-acquired high-resolution images. Attempts have been made with the generative adversarial networks to improve the image visual quality. In this work, we consider another type of generative model, the flow-based model, of which the training is more stable and interpretable compared to the adversarial networks. Specifically, we propose a flow-based enhancer network to improve the visual quality of super-resolution MRSI. Different from previous flow-based models, our enhancer network incorporates anatomical information from additional image modalities (MRI) and uses a learnable base distribution. In addition, we impose a guide loss and a data-consistency loss to encourage the network to generate images with high visual quality while maintaining high fidelity. Experiments on a 1H-MRSI dataset acquired from 25 high-grade glioma patients indicate that our enhancer network outperforms the adversarial networks and the baseline flow-based methods. Our method also allows visual quality adjustment and uncertainty estimation.

Lin Zhao, Xiao Chen, Eric Z. Chen et al.

Medical image segmentation is crucial for clinical decision-making, but the scarcity of annotated data presents significant challenges. Few-shot segmentation (FSS) methods show promise but often require training on the target domain and struggle to generalize across different modalities. Similarly, adapting foundation models like the Segment Anything Model (SAM) for medical imaging has limitations, including the need for finetuning and domain-specific adaptation. To address these issues, we propose a novel method that adapts DINOv2 and Segment Anything Model 2 (SAM 2) for retrieval-augmented few-shot medical image segmentation. Our approach uses DINOv2's feature as query to retrieve similar samples from limited annotated data, which are then encoded as memories and stored in memory bank. With the memory attention mechanism of SAM 2, the model leverages these memories as conditions to generate accurate segmentation of the target image. We evaluated our framework on three medical image segmentation tasks, demonstrating superior performance and generalizability across various modalities without the need for any retraining or finetuning. Overall, this method offers a practical and effective solution for few-shot medical image segmentation and holds significant potential as a valuable annotation tool in clinical applications.

Eric Z. Chen, Chi Zhang, Xiao Chen et al.

Compared with 2D MRI, 3D MRI provides superior volumetric spatial resolution and signal-to-noise ratio. However, it is more challenging to reconstruct 3D MRI images. Current methods are mainly based on convolutional neural networks (CNN) with small kernels, which are difficult to scale up to have sufficient fitting power for 3D MRI reconstruction due to the large image size and GPU memory constraint. Furthermore, MRI reconstruction is a deconvolution problem, which demands long-distance information that is difficult to capture by CNNs with small convolution kernels. The multi-layer perceptron (MLP) can model such long-distance information, but it requires a fixed input size. In this paper, we proposed Recon3DMLP, a hybrid of CNN modules with small kernels for low-frequency reconstruction and adaptive MLP (dMLP) modules with large kernels to boost the high-frequency reconstruction, for 3D MRI reconstruction. We further utilized the circular shift operation based on MRI physics such that dMLP accepts arbitrary image size and can extract global information from the entire FOV. We also propose a GPU memory efficient data fidelity module that can reduce $>$50$\%$ memory. We compared Recon3DMLP with other CNN-based models on a high-resolution (HR) 3D MRI dataset. Recon3DMLP improves HR 3D reconstruction and outperforms several existing CNN-based models under similar GPU memory consumption, which demonstrates that Recon3DMLP is a practical solution for HR 3D MRI reconstruction.

Lin Zhao, Xiao Chen, Eric Z. Chen et al.

Multi-contrast Magnetic Resonance Imaging (MRI) generates multiple medical images with rich and complementary information for routine clinical use; however, it suffers from a long acquisition time. Recent works for accelerating MRI, mainly designed for single contrast, may not be optimal for multi-contrast scenario since the inherent correlations among the multi-contrast images are not exploited. In addition, independent reconstruction of each contrast usually does not translate to optimal performance of downstream tasks. Motivated by these aspects, in this paper we design an end-to-end framework for accelerating multi-contrast MRI which simultaneously optimizes the entire MR imaging workflow including sampling, reconstruction and downstream tasks to achieve the best overall outcomes. The proposed framework consists of a sampling mask generator for each image contrast and a reconstructor exploiting the inter-contrast correlations with a recurrent structure which enables the information sharing in a holistic way. The sampling mask generator and the reconstructor are trained jointly across the multiple image contrasts. The acceleration ratio of each image contrast is also learnable and can be driven by a downstream task performance. We validate our approach on a multi-contrast brain dataset and a multi-contrast knee dataset. Experiments show that (1) our framework consistently outperforms the baselines designed for single contrast on both datasets; (2) our newly designed recurrent reconstruction network effectively improves the reconstruction quality for multi-contrast images; (3) the learnable acceleration ratio improves the downstream task performance significantly. Overall, this work has potentials to open up new avenues for optimizing the entire multi-contrast MR imaging workflow.

Siyuan Dong, Eric Z. Chen, Lin Zhao et al.

High-quality MRI reconstruction plays a critical role in clinical applications. Deep learning-based methods have achieved promising results on MRI reconstruction. However, most state-of-the-art methods were designed to optimize the evaluation metrics commonly used for natural images, such as PSNR and SSIM, whereas the visual quality is not primarily pursued. Compared to the fully-sampled images, the reconstructed images are often blurry, where high-frequency features might not be sharp enough for confident clinical diagnosis. To this end, we propose an invertible sharpening network (InvSharpNet) to improve the visual quality of MRI reconstructions. During training, unlike the traditional methods that learn to map the input data to the ground truth, InvSharpNet adapts a backward training strategy that learns a blurring transform from the ground truth (fully-sampled image) to the input data (blurry reconstruction). During inference, the learned blurring transform can be inverted to a sharpening transform leveraging the network's invertibility. The experiments on various MRI datasets demonstrate that InvSharpNet can improve reconstruction sharpness with few artifacts. The results were also evaluated by radiologists, indicating better visual quality and diagnostic confidence of our proposed method.

Xiaoling Hu, Xiao Chen, Yikang Liu et al.

Accurate segmentation and motion estimation of myocardium have always been important in clinic field, which essentially contribute to the downstream diagnosis. However, existing methods cannot always guarantee the shape integrity for myocardium segmentation. In addition, motion estimation requires point correspondence on the myocardium region across different frames. In this paper, we propose a novel end-to-end deep statistic shape model to focus on myocardium segmentation with both shape integrity and boundary correspondence preserving. Specifically, myocardium shapes are represented by a fixed number of points, whose variations are extracted by Principal Component Analysis (PCA). Deep neural network is used to predict the transformation parameters (both affine and deformation), which are then used to warp the mean point cloud to the image domain. Furthermore, a differentiable rendering layer is introduced to incorporate mask supervision into the framework to learn more accurate point clouds. In this way, the proposed method is able to consistently produce anatomically reasonable segmentation mask without post processing. Additionally, the predicted point cloud guarantees boundary correspondence for sequential images, which contributes to the downstream tasks, such as the motion estimation of myocardium. We conduct several experiments to demonstrate the effectiveness of the proposed method on several benchmark datasets.

Luojie Huang, Yikang Liu, Li Chen et al.

In clinical procedures of angioplasty (i.e., open clogged coronary arteries), devices such as balloons and stents need to be placed and expanded in arteries under the guidance of X-ray fluoroscopy. Due to the limitation of X-ray dose, the resulting images are often noisy. To check the correct placement of these devices, typically multiple motion-compensated frames are averaged to enhance the view. Therefore, device tracking is a necessary procedure for this purpose. Even though angioplasty devices are designed to have radiopaque markers for the ease of tracking, current methods struggle to deliver satisfactory results due to the small marker size and complex scenes in angioplasty. In this paper, we propose an end-to-end deep learning framework for single stent tracking, which consists of three hierarchical modules: U-Net based landmark detection, ResNet based stent proposal and feature extraction, and graph convolutional neural network (GCN) based stent tracking that temporally aggregates both spatial information and appearance features. The experiments show that our method performs significantly better in detection compared with the state-of-the-art point-based tracking models. In addition, its fast inference speed satisfies clinical requirements.

Yikang Liu, Eric Z. Chen, Xiao Chen et al.

The k-space data generated from magnetic resonance imaging (MRI) is only a finite sampling of underlying signals. Therefore, MRI images often suffer from low spatial resolution and Gibbs ringing artifacts. Previous studies tackled these two problems separately, where super resolution methods tend to enhance Gibbs artifacts, whereas Gibbs ringing removal methods tend to blur the images. It is also a challenge that high resolution ground truth is hard to obtain in clinical MRI. In this paper, we propose an unsupervised learning framework for both MRI super resolution and Gibbs artifacts removal without using high resolution ground truth. Furthermore, we propose regularization methods to improve the model's generalizability across out-of-distribution MRI images. We evaluated our proposed methods with other state-of-the-art methods on eight MRI datasets with various contrasts and anatomical structures. Our method not only achieves the best SR performance but also significantly reduces the Gibbs artifacts. Our method also demonstrates good generalizability across different datasets, which is beneficial to clinical applications where training data are usually scarce and biased.

Daniel H. Pak, Xiao Chen, Eric Z. Chen et al.

Dynamic Magnetic Resonance Imaging (dMRI) is widely used to assess various cardiac conditions such as cardiac motion and blood flow. To accelerate MR acquisition, techniques such as undersampling and Simultaneous Multi-Slice (SMS) are often used. Special reconstruction algorithms are needed to reconstruct multiple SMS image slices from the entangled information. Deep learning (DL)-based methods have shown promising results for single-slice MR reconstruction, but the addition of SMS acceleration raises unique challenges due to the composite k-space signals and the resulting images with strong inter-slice artifacts. Furthermore, many dMRI applications lack sufficient data for training reconstruction neural networks. In this study, we propose a novel DL-based framework for dynamic SMS reconstruction. Our main contributions are 1) a combination of data transformation steps and network design that effectively leverages the unique characteristics of undersampled dynamic SMS data, and 2) an MR physics-guided transfer learning strategy that addresses the data scarcity issue. Thorough comparisons with multiple baseline methods illustrate the strengths of our proposed methods.

Yikang Liu, Lin Zhao, Eric Z. Chen et al.

Dynamic coronary roadmapping is a technology that overlays the vessel maps (the "roadmap") extracted from an offline image sequence of X-ray angiography onto a live stream of X-ray fluoroscopy in real-time. It aims to offer navigational guidance for interventional surgeries without the need for repeated contrast agent injections, thereby reducing the risks associated with radiation exposure and kidney failure. The precision of the roadmaps is contingent upon the accurate alignment of angiographic and fluoroscopic images based on their cardiac phases, as well as precise catheter tip tracking. The former ensures the selection of a roadmap that closely matches the vessel shape in the current frame, while the latter uses catheter tips as reference points to adjust for translational motion between the roadmap and the present vessel tree. Training deep learning models for both tasks is challenging and underexplored. However, incorporating catheter features into the models could offer substantial benefits, given humans heavily rely on catheters to complete the tasks. To this end, we introduce a simple but effective method, auxiliary input in training (AIT), and demonstrate that it enhances model performance across both tasks, outperforming baseline methods in knowledge incorporation and transfer learning.

Xiao Chen, Shunan Zhang, Eric Z. Chen et al.

In artificial intelligence (AI), especially deep learning, data diversity and volume play a pivotal role in model development. However, training a robust deep learning model often faces challenges due to data privacy, regulations, and the difficulty of sharing data between different locations, especially for medical applications. To address this, we developed a method called the Federated Data Model (FDM). This method uses diffusion models to learn the characteristics of data at one site and then creates synthetic data that can be used at another site without sharing the actual data. We tested this approach with a medical image segmentation task, focusing on cardiac magnetic resonance images from different hospitals. Our results show that models trained with this method perform well both on the data they were originally trained on and on data from other sites. This approach offers a promising way to train accurate and privacy-respecting AI models across different locations.

Shihan Qiu, Shaoyan Pan, Yikang Liu et al.

Current deep learning reconstruction for accelerated cardiac cine MRI suffers from spatial and temporal blurring. We aim to improve image sharpness and motion delineation for cine MRI under high undersampling rates. A spatiotemporal diffusion enhancement model conditional on an existing deep learning reconstruction along with a novel paired sampling strategy was developed. The diffusion model provided sharper tissue boundaries and clearer motion than the original reconstruction in experts evaluation on clinical data. The innovative paired sampling strategy substantially reduced artificial noises in the generative results.

Xiaoran Zhang, Eric Z. Chen, Lin Zhao et al.

We propose a novel approach that adapts hierarchical vision foundation models for real-time ultrasound image segmentation. Existing ultrasound segmentation methods often struggle with adaptability to new tasks, relying on costly manual annotations, while real-time approaches generally fail to match state-of-the-art performance. To overcome these limitations, we introduce an adaptive framework that leverages the vision foundation model Hiera to extract multi-scale features, interleaved with DINOv2 representations to enhance visual expressiveness. These enriched features are then decoded to produce precise and robust segmentation. We conduct extensive evaluations on six public datasets and one in-house dataset, covering both cardiac and thyroid ultrasound segmentation. Experiments show that our approach outperforms state-of-the-art methods across multiple datasets and excels with limited supervision, surpassing nnUNet by over 20\% on average in the 1\% and 10\% data settings. Our method achieves $\sim$77 FPS inference speed with TensorRT on a single GPU, enabling real-time clinical applications.

Basar Demir, Yikang Liu, Xiao Chen et al.

Many self-supervised denoising approaches have been proposed in recent years. However, these methods tend to overly smooth images, resulting in the loss of fine structures that are essential for medical applications. In this paper, we propose DiffDenoise, a powerful self-supervised denoising approach tailored for medical images, designed to preserve high-frequency details. Our approach comprises three stages. First, we train a diffusion model on noisy images, using the outputs of a pretrained Blind-Spot Network as conditioning inputs. Next, we introduce a novel stabilized reverse sampling technique, which generates clean images by averaging diffusion sampling outputs initialized with a pair of symmetric noises. Finally, we train a supervised denoising network using noisy images paired with the denoised outputs generated by the diffusion model. Our results demonstrate that DiffDenoise outperforms existing state-of-the-art methods in both synthetic and real-world medical image denoising tasks. We provide both a theoretical foundation and practical insights, demonstrating the method's effectiveness across various medical imaging modalities and anatomical structures.

Shaoyan Pan, Yikang Liu, Lin Zhao et al.

The accurate segmentation of guidewires in interventional cardiac fluoroscopy videos is crucial for computer-aided navigation tasks. Although deep learning methods have demonstrated high accuracy and robustness in wire segmentation, they require substantial annotated datasets for generalizability, underscoring the need for extensive labeled data to enhance model performance. To address this challenge, we propose the Segmentation-guided Frame-consistency Video Diffusion Model (SF-VD) to generate large collections of labeled fluoroscopy videos, augmenting the training data for wire segmentation networks. SF-VD leverages videos with limited annotations by independently modeling scene distribution and motion distribution. It first samples the scene distribution by generating 2D fluoroscopy images with wires positioned according to a specified input mask, and then samples the motion distribution by progressively generating subsequent frames, ensuring frame-to-frame coherence through a frame-consistency strategy. A segmentation-guided mechanism further refines the process by adjusting wire contrast, ensuring a diverse range of visibility in the synthesized image. Evaluation on a fluoroscopy dataset confirms the superior quality of the generated videos and shows significant improvements in guidewire segmentation.

Shihan Qiu, Shaoyan Pan, Yikang Liu et al.

The currently limited quality of accelerated cardiac cine reconstruction may potentially be improved by the emerging diffusion models, but the clinically unacceptable long processing time poses a challenge. We aim to develop a clinically feasible diffusion-model-based reconstruction pipeline to improve the image quality of cine MRI. A multi-in multi-out diffusion enhancement model together with fast inference strategies were developed to be used in conjunction with a reconstruction model. The diffusion reconstruction reduced spatial and temporal blurring in prospectively undersampled clinical data, as validated by experts inspection. The 1.5s per video processing time enabled the approach to be applied in clinical scenarios.

Bowen Chen, Qiaohui Gao, Shaowen Wan et al.

Medical image segmentation is fundamental to clinical workflows, yet models trained on a single dataset often fail to generalize across institutions, scanners, or patient populations. While vision foundation models have shown great promise in addressing this challenge, their deployment typically requires task-specific fine-tuning, which introduces substantial communication overhead in federated learning and prevents continuous knowledge evolution during deployment. In this work, we propose a memory-augmented segmentation agent (MemSeg-Agent) that shifts adaptation from weight space to memory space, enabling few-shot learning, federated supervised learning, and test-time adaptation within a unified architecture. MemSeg-Agent conditions a fixed backbone with lightweight static, few-shot, and test-time working memories, which are dynamically composed by an agentic controller. In federated settings, we update compact memory units instead of model parameters, substantially reducing communication overhead. Experiments on four public datasets demonstrate strong performance and robustness to domain shift: Static memory alone matches or surpasses strong supervised baselines with high parameter efficiency, and test-time working memory further improves in-domain and cross-domain performance without fine-tuning. Overall, MemSeg-Agent introduces a new paradigm for scalable and adaptive medical image segmentation in the era of agentic AI.

Yiwei Li, Yikang Liu, Jiaqi Guo et al.

Anatomical understanding through deep learning is critical for automatic report generation, intra-operative navigation, and organ localization in medical imaging; however, its progress is constrained by the scarcity of expert-labeled data. A promising remedy is to leverage an annotated reference image to guide the interpretation of an unlabeled target. Although recent vision-language models (VLMs) exhibit non-trivial visual reasoning, their reference-based understanding and fine-grained localization remain limited. We introduce RAU, a framework for reference-based anatomical understanding with VLMs. We first show that a VLM learns to identify anatomical regions through relative spatial reasoning between reference and target images, trained on a moderately sized dataset. We validate this capability through visual question answering (VQA) and bounding box prediction. Next, we demonstrate that the VLM-derived spatial cues can be seamlessly integrated with the fine-grained segmentation capability of SAM2, enabling localization and pixel-level segmentation of small anatomical regions, such as vessel segments. Across two in-distribution and two out-of-distribution datasets, RAU consistently outperforms a SAM2 fine-tuning baseline using the same memory setup, yielding more accurate segmentations and more reliable localization. More importantly, its strong generalization ability makes it scalable to out-of-distribution datasets, a property crucial for medical image applications. To the best of our knowledge, RAU is the first to explore the capability of VLMs for reference-based identification, localization, and segmentation of anatomical structures in medical images. Its promising performance highlights the potential of VLM-driven approaches for anatomical understanding in automated clinical workflows.

Lin Zhao, Xin Yu, Yikang Liu et al.

Accurate correspondence matching in coronary angiography images is crucial for reconstructing 3D coronary artery structures, which is essential for precise diagnosis and treatment planning of coronary artery disease (CAD). Traditional matching methods for natural images often fail to generalize to X-ray images due to inherent differences such as lack of texture, lower contrast, and overlapping structures, compounded by insufficient training data. To address these challenges, we propose a novel pipeline that generates realistic paired coronary angiography images using a diffusion model conditioned on 2D projections of 3D reconstructed meshes from Coronary Computed Tomography Angiography (CCTA), providing high-quality synthetic data for training. Additionally, we employ large-scale image foundation models to guide feature aggregation, enhancing correspondence matching accuracy by focusing on semantically relevant regions and keypoints. Our approach demonstrates superior matching performance on synthetic datasets and effectively generalizes to real-world datasets, offering a practical solution for this task. Furthermore, our work investigates the efficacy of different foundation models in correspondence matching, providing novel insights into leveraging advanced image foundation models for medical imaging applications.

Junshen Xu, Eric Z. Chen, Xiao Chen et al.

Image registration plays an important role in medical image analysis. Conventional optimization based methods provide an accurate estimation due to the iterative process at the cost of expensive computation. Deep learning methods such as learn-to-map are much faster but either iterative or coarse-to-fine approach is required to improve accuracy for handling large motions. In this work, we proposed to learn a registration optimizer via a multi-scale neural ODE model. The inference consists of iterative gradient updates similar to a conventional gradient descent optimizer but in a much faster way, because the neural ODE learns from the training data to adapt the gradient efficiently at each iteration. Furthermore, we proposed to learn a modal-independent similarity metric to address image appearance variations across different image contrasts. We performed evaluations through extensive experiments in the context of multi-contrast 3D MR images from both public and private data sources and demonstrate the superior performance of our proposed methods.

Eric Z. Chen, Yongquan Ye, Xiao Chen et al.

Multi-contrast MRI images provide complementary contrast information about the characteristics of anatomical structures and are commonly used in clinical practice. Recently, a multi-flip-angle (FA) and multi-echo GRE method (MULTIPLEX MRI) has been developed to simultaneously acquire multiple parametric images with just one single scan. However, it poses two challenges for MULTIPLEX to be used in the 3D high-resolution setting: a relatively long scan time and the huge amount of 3D multi-contrast data for reconstruction. Currently, no DL based method has been proposed for 3D MULTIPLEX data reconstruction. We propose a deep learning framework for undersampled 3D MRI data reconstruction and apply it to MULTIPLEX MRI. The proposed deep learning method shows good performance in image quality and reconstruction time.

Eric Z. Chen, Xiao Chen, Jingyuan Lyu et al.

Retrospectively gated cine (retro-cine) MRI is the clinical standard for cardiac functional analysis. Deep learning (DL) based methods have been proposed for the reconstruction of highly undersampled MRI data and show superior image quality and magnitude faster reconstruction time than CS-based methods. Nevertheless, it remains unclear whether DL reconstruction is suitable for cardiac function analysis. To address this question, in this study we evaluate and compare the cardiac functional values (EDV, ESV and EF for LV and RV, respectively) obtained from highly accelerated MRI acquisition using DL based reconstruction algorithm (DL-cine) with values from CS-cine and conventional retro-cine. To the best of our knowledge, this is the first work to evaluate the cine MRI with deep learning reconstruction for cardiac function analysis and compare it with other conventional methods. The cardiac functional values obtained from cine MRI with deep learning reconstruction are consistent with values from clinical standard retro-cine MRI.

Qiaoying Huang, Eric Z. Chen, Hanchao Yu et al.

Accurate estimation of shape thickness from medical images is crucial in clinical applications. For example, the thickness of myocardium is one of the key to cardiac disease diagnosis. While mathematical models are available to obtain accurate dense thickness estimation, they suffer from heavy computational overhead due to iterative solvers. To this end, we propose novel methods for dense thickness estimation, including a fast solver that estimates thickness from binary annular shapes and an end-to-end network that estimates thickness directly from raw cardiac images.We test the proposed models on three cardiac datasets and one synthetic dataset, achieving impressive results and generalizability on all. Thickness estimation is performed without iterative solvers or manual correction, which is 100 times faster than the mathematical model. We also analyze thickness patterns on different cardiac pathologies with a standard clinical model and the results demonstrate the potential clinical value of our method for thickness based cardiac disease diagnosis.

Pingjun Chen, Xiao Chen, Eric Z. Chen et al.

Cardiac motion estimation is critical to the assessment of cardiac function. Myocardium feature tracking (FT) can directly estimate cardiac motion from cine MRI, which requires no special scanning procedure. However, current deep learning-based FT methods may result in unrealistic myocardium shapes since the learning is solely guided by image intensities without considering anatomy. On the other hand, motion estimation through learning is challenging because ground-truth motion fields are almost impossible to obtain. In this study, we propose a novel Anatomy-Aware Tracker (AATracker) for cardiac motion estimation that preserves anatomy by weak supervision. A convolutional variational autoencoder (VAE) is trained to encapsulate realistic myocardium shapes. A baseline dense motion tracker is trained to approximate the motion fields and then refined to estimate anatomy-aware motion fields under the weak supervision from the VAE. We evaluate the proposed method on long-axis cardiac cine MRI, which has more complex myocardium appearances and motions than short-axis. Compared with other methods, AATracker significantly improves the tracking performance and provides visually more realistic tracking results, demonstrating the effectiveness of the proposed weakly-supervision scheme in cardiac motion estimation.

Eric Z. Chen, Xiao Chen, Jingyuan Lyu et al.

Real-time cardiac cine MRI does not require ECG gating in the data acquisition and is more useful for patients who can not hold their breaths or have abnormal heart rhythms. However, to achieve fast image acquisition, real-time cine commonly acquires highly undersampled data, which imposes a significant challenge for MRI image reconstruction. We propose a residual convolutional RNN for real-time cardiac cine reconstruction. To the best of our knowledge, this is the first work applying deep learning approach to Cartesian real-time cardiac cine reconstruction. Based on the evaluation from radiologists, our deep learning model shows superior performance than compressed sensing.

Hanchao Yu, Xiao Chen, Humphrey Shi et al.

Cardiac motion estimation plays a key role in MRI cardiac feature tracking and function assessment such as myocardium strain. In this paper, we propose Motion Pyramid Networks, a novel deep learning-based approach for accurate and efficient cardiac motion estimation. We predict and fuse a pyramid of motion fields from multiple scales of feature representations to generate a more refined motion field. We then use a novel cyclic teacher-student training strategy to make the inference end-to-end and further improve the tracking performance. Our teacher model provides more accurate motion estimation as supervision through progressive motion compensations. Our student model learns from the teacher model to estimate motion in a single step while maintaining accuracy. The teacher-student knowledge distillation is performed in a cyclic way for a further performance boost. Our proposed method outperforms a strong baseline model on two public available clinical datasets significantly, evaluated by a variety of metrics and the inference time. New evaluation metrics are also proposed to represent errors in a clinically meaningful manner.

Eric Z. Chen, Terrence Chen, Shanhui Sun

We propose to formulate MRI image reconstruction as an optimization problem and model the optimization trajectory as a dynamic process using ordinary differential equations (ODEs). We model the dynamics in ODE with a neural network and solve the desired ODE with the off-the-shelf (fixed) solver to obtain reconstructed images. We extend this model and incorporate the knowledge of off-the-shelf ODE solvers into the network design (learned solvers). We investigate several models based on three ODE solvers and compare models with fixed solvers and learned solvers. Our models achieve better reconstruction results and are more parameter efficient than other popular methods such as UNet and cascaded CNN. We introduce a new way of tackling the MRI reconstruction problem by modeling the continuous optimization dynamics using neural ODEs.

Hanchao Yu, Shanhui Sun, Haichao Yu et al.

Motion estimation of cardiac MRI videos is crucial for the evaluation of human heart anatomy and function. Recent researches show promising results with deep learning-based methods. In clinical deployment, however, they suffer dramatic performance drops due to mismatched distributions between training and testing datasets, commonly encountered in the clinical environment. On the other hand, it is arguably impossible to collect all representative datasets and to train a universal tracker before deployment. In this context, we proposed a novel fast online adaptive learning (FOAL) framework: an online gradient descent based optimizer that is optimized by a meta-learner. The meta-learner enables the online optimizer to perform a fast and robust adaptation. We evaluated our method through extensive experiments on two public clinical datasets. The results showed the superior performance of FOAL in accuracy compared to the offline-trained tracking method. On average, the FOAL took only $0.4$ second per video for online optimization.

Shanhui Sun, Jing Hu, Mingqing Yao et al.

The crucial components of a conventional image registration method are the choice of the right feature representations and similarity measures. These two components, although elaborately designed, are somewhat handcrafted using human knowledge. To this end, these two components are tackled in an end-to-end manner via reinforcement learning in this work. Specifically, an artificial agent, which is composed of a combined policy and value network, is trained to adjust the moving image toward the right direction. We train this network using an asynchronous reinforcement learning algorithm, where a customized reward function is also leveraged to encourage robust image registration. This trained network is further incorporated with a lookahead inference to improve the registration capability. The advantage of this algorithm is fully demonstrated by our superior performance on clinical MR and CT image pairs to other state-of-the-art medical image registration methods.

Eric Z. Chen, Puyang Wang, Xiao Chen et al.

Fast and accurate MRI image reconstruction from undersampled data is crucial in clinical practice. Deep learning based reconstruction methods have shown promising advances in recent years. However, recovering fine details from undersampled data is still challenging. In this paper, we introduce a novel deep learning based method, Pyramid Convolutional RNN (PC-RNN), to reconstruct images from multiple scales. Based on the formulation of MRI reconstruction as an inverse problem, we design the PC-RNN model with three convolutional RNN (ConvRNN) modules to iteratively learn the features in multiple scales. Each ConvRNN module reconstructs images at different scales and the reconstructed images are combined by a final CNN module in a pyramid fashion. The multi-scale ConvRNN modules learn a coarse-to-fine image reconstruction. Unlike other common reconstruction methods for parallel imaging, PC-RNN does not employ coil sensitive maps for multi-coil data and directly model the multiple coils as multi-channel inputs. The coil compression technique is applied to standardize data with various coil numbers, leading to more efficient training. We evaluate our model on the fastMRI knee and brain datasets and the results show that the proposed model outperforms other methods and can recover more details. The proposed method is one of the winner solutions in the 2019 fastMRI competition.

Benjamin Planche, Ziyan Wu, Kai Ma et al.

Recent progress in computer vision has been dominated by deep neural networks trained over large amounts of labeled data. Collecting such datasets is however a tedious, often impossible task; hence a surge in approaches relying solely on synthetic data for their training. For depth images however, discrepancies with real scans still noticeably affect the end performance. We thus propose an end-to-end framework which simulates the whole mechanism of these devices, generating realistic depth data from 3D models by comprehensively modeling vital factors e.g. sensor noise, material reflectance, surface geometry. Not only does our solution cover a wider range of sensors and achieve more realistic results than previous methods, assessed through extended evaluation, but we go further by measuring the impact on the training of neural networks for various recognition tasks; demonstrating how our pipeline seamlessly integrates such architectures and consistently enhances their performance.