Moti Freiman

Hadas Ben Atya, Nicole Abramenkov, Noa Mashiah et al.

Estimating multi-component T2 relaxation distributions from Multi-Echo Spin Echo (MESE) MRI is a severely ill-posed inverse problem, traditionally solved using regularized non-negative least squares (NNLS). In abdominal imaging, particularly the pancreas, low SNR and residual uncorrelated noise challenge classical solvers and deterministic deep learning models. We introduce a bootstrap-based inference framework for robust distributional T2 estimation that performs stochastic resampling of the echo train and aggregates predictions across multiple subsets. This treats the acquisition as a distribution rather than a fixed input, yielding variance-reduced, physically consistent estimates and converting deterministic relaxometry networks into probabilistic ensemble predictors. Applied to the P2T2 architecture, our method uses inference-time bootstrapping to smooth noise artifacts and enhance fidelity to the underlying relaxation distribution. Noninvasive pancreatic evaluation is limited by location and biopsy risks, highlighting the need for biomarkers capable of capturing early pathophysiological changes. In type 1 diabetes (T1DM), progressive beta-cell destruction begins years before overt hyperglycemia, yet current imaging cannot assess early islet decline. We evaluate clinical utility via a test-retest reproducibility study (N=7) and a T1DM versus healthy differentiation task (N=8). Our approach achieves the lowest Wasserstein distances across repeated scans and superior sensitivity to physiology-driven shifts in the relaxation-time distribution, outperforming NNLS and deterministic deep learning baselines. These results establish inference-time bootstrapping as an effective enhancement for quantitative T2 relaxometry in low-SNR abdominal imaging.

Tamir Shor, Moti Freiman, Chaim Baskin et al.

Cardiac T1 mapping provides critical quantitative insights into myocardial tissue composition, enabling the assessment of pathologies such as fibrosis, inflammation, and edema. However, the inherently dynamic nature of the heart imposes strict limits on acquisition times, making high-resolution T1 mapping a persistent challenge. Compressed sensing (CS) approaches have reduced scan durations by undersampling k-space and reconstructing images from partial data, and recent studies show that jointly optimizing the undersampling patterns with the reconstruction network can substantially improve performance. Still, most current T1 mapping pipelines rely on static, hand-crafted masks that do not exploit the full acceleration and accuracy potential. In this work, we introduce T1-PILOT: an end-to-end method that explicitly incorporates the T1 signal relaxation model into the sampling-reconstruction framework to guide the learning of non-Cartesian trajectories, crossframe alignment, and T1 decay estimation. Through extensive experiments on the CMRxRecon dataset, T1-PILOT significantly outperforms several baseline strategies (including learned single-mask and fixed radial or golden-angle sampling schemes), achieving higher T1 map fidelity at greater acceleration factors. In particular, we observe consistent gains in PSNR and VIF relative to existing methods, along with marked improvements in delineating finer myocardial structures. Our results highlight that optimizing sampling trajectories in tandem with the physical relaxation model leads to both enhanced quantitative accuracy and reduced acquisition times. Code for reproducing all results will be made publicly available upon publication.