MBSS-T1: Model-Based Subject-Specific Self-Supervised Motion Correction for Robust Cardiac T1 Mapping
This addresses motion artifacts in cardiac T1 mapping for patients with poor compliance, enabling more robust diagnosis of myocardial diseases, though it is incremental as it builds on existing registration methods.
The paper tackled motion correction in cardiac T1 mapping MRI by developing MBSS-T1, a subject-specific self-supervised model that uses physical and anatomical constraints, resulting in improved model fitting quality (e.g., R^2 up to 0.994 vs. baselines), anatomical alignment (e.g., Dice up to 0.963 vs. baselines), and visual quality (e.g., scores up to 4.33 vs. baselines) across datasets.
Cardiac T1 mapping is a valuable quantitative MRI technique for diagnosing diffuse myocardial diseases. Traditional methods, relying on breath-hold sequences and cardiac triggering based on an ECG signal, face challenges with patient compliance, limiting their effectiveness. Image registration can enable motion-robust cardiac T1 mapping, but inherent intensity differences between time points pose a challenge. We present MBSS-T1, a subject-specific self-supervised model for motion correction in cardiac T1 mapping. Physical constraints, implemented through a loss function comparing synthesized and motion-corrected images, enforce signal decay behavior, while anatomical constraints, applied via a Dice loss, ensure realistic deformations. The unique combination of these constraints results in motion-robust cardiac T1 mapping along the longitudinal relaxation axis. In a 5-fold experiment on a public dataset of 210 patients (STONE sequence) and an internal dataset of 19 patients (MOLLI sequence), MBSS-T1 outperformed baseline deep-learning registration methods. It achieved superior model fitting quality ($R^2$: 0.975 vs. 0.941, 0.946 for STONE; 0.987 vs. 0.982, 0.965 for MOLLI free-breathing; 0.994 vs. 0.993, 0.991 for MOLLI breath-hold), anatomical alignment (Dice: 0.89 vs. 0.84, 0.88 for STONE; 0.963 vs. 0.919, 0.851 for MOLLI free-breathing; 0.954 vs. 0.924, 0.871 for MOLLI breath-hold), and visual quality (4.33 vs. 3.38, 3.66 for STONE; 4.1 vs. 3.5, 3.28 for MOLLI free-breathing; 3.79 vs. 3.15, 2.84 for MOLLI breath-hold). MBSS-T1 enables motion-robust T1 mapping for broader patient populations, overcoming challenges such as suboptimal compliance, and facilitates free-breathing cardiac T1 mapping without requiring large annotated datasets. Our code is available at https://github.com/TechnionComputationalMRILab/MBSS-T1.