Single-Subject Multi-View MRI Super-Resolution via Implicit Neural Representations

Clinical MRI frequently acquires anisotropic volumes with high in-plane resolution and low through-plane resolution to reduce acquisition time. Multiple orientations are therefore acquired to provide complementary anatomical information. Conventional integration of these views relies on registration followed by interpolation, which can degrade fine structural details. Recent deep learning-based super-resolution (SR) approaches have demonstrated strong performance in enhancing single-view images. However, their clinical reliability is often limited by the need for large-scale training datasets, resulting in increased dependence on cohort-level priors. Self-supervised strategies offer an alternative by learning directly from the target scans. Prior work either neglects the existence of multi-view information or assumes that in-plane information can supervise through-plane reconstruction under the assumption of pre-alignment between images. However, this assumption is rarely satisfied in clinical settings. In this work, we introduce Single-Subject Implicit Multi-View Super-Resolution for MRI (SIMS-MRI), a framework that operates solely on anisotropic multi-view scans from a single patient without requiring pre- or post-processing. Our method combines a multi-resolution hash-encoded implicit representation with learned inter-view alignment to generate a spatially consistent isotropic reconstruction. We validate the SIMS-MRI pipeline on both simulated brain and clinical prostate MRI datasets. Code will be made publicly available for reproducibility: https://github.com/abhshkt/SIMS-MRI

AI-Based Detection of In-Treatment Changes from Prostate MR-Linac Images

Purpose: To investigate whether routinely acquired longitudinal MR-Linac images can be leveraged to characterize treatment-induced changes during radiotherapy, particularly subtle inter-fraction changes over short intervals (average of 2 days). Materials and Methods: This retrospective study included a series of 0.35T MR-Linac images from 761 patients. An artificial intelligence (deep learning) model was used to characterize treatment-induced changes by predicting the temporal order of paired images. The model was first trained with the images from the first and the last fractions (F1-FL), then with all pairs (All-pairs). Model performance was assessed using quantitative metrics (accuracy and AUC), compared to a radiologist's performance, and qualitative analyses - the saliency map evaluation to investigate affected anatomical regions. Input ablation experiments were performed to identify the anatomical regions altered by radiotherapy. The radiologist conducted an additional task on partial images reconstructed by saliency map regions, reporting observations as well. Quantitative image analysis was conducted to investigate the results from the model and the radiologist. Results: The F1-FL model yielded near-perfect performance (AUC of 0.99), significantly outperforming the radiologist. The All-pairs model yielded an AUC of 0.97. This performance reflects therapy-induced changes, supported by the performance correlation to fraction intervals, ablation tests and expert's interpretation. Primary regions driving the predictions were prostate, bladder, and pubic symphysis. Conclusion: The model accurately predicts temporal order of MR-Linac fractions and detects radiation-induced changes over one or a few days, including prostate and adjacent organ alterations confirmed by experts. This underscores MR-Linac's potential for advanced image analysis beyond image guidance.