Causal Transfer in Medical Image Analysis

Medical imaging models frequently fail when deployed across hospitals, scanners, populations, or imaging protocols due to domain shift, limiting their clinical reliability. While transfer learning and domain adaptation address such shifts statistically, they often rely on spurious correlations that break under changing conditions. On the other hand, causal inference provides a principled way to identify invariant mechanisms that remain stable across environments. This survey introduces and systematises Causal Transfer Learning (CTL) for medical image analysis. This paradigm integrates causal reasoning with cross-domain representation learning to enable robust and generalisable clinical AI. We frame domain shift as a causal problem and analyse how structural causal models, invariant risk minimisation, and counterfactual reasoning can be embedded within transfer learning pipelines. We studied spanning classification, segmentation, reconstruction, anomaly detection, and multimodal imaging, and organised them by task, shift type, and causal assumption. A unified taxonomy is proposed that connects causal frameworks and transfer mechanisms. We further summarise datasets, benchmarks, and empirical gains, highlighting when and why causal transfer outperforms correlation-based domain adaptation. Finally, we discuss how CTL supports fairness, robustness, and trustworthy deployment in multi-institutional and federated settings, and outline open challenges and research directions for clinically reliable medical imaging AI.

Direct low-field MRI super-resolution using undersampled k-space

Low-field magnetic resonance imaging (MRI) provides affordable access to diagnostic imaging but suffers from prolonged acquisition and limited image quality. Accelerated imaging can be achieved with k-space undersampling, while super-resolution (SR) and image quality transfer (IQT) methods typically rely on spatial-domain post-processing. In this work, we propose a novel framework for reconstructing high-field MR like images directly from undersampled low-field k-space. Our approach employs a k-space dual channel U-Net that processes the real and imaginary components of undersampled k-space to restore missing frequency content. Experiments on low-field brain MRI demonstrate that our k-space-driven image enhancement consistently outperforms the counterpart spatial-domain method. Furthermore, reconstructions from undersampled k-space achieve image quality comparable to full k-space acquisitions. To the best of our knowledge, this is the first work that investigates low-field MRI SR/IQT directly from undersampled k-space.

Comparative Study of Probabilistic Atlas and Deep Learning Approaches for Automatic Brain Tissue Segmentation from MRI Using N4 Bias Field Correction and Anisotropic Diffusion Pre-processing Techniques

Automatic brain tissue segmentation from Magnetic Resonance Imaging (MRI) images is vital for accurate diagnosis and further analysis in medical imaging. Despite advancements in segmentation techniques, a comprehensive comparison between traditional statistical methods and modern deep learning approaches using pre-processing techniques like N4 Bias Field Correction and Anisotropic Diffusion remains underexplored. This study provides a comparative analysis of various segmentation models, including Probabilistic ATLAS, U-Net, nnU-Net, and LinkNet, enhanced with these pre-processing techniques to segment brain tissues (white matter (WM), grey matter (GM) and cerebrospinal fluid (CSF)) on the Internet Brain Segmentation Repository (IBSR18) dataset. Our results demonstrate that the 3D nnU-Net model outperforms others, achieving the highest mean Dice Coefficient score (0.937 +- 0.012), while the 2D nnU-Net model recorded the lowest mean Hausdorff Distance (5.005 +- 0.343 mm) and the lowest mean Absolute Volumetric Difference (3.695 +- 2.931 mm) across five unseen test samples. The findings highlight the superiority of nnU-Net models in brain tissue segmentation, particularly when combined with N4 Bias Field Correction and Anisotropic Diffusion pre-processing techniques. Our implemented code can be accessed via GitHub.