Motion-Guided Causal Disentanglement for Robust Multi-View Cine Cardiac MRI Diagnosis

Multi-view cardiac magnetic resonance (CMR) imaging provides complementary anatomical information and is widely used for noninvasive disease assessment. Recent transformer-based models have demonstrated strong representation learning capabilities for CMR analysis; however, they typically learn unified latent embeddings that entangle view-specific anatomical variations with disease-related features. Such entanglement biases classifiers toward structural attributes rather than view-invariant pathological patterns. This issue is exacerbated in low-data regimes, particularly for underrepresented cardiac conditions, where limited samples increase the susceptibility to shortcut learning and view-dependent decision boundaries. To address this, we propose a Motion-Guided View--Disease Disentanglement framework MoViD built upon a ViT-MAE backbone. The model explicitly factorizes latent representations into view-specific and disease-discriminative components using dual-branch supervised contrastive objectives and a gradient-reversal adversarial constraint that minimizes disease leakage into the view embedding. Additionally, an annotation-free temporal motion feature, derived from inter-frame difference maps, is introduced to localize the beating heart region and suppress background artifacts. A focal reweighting mechanism is incorporated into the contrastive loss to mitigate class imbalance. We evaluate the framework on a private clinical venous thrombosis dataset and two public benchmarks (M&Ms, M&Ms2). Across disease classification and cardiac segmentation tasks, our approach consistently outperforms standard transformer baselines and demonstrates competitive performance against large-scale pretrained foundation models, validating the efficacy of structural disentanglement in medical image analysis.

An unsupervised method for MRI recovery: Deep image prior with structured sparsity

Objective: To propose and validate an unsupervised MRI reconstruction method that does not require fully sampled k-space data. Materials and Methods: The proposed method, deep image prior with structured sparsity (DISCUS), extends the deep image prior (DIP) by introducing group sparsity to frame-specific code vectors, enabling the discovery of a low-dimensional manifold for capturing temporal variations. \discus was validated using four studies: (I) simulation of a dynamic Shepp-Logan phantom to demonstrate its manifold discovery capabilities, (II) comparison with compressed sensing and DIP-based methods using simulated single-shot late gadolinium enhancement (LGE) image series from six distinct digital cardiac phantoms in terms of normalized mean square error (NMSE) and structural similarity index measure (SSIM), (III) evaluation on retrospectively undersampled single-shot LGE data from eight patients, and (IV) evaluation on prospectively undersampled single-shot LGE data from eight patients, assessed via blind scoring from two expert readers. Results: DISCUS outperformed competing methods, demonstrating superior reconstruction quality in terms of NMSE and SSIM (Studies I--III) and expert reader scoring (Study IV). Discussion: An unsupervised image reconstruction method is presented and validated on simulated and measured data. These developments can benefit applications where acquiring fully sampled data is challenging.