Accelerating Longitudinal MRI using Prior Informed Latent Diffusion

MRI is a widely used ionization-free soft-tissue imaging modality, often employed repeatedly over a patient's lifetime. However, prolonged scanning durations, among other issues, can limit availability and accessibility. In this work, we aim to substantially reduce scan times by leveraging prior scans of the same patient. These prior scans typically contain considerable shared information with the current scan, thereby enabling higher acceleration rates when appropriately utilized. We propose a prior informed reconstruction method with a trained diffusion model in conjunction with data-consistency steps. Our method can be trained with unlabeled image data, eliminating the need for a dataset of either k-space measurements or paired longitudinal scans as is required of other learning-based methods. We demonstrate superiority of our method over previously suggested approaches in effectively utilizing prior information without over-biasing prior consistency, which we validate on both an open-source dataset of healthy patients as well as several longitudinal cases of clinical interest.

Data and Physics driven Deep Learning Models for Fast MRI Reconstruction: Fundamentals and Methodologies

Magnetic Resonance Imaging (MRI) is a pivotal clinical diagnostic tool, yet its extended scanning times often compromise patient comfort and image quality, especially in volumetric, temporal and quantitative scans. This review elucidates recent advances in MRI acceleration via data and physics-driven models, leveraging techniques from algorithm unrolling models, enhancement-based models, and plug-and-play models to emergent full spectrum of generative models. We also explore the synergistic integration of data models with physics-based insights, encompassing the advancements in multi-coil hardware accelerations like parallel imaging and simultaneous multi-slice imaging, and the optimization of sampling patterns. We then focus on domain-specific challenges and opportunities, including image redundancy exploitation, image integrity, evaluation metrics, data heterogeneity, and model generalization. This work also discusses potential solutions and future research directions, emphasizing the role of data harmonization, and federated learning for further improving the general applicability and performance of these methods in MRI reconstruction.

An Efficient Algorithm for Spatial-Spectral Partial Volume Compartment Mapping with Applications to Multicomponent Diffusion and Relaxation MRI

It has been previously shown that high-quality partial volume tissue compartment maps can be obtained by combining multiparametric contrast-encoded MRI data acquisition methods with spatially-regularized spectroscopic image estimation techniques. However, the advantages of this combined approach generally come at the expense of substantial computational complexity. In this work, we propose a new algorithm to solve this kind of estimation problem more efficiently. Our algorithm is based on the linearized alternating directions method of multipliers (LADMM), and relies on the introduction of novel quadratic penalty terms to substantially simplify the subproblems that must be solved at each iteration. We evaluate this algorithm on a variety of different estimation problems (diffusion-relaxation, relaxation-relaxation, relaxometry, and magnetic resonance fingerprinting), where we consistently observe substantial (roughly 5$\times$-80$\times$) speed improvements. We expect that this new faster algorithm will lower practical barriers to using spatial regularization and multiparametric contrast-encoded MRI data acquisition methods for partial volume compartment mapping.

High-resolution myelin-water fraction and quantitative relaxation mapping using 3D ViSTa-MR fingerprinting

Purpose: This study aims to develop a high-resolution whole-brain multi-parametric quantitative MRI approach for simultaneous mapping of myelin-water fraction (MWF), T1, T2, and proton-density (PD), all within a clinically feasible scan time. Methods: We developed 3D ViSTa-MRF, which combined Visualization of Short Transverse relaxation time component (ViSTa) technique with MR Fingerprinting (MRF), to achieve high-fidelity whole-brain MWF and T1/T2/PD mapping on a clinical 3T scanner. To achieve fast acquisition and memory-efficient reconstruction, the ViSTa-MRF sequence leverages an optimized 3D tiny-golden-angle-shuffling spiral-projection acquisition and joint spatial-temporal subspace reconstruction with optimized preconditioning algorithm. With the proposed ViSTa-MRF approach, high-fidelity direct MWF mapping was achieved without a need for multi-compartment fitting that could introduce bias and/or noise from additional assumptions or priors. Results: The in-vivo results demonstrate the effectiveness of the proposed acquisition and reconstruction framework to provide fast multi-parametric mapping with high SNR and good quality. The in-vivo results of 1mm- and 0.66mm-iso datasets indicate that the MWF values measured by the proposed method are consistent with standard ViSTa results that are 30x slower with lower SNR. Furthermore, we applied the proposed method to enable 5-minute whole-brain 1mm-iso assessment of MWF and T1/T2/PD mappings for infant brain development and for post-mortem brain samples. Conclusions: In this work, we have developed a 3D ViSTa-MRF technique that enables the acquisition of whole-brain MWF, quantitative T1, T2, and PD maps at 1mm and 0.66mm isotropic resolution in 5 and 15 minutes, respectively. This advancement allows for quantitative investigations of myelination changes in the brain.

Sequence adaptive field-imperfection estimation (SAFE): retrospective estimation and correction of $B_1^+$ and $B_0$ inhomogeneities for enhanced MRF quantification

$B_1^+$ and $B_0$ field-inhomogeneities can significantly reduce accuracy and robustness of MRF's quantitative parameter estimates. Additional $B_1^+$ and $B_0$ calibration scans can mitigate this but add scan time and cannot be applied retrospectively to previously collected data. Here, we proposed a calibration-free sequence-adaptive deep-learning framework, to estimate and correct for $B_1^+$ and $B_0$ effects of any MRF sequence. We demonstrate its capability on arbitrary MRF sequences at 3T, where no training data were previously obtained. Such approach can be applied to any previously-acquired and future MRF-scans. The flexibility in directly applying this framework to other quantitative sequences is also highlighted.

Rapid Non-cartesian Reconstruction Using an Implicit Representation of GROG Kernels

MRI data is acquired in Fourier space. Data acquisition is typically performed on a Cartesian grid in this space to enable the use of a fast Fourier transform algorithm to achieve fast and efficient reconstruction. However, it has been shown that for multiple applications, non-Cartesian data acquisition can improve the performance of MR imaging by providing fast and more efficient data acquisition, and improving motion robustness. Nonetheless, the image reconstruction process of non-Cartesian data is more involved and can be time-consuming, even through the use of efficient algorithms such as non-uniform FFT (NUFFT). This work provides an efficient approach (iGROG) to transform the non-Cartesian data into Cartesian data, to achieve simpler and faster reconstruction which should help enable non-Cartesian data sampling to be performed more widely in MRI.

DDM$^2$: Self-Supervised Diffusion MRI Denoising with Generative Diffusion Models

Magnetic resonance imaging (MRI) is a common and life-saving medical imaging technique. However, acquiring high signal-to-noise ratio MRI scans requires long scan times, resulting in increased costs and patient discomfort, and decreased throughput. Thus, there is great interest in denoising MRI scans, especially for the subtype of diffusion MRI scans that are severely SNR-limited. While most prior MRI denoising methods are supervised in nature, acquiring supervised training datasets for the multitude of anatomies, MRI scanners, and scan parameters proves impractical. Here, we propose Denoising Diffusion Models for Denoising Diffusion MRI (DDM$^2$), a self-supervised denoising method for MRI denoising using diffusion denoising generative models. Our three-stage framework integrates statistic-based denoising theory into diffusion models and performs denoising through conditional generation. During inference, we represent input noisy measurements as a sample from an intermediate posterior distribution within the diffusion Markov chain. We conduct experiments on 4 real-world in-vivo diffusion MRI datasets and show that our DDM$^2$ demonstrates superior denoising performances ascertained with clinically-relevant visual qualitative and quantitative metrics.

Time-efficient, High Resolution 3T Whole Brain Quantitative Relaxometry using 3D-QALAS with Wave-CAIPI Readouts

Purpose: Volumetric, high resolution, quantitative mapping of brain tissues relaxation properties is hindered by long acquisition times and SNR challenges. This study, for the first time, combines the time efficient wave-CAIPI readouts into the 3D-QALAS acquisition scheme, enabling full brain quantitative T1, T2 and PD maps at 1.15 isotropic voxels in only 3 minutes. Methods: Wave-CAIPI readouts were embedded in the standard 3d-QALAS encoding scheme, enabling full brain quantitative parameter maps (T1, T2 and PD) at acceleration factors of R=3x2 with minimum SNR loss due to g-factor penalties. The quantitative maps using the accelerated protocol were quantitatively compared against those obtained from conventional 3D-QALAS sequence using GRAPPA acceleration of R=2 in the ISMRM NIST phantom, and ten healthy volunteers. To show the feasibility of the proposed methods in clinical settings, the accelerated wave-CAIPI 3D-QALAS sequence was also employed in pediatric patients undergoing clinical MRI examinations. Results: When tested in both the ISMRM/NIST phantom and 7 healthy volunteers, the quantitative maps using the accelerated protocol showed excellent agreement against those obtained from conventional 3D-QALAS at R=2. Conclusion: 3D-QALAS enhanced with wave-CAIPI readouts enables time-efficient, full brain quantitative T1, T2 and PD mapping at 1.15 in 3 minutes at R=3x2 acceleration. When tested on the NIST phantom and 7 healthy volunteers, the quantitative maps obtained from the accelerated wave-CAIPI 3D-QALAS protocol showed very similar values to those obtained from the standard 3D-QALAS (R=2) protocol, alluding to the robustness and reliability of the proposed methods. This study also shows that the accelerated protocol can be effectively employed in pediatric patient populations, making high-quality high-resolution full brain quantitative imaging feasible in clinical settings.

BUDA-SAGE with self-supervised denoising enables fast, distortion-free, high-resolution T2, T2*, para- and dia-magnetic susceptibility mapping

To rapidly obtain high resolution T2, T2* and quantitative susceptibility mapping (QSM) source separation maps with whole-brain coverage and high geometric fidelity. We propose Blip Up-Down Acquisition for Spin And Gradient Echo imaging (BUDA-SAGE), an efficient echo-planar imaging (EPI) sequence for quantitative mapping. The acquisition includes multiple T2*-, T2'- and T2-weighted contrasts. We alternate the phase-encoding polarities across the interleaved shots in this multi-shot navigator-free acquisition. A field map estimated from interim reconstructions was incorporated into the joint multi-shot EPI reconstruction with a structured low rank constraint to eliminate geometric distortion. A self-supervised MR-Self2Self (MR-S2S) neural network (NN) was utilized to perform denoising after BUDA reconstruction to boost SNR. Employing Slider encoding allowed us to reach 1 mm isotropic resolution by performing super-resolution reconstruction on BUDA-SAGE volumes acquired with 2 mm slice thickness. Quantitative T2 and T2* maps were obtained using Bloch dictionary matching on the reconstructed echoes. QSM was estimated using nonlinear dipole inversion (NDI) on the gradient echoes. Starting from the estimated R2 and R2* maps, R2' information was derived and used in source separation QSM reconstruction, which provided additional para- and dia-magnetic susceptibility maps. In vivo results demonstrate the ability of BUDA-SAGE to provide whole-brain, distortion-free, high-resolution multi-contrast images and quantitative T2 and T2* maps, as well as yielding para- and dia-magnetic susceptibility maps. Derived quantitative maps showed comparable values to conventional mapping methods in phantom and in vivo measurements. BUDA-SAGE acquisition with self-supervised denoising and Slider encoding enabled rapid, distortion-free, whole-brain T2, T2* mapping at 1 mm3 isotropic resolution in 90 seconds.

Optimized multi-axis spiral projection MR fingerprinting with subspace reconstruction for rapid whole-brain high-isotropic-resolution quantitative imaging

Purpose: To improve image quality and accelerate the acquisition of 3D MRF. Methods: Building on the multi-axis spiral-projection MRF technique, a subspace reconstruction with locally low rank (LLR) constraint and a modified spiral-projection spatiotemporal encoding scheme termed tiny-golden-angle-shuffling (TGAS) were implemented for rapid whole-brain high-resolution quantitative mapping. The LLR regularization parameter and the number of subspace bases were tuned using retrospective in-vivo data and simulated examinations, respectively. B0 inhomogeneity correction using multi-frequency interpolation was incorporated into the subspace reconstruction to further improve the image quality by mitigating blurring caused by off-resonance effect. Results: The proposed MRF acquisition and reconstruction framework can produce provide high quality 1-mm isotropic whole-brain quantitative maps in a total acquisition time of 1 minute 55 seconds, with higher-quality results than ones obtained from the previous approach in 6 minutes. The comparison of quantitative results indicates that neither the subspace reconstruction nor the TGAS trajectory induce bias for T1 and T2 mapping. High quality whole-brain MRF data were also obtained at 0.66-mm isotropic resolution in 4 minutes using the proposed technique, where the increased resolution was shown to improve visualization of subtle brain structures. Conclusion: The proposed TGAS-SPI-MRF with optimized spiral-projection trajectory and subspace reconstruction can enable high-resolution quantitative mapping with faster acquisition speed.