Fast Multi-Stack Slice-to-Volume Reconstruction via Multi-Scale Unrolled Optimization

Fully convolutional networks have become the backbone of modern medical imaging due to their ability to learn multi-scale representations and perform end-to-end inference. Yet their potential for slice-to-volume reconstruction (SVR), the task of jointly estimating 3D anatomy and slice poses from misaligned 2D acquisitions, remains underexplored. We introduce a fast convolutional framework that fuses multiple orthogonal 2D slice stacks to recover coherent 3D structure and refines slice alignment through lightweight model-based optimization. Applied to fetal brain MRI, our approach reconstructs high-quality 3D volumes in under 10s, with 1s slice registration and accuracy on par with state-of-the-art iterative SVR pipelines, offering more than speedup. The framework uses non-rigid displacement fields to represent transformations, generalizing to other SVR problems like fetal body and placental MRI. Additionally, the fast inference time paves the way for real-time, scanner-side volumetric feedback during MRI acquisition.

Advances in Automated Fetal Brain MRI Segmentation and Biometry: Insights from the FeTA 2024 Challenge

Accurate fetal brain tissue segmentation and biometric analysis are essential for studying brain development in utero. The FeTA Challenge 2024 advanced automated fetal brain MRI analysis by introducing biometry prediction as a new task alongside tissue segmentation. For the first time, our diverse multi-centric test set included data from a new low-field (0.55T) MRI dataset. Evaluation metrics were also expanded to include the topology-specific Euler characteristic difference (ED). Sixteen teams submitted segmentation methods, most of which performed consistently across both high- and low-field scans. However, longitudinal trends indicate that segmentation accuracy may be reaching a plateau, with results now approaching inter-rater variability. The ED metric uncovered topological differences that were missed by conventional metrics, while the low-field dataset achieved the highest segmentation scores, highlighting the potential of affordable imaging systems when paired with high-quality reconstruction. Seven teams participated in the biometry task, but most methods failed to outperform a simple baseline that predicted measurements based solely on gestational age, underscoring the challenge of extracting reliable biometric estimates from image data alone. Domain shift analysis identified image quality as the most significant factor affecting model generalization, with super-resolution pipelines also playing a substantial role. Other factors, such as gestational age, pathology, and acquisition site, had smaller, though still measurable, effects. Overall, FeTA 2024 offers a comprehensive benchmark for multi-class segmentation and biometry estimation in fetal brain MRI, underscoring the need for data-centric approaches, improved topological evaluation, and greater dataset diversity to enable clinically robust and generalizable AI tools.