NexOP: Joint Optimization of NEX-Aware k-space Sampling and Image Reconstruction for Low-Field MRI

Modern low-field magnetic resonance imaging (MRI) technology offers a compelling alternative to standard high-field MRI, with portable, low-cost systems. However, its clinical utility is limited by a low Signal-to-Noise Ratio (SNR), which hampers diagnostic image quality. A common approach to increase SNR is through repetitive signal acquisitions, known as NEX, but this results in excessively long scan durations. Although recent work has introduced methods to accelerate MRI scans through k-space sampling optimization, the NEX dimension remains unexploited; typically, a single sampling mask is used across all repetitions. Here we introduce NexOP, a deep-learning framework for joint optimization of the sampling and reconstruction in multi-NEX acquisitions, tailored for low-SNR settings. NexOP enables optimizing the sampling density probabilities across the extended k-space-NEX domain, under a fixed sampling-budget constraint, and introduces a new deep-learning architecture for reconstructing a single high-SNR image from multiple low-SNR measurements. Experiments with raw low-field (0.3T) brain data demonstrate that NexOP consistently outperforms competing methods, both quantitatively and qualitatively, across diverse acceleration factors and tissue contrasts. The results also demonstrate that NexOP yields non-uniform sampling strategies, with progressively decreasing sampling across repetitions, hence exploiting the NEX dimension efficiently. Moreover, we present a theoretical analysis supporting these numerical observations. Overall, this work proposes a sampling-reconstruction optimization framework highly suitable for low-field MRI, which can enable faster, higher-quality imaging with low-cost systems and contribute to advancing affordable and accessible healthcare.

Deep learning of personalized priors from past MRI scans enables fast, quality-enhanced point-of-care MRI with low-cost systems

Magnetic resonance imaging (MRI) offers superb-quality images, but its accessibility is limited by high costs, posing challenges for patients requiring longitudinal care. Low-field MRI provides affordable imaging with low-cost devices but is hindered by long scans and degraded image quality, including low signal-to-noise ratio (SNR) and tissue contrast. We propose a novel healthcare paradigm: using deep learning to extract personalized features from past standard high-field MRI scans and harnessing them to enable accelerated, enhanced-quality follow-up scans with low-cost systems. To overcome the SNR and contrast differences, we introduce ViT-Fuser, a feature-fusion vision transformer that learns features from past scans, e.g. those stored in standard DICOM CDs. We show that \textit{a single prior scan is sufficient}, and this scan can come from various MRI vendors, field strengths, and pulse sequences. Experiments with four datasets, including glioblastoma data, low-field ($50mT$), and ultra-low-field ($6.5mT$) data, demonstrate that ViT-Fuser outperforms state-of-the-art methods, providing enhanced-quality images from accelerated low-field scans, with robustness to out-of-distribution data. Our freely available framework thus enables rapid, diagnostic-quality, low-cost imaging for wide healthcare applications.