Spreading Depolarization Detection in Electrocorticogram Spectrogram Imaging by Deep Learning: Is It Just About Delta Band?

Prevention of secondary brain injury is a core aim of neurocritical care, with Spreading Depolarizations (SDs) recognized as a significant independent cause. SDs are typically monitored through invasive, high-frequency electrocorticography (ECoG); however, detection remains challenging due to signal artifacts that obscure critical SD-related electrophysiological changes, such as power attenuation and DC drifting. Recent studies suggest spectrogram analysis could improve SD detection; however, brain injury patients often show power reduction across all bands except delta, causing class imbalance. Previous methods focusing solely on delta mitigates imbalance but overlooks features in other frequencies, limiting detection performance. This study explores using multi-frequency spectrogram analysis, revealing that essential SD-related features span multiple frequency bands beyond the most active delta band. This study demonstrated that further integration of both alpha and delta bands could result in enhanced SD detection accuracy by a deep learning model.

RSFR: A Coarse-to-Fine Reconstruction Framework for Diffusion Tensor Cardiac MRI with Semantic-Aware Refinement

Cardiac diffusion tensor imaging (DTI) offers unique insights into cardiomyocyte arrangements, bridging the gap between microscopic and macroscopic cardiac function. However, its clinical utility is limited by technical challenges, including a low signal-to-noise ratio, aliasing artefacts, and the need for accurate quantitative fidelity. To address these limitations, we introduce RSFR (Reconstruction, Segmentation, Fusion & Refinement), a novel framework for cardiac diffusion-weighted image reconstruction. RSFR employs a coarse-to-fine strategy, leveraging zero-shot semantic priors via the Segment Anything Model and a robust Vision Mamba-based reconstruction backbone. Our framework integrates semantic features effectively to mitigate artefacts and enhance fidelity, achieving state-of-the-art reconstruction quality and accurate DT parameter estimation under high undersampling rates. Extensive experiments and ablation studies demonstrate the superior performance of RSFR compared to existing methods, highlighting its robustness, scalability, and potential for clinical translation in quantitative cardiac DTI.

Is fitting error a reliable metric for assessing deformable motion correction in quantitative MRI?

Quantitative MR (qMR) can provide numerical values representing the physical and chemical properties of the tissues. To collect a series of frames under varying settings, retrospective motion correction is essential to align the corresponding anatomical points or features. Under the assumption that the misalignment makes the discrepancy between the corresponding features larger, fitting error is a commonly used evaluation metric for motion correction in qMR. This study evaluates the reliability of the fitting error metric in cardiac diffusion tensor imaging (cDTI) after deformable registration. We found that while fitting error correlates with the negative eigenvalues, the negative Jacobian Determinant increases with broken cardiomyocytes, indicated by helix angle gradient line profiles. Since fitting error measures the distance between moved points and their re-rendered counterparts, the fitting parameter itself may be adjusted due to poor registration. Therefore, fitting error in deformable registration itself is a necessary but not sufficient metric and should be combined with other metrics.

Topology-Preserving Loss for Accurate and Anatomically Consistent Cardiac Mesh Reconstruction

Accurate cardiac mesh reconstruction from volumetric data is essential for personalized cardiac modeling and clinical analysis. However, existing deformation-based approaches are prone to topological inconsistencies, particularly membrane penetration, which undermines the anatomical plausibility of the reconstructed mesh. To address this issue, we introduce Topology-Preserving Mesh Loss (TPM Loss), a novel loss function that explicitly enforces topological constraints during mesh deformation. By identifying topology-violating points, TPM Loss ensures spatially consistent reconstructions. Extensive experiments on CT and MRI datasets show that TPM Loss reduces topology violations by up to 93.1% while maintaining high segmentation accuracy (DSC: 89.1%-92.9%) and improving mesh fidelity (Chamfer Distance reduction up to 0.26 mm). These results demonstrate that TPM Loss effectively prevents membrane penetration and significantly improves cardiac mesh quality, enabling more accurate and anatomically consistent cardiac reconstructions.

Lightweight Hypercomplex MRI Reconstruction: A Generalized Kronecker-Parameterized Approach

Magnetic Resonance Imaging (MRI) is crucial for clinical diagnostics but is hindered by prolonged scan times. Current deep learning models enhance MRI reconstruction but are often memory-intensive and unsuitable for resource-limited systems. This paper introduces a lightweight MRI reconstruction model leveraging Kronecker-Parameterized Hypercomplex Neural Networks to achieve high performance with reduced parameters. By integrating Kronecker-based modules, including Kronecker MLP, Kronecker Window Attention, and Kronecker Convolution, the proposed model efficiently extracts spatial features while preserving representational power. We introduce Kronecker U-Net and Kronecker SwinMR, which maintain high reconstruction quality with approximately 50% fewer parameters compared to existing models. Experimental evaluation on the FastMRI dataset demonstrates competitive PSNR, SSIM, and LPIPS metrics, even at high acceleration factors (8x and 16x), with no significant performance drop. Additionally, Kronecker variants exhibit superior generalization and reduced overfitting on limited datasets, facilitating efficient MRI reconstruction on hardware-constrained systems. This approach sets a new benchmark for parameter-efficient medical imaging models.

Towards Universal Learning-based Model for Cardiac Image Reconstruction: Summary of the CMRxRecon2024 Challenge

Cardiovascular magnetic resonance (CMR) offers diverse imaging contrasts for assessment of cardiac function and tissue characterization. However, acquiring each single CMR modality is often time-consuming, and comprehensive clinical protocols require multiple modalities with various sampling patterns, further extending the overall acquisition time and increasing susceptibility to motion artifacts. Existing deep learning-based reconstruction methods are often designed for specific acquisition parameters, which limits their ability to generalize across a variety of scan scenarios. As part of the CMRxRecon Series, the CMRxRecon2024 challenge provides diverse datasets encompassing multi-modality multi-view imaging with various sampling patterns, and a platform for the international community to develop and benchmark reconstruction solutions in two well-crafted tasks. Task 1 is a modality-universal setting, evaluating the out-of-distribution generalization of the reconstructed model, while Task 2 follows sampling-universal setting assessing the one-for-all adaptability of the universal model. Main contributions include providing the first and largest publicly available multi-modality, multi-view cardiac k-space dataset; developing a benchmarking platform that simulates clinical acceleration protocols, with a shared code library and tutorial for various k-t undersampling patterns and data processing; giving technical insights of enhanced data consistency based on physic-informed networks and adaptive prompt-learning embedding to be versatile to different clinical settings; additional finding on evaluation metrics to address the limitations of conventional ground-truth references in universal reconstruction tasks.

Explicit Differentiable Slicing and Global Deformation for Cardiac Mesh Reconstruction

Mesh reconstruction of the cardiac anatomy from medical images is useful for shape and motion measurements and biophysics simulations to facilitate the assessment of cardiac function and health. However, 3D medical images are often acquired as 2D slices that are sparsely sampled and noisy, and mesh reconstruction on such data is a challenging task. Traditional voxel-based approaches rely on pre- and post-processing that compromises image fidelity, while mesh-level deep learning approaches require mesh annotations that are difficult to get. Therefore, direct cross-domain supervision from 2D images to meshes is a key technique for advancing 3D learning in medical imaging, but it has not been well-developed. While there have been attempts to approximate the optimized meshes' slicing, few existing methods directly use 2D slices to supervise mesh reconstruction in a differentiable manner. Here, we propose a novel explicit differentiable voxelization and slicing (DVS) algorithm that allows gradient backpropagation to a mesh from its slices, facilitating refined mesh optimization directly supervised by the losses defined on 2D images. Further, we propose an innovative framework for extracting patient-specific left ventricle (LV) meshes from medical images by coupling DVS with a graph harmonic deformation (GHD) mesh morphing descriptor of cardiac shape that naturally preserves mesh quality and smoothness during optimization. Experimental results demonstrate that our method achieves state-of-the-art performance in cardiac mesh reconstruction tasks from CT and MRI, with an overall Dice score of 90% on multi-datasets, outperforming existing approaches. The proposed method can further quantify clinically useful parameters such as ejection fraction and global myocardial strains, closely matching the ground truth and surpassing the traditional voxel-based approach in sparse images.

Groupwise Deformable Registration of Diffusion Tensor Cardiovascular Magnetic Resonance: Disentangling Diffusion Contrast, Respiratory and Cardiac Motions

Diffusion tensor based cardiovascular magnetic resonance (DT-CMR) offers a non-invasive method to visualize the myocardial microstructure. With the assumption that the heart is stationary, frames are acquired with multiple repetitions for different diffusion encoding directions. However, motion from poor breath-holding and imprecise cardiac triggering complicates DT-CMR analysis, further challenged by its inherently low SNR, varied contrasts, and diffusion-induced textures. Our solution is a novel framework employing groupwise registration with an implicit template to isolate respiratory and cardiac motions, while a tensor-embedded branch preserves diffusion contrast textures. We've devised a loss refinement tailored for non-linear least squares fitting and low SNR conditions. Additionally, we introduce new physics-based and clinical metrics for performance evaluation. Access code and supplementary materials at: https://github.com/Mobbyjj/DTCMRRegistration

Low-rank based motion correction followed by automatic frame selection in DT-CMR

Motivation: Post-processing of in-vivo diffusion tensor CMR (DT-CMR) is challenging due to the low SNR and variation in contrast between frames which makes image registration difficult, and the need to manually reject frames corrupted by motion. Goals: To develop a semi-automatic post-processing pipeline for robust DT-CMR registration and automatic frame selection. Approach: We used low intrinsic rank averaged frames as the reference to register other low-ranked frames. A myocardium-guided frame selection rejected the frames with signal loss, through-plane motion and poor registration. Results: The proposed method outperformed our previous noise-robust rigid registration on helix angle data quality and reduced negative eigenvalues in healthy volunteers.

Enhancing Global Sensitivity and Uncertainty Quantification in Medical Image Reconstruction with Monte Carlo Arbitrary-Masked Mamba

Deep learning has been extensively applied in medical image reconstruction, where Convolutional Neural Networks (CNNs) and Vision Transformers (ViTs) represent the predominant paradigms, each possessing distinct advantages and inherent limitations: CNNs exhibit linear complexity with local sensitivity, whereas ViTs demonstrate quadratic complexity with global sensitivity. The emerging Mamba has shown superiority in learning visual representation, which combines the advantages of linear scalability and global sensitivity. In this study, we introduce MambaMIR, an Arbitrary-Masked Mamba-based model with wavelet decomposition for joint medical image reconstruction and uncertainty estimation. A novel Arbitrary Scan Masking (ASM) mechanism ``masks out'' redundant information to introduce randomness for further uncertainty estimation. Compared to the commonly used Monte Carlo (MC) dropout, our proposed MC-ASM provides an uncertainty map without the need for hyperparameter tuning and mitigates the performance drop typically observed when applying dropout to low-level tasks. For further texture preservation and better perceptual quality, we employ the wavelet transformation into MambaMIR and explore its variant based on the Generative Adversarial Network, namely MambaMIR-GAN. Comprehensive experiments have been conducted for multiple representative medical image reconstruction tasks, demonstrating that the proposed MambaMIR and MambaMIR-GAN outperform other baseline and state-of-the-art methods in different reconstruction tasks, where MambaMIR achieves the best reconstruction fidelity and MambaMIR-GAN has the best perceptual quality. In addition, our MC-ASM provides uncertainty maps as an additional tool for clinicians, while mitigating the typical performance drop caused by the commonly used dropout.