PERCEPT-Net: A Perceptual Loss Driven Framework for Reducing MRI Artifact Tissue Confusion

Purpose: Existing deep learning-based MRI artifact correction models exhibit poor clinical generalization due to inherent artifact-tissue confusion, failing to discriminate artifacts from anatomical structures. To resolve this, we introduce PERCEPT-Net, a framework leveraging dedicated perceptual supervision for structure-preserving artifact suppression. Method: PERCEPT-Net utilizes a residual U-Net backbone integrated with a multi-scale recovery module and dual attention mechanisms to preserve anatomical context and salient features. The core mechanism, Motion Perceptual Loss (MPL), provides artifact-aware supervision by learning generalizable motion artifact representations. This logic directly guides the network to suppress artifacts while maintaining anatomical fidelity. Training utilized a hybrid dataset of real and simulated sequences, followed by prospective validation via objective metrics and expert radiologist assessments. Result: PERCEPT-Net outperformed state-of-the-art methods on clinical data. Ablation analysis established a direct causal link between MPL and performance; its omission caused a significant deterioration in structural consistency (p < 0.001) and tissue contrast (p < 0.001). Radiologist evaluations corroborated these objective metrics, scoring PERCEPT-Net significantly higher in global image quality (median 3 vs. 2, p < 0.001) and verifying the preservation of critical diagnostic structures. Conclusion: By integrating task-specific, artifact-aware perceptual learning, PERCEPT-Net suppresses motion artifacts in clinical MRI without compromising anatomical integrity. This framework improves clinical robustness and provides a verifiable mechanism to mitigate over-smoothing and structural degradation in medical image reconstruction.