VoDaSuRe: A Large-Scale Dataset Revealing Domain Shift in Volumetric Super-Resolution

Recent advances in volumetric super-resolution (SR) have demonstrated strong performance in medical and scientific imaging, with transformer- and CNN-based approaches achieving impressive results even at extreme scaling factors. In this work, we show that much of this performance stems from training on downsampled data rather than real low-resolution scans. This reliance on downsampling is partly driven by the scarcity of paired high- and low-resolution 3D datasets. To address this, we introduce VoDaSuRe, a large-scale volumetric dataset containing paired high- and low-resolution scans. When training models on VoDaSuRe, we reveal a significant discrepancy: SR models trained on downsampled data produce substantially sharper predictions than those trained on real low-resolution scans, which smooth fine structures. Conversely, applying models trained on downsampled data to real scans preserves more structure but is inaccurate. Our findings suggest that current SR methods are overstated - when applied to real data, they do not recover structures lost in low-resolution scans and instead predict a smoothed average. We argue that progress in deep learning-based volumetric SR requires datasets with paired real scans of high complexity, such as VoDaSuRe. Our dataset and code are publicly available through: https://augusthoeg.github.io/VoDaSuRe/

OmniFM: Toward Modality-Robust and Task-Agnostic Federated Learning for Heterogeneous Medical Imaging

Federated learning (FL) has become a promising paradigm for collaborative medical image analysis, yet existing frameworks remain tightly coupled to task-specific backbones and are fragile under heterogeneous imaging modalities. Such constraints hinder real-world deployment, where institutions vary widely in modality distributions and must support diverse downstream tasks. To address this limitation, we propose OmniFM, a modality- and task-agnostic FL framework that unifies training across classification, segmentation, super-resolution, visual question answering, and multimodal fusion without re-engineering the optimization pipeline. OmniFM builds on a key frequency-domain insight: low-frequency spectral components exhibit strong cross-modality consistency and encode modality-invariant anatomical structures. Accordingly, OmniFM integrates (i) Global Spectral Knowledge Retrieval to inject global frequency priors, (ii) Embedding-wise Cross-Attention Fusion to align representations, and (iii) Prefix-Suffix Spectral Prompting to jointly condition global and personalized cues, together regularized by a Spectral-Proximal Alignment objective that stabilizes aggregation. Experiments on real-world datasets show that OmniFM consistently surpasses state-of-the-art FL baselines across intra- and cross-modality heterogeneity, achieving superior results under both fine-tuning and training-from-scratch setups.

TriFusion-SR: Joint Tri-Modal Medical Image Fusion and SR

Multimodal medical image fusion facilitates comprehensive diagnosis by aggregating complementary structural and functional information, but its effectiveness is limited by resolution degradation and modality discrepancies. Existing approaches typically perform image fusion and super-resolution (SR) in separate stages, leading to artifacts and degraded perceptual quality. These limitations are further amplified in tri-modal settings that combine anatomical modalities (e.g., MRI, CT) with functional scans (e.g., PET, SPECT) due to pronounced frequency domain imbalances. We propose TriFusionSR, a wavelet-guided conditional diffusion framework for joint tri-modal fusion and SR. The framework explicitly decomposes multimodal features into frequency bands using the 2D Discrete Wavelet Transform, enabling frequency-aware crossmodal interaction. We further introduce a Rectified Wavelet Features (RWF) strategy for latent coefficient calibration, followed by an Adaptive Spatial-Frequency Fusion (ASFF) module with gated channel-spatial attention to enable structure-driven multimodal refinement. Extensive experiments demonstrate state-of-the-art performance, achieving 4.8-12.4% PSNR improvement and substantial reductions in RMSE and LPIPS across multiple upsampling scales.

sFRC for assessing hallucinations in medical image restoration

Deep learning (DL) methods are currently being explored to restore images from sparse-view-, limited-data-, and undersampled-based acquisitions in medical applications. Although outputs from DL may appear visually appealing based on likability/subjective criteria (such as less noise, smooth features), they may also suffer from hallucinations. This issue is further exacerbated by a lack of easy-to-use techniques and robust metrics for the identification of hallucinations in DL outputs. In this work, we propose performing Fourier Ring Correlation (FRC) analysis over small patches and concomitantly (s)canning across DL outputs and their reference counterparts to detect hallucinations (termed as sFRC). We describe the rationale behind sFRC and provide its mathematical formulation. The parameters essential to sFRC may be set using predefined hallucinated features annotated by subject matter experts or using imaging theory-based hallucination maps. We use sFRC to detect hallucinations for three undersampled medical imaging problems: CT super-resolution, CT sparse view, and MRI subsampled restoration. In the testing phase, we demonstrate sFRC's effectiveness in detecting hallucinated features for the CT problem and sFRC's agreement with imaging theory-based outputs on hallucinated feature maps for the MR problem. Finally, we quantify the hallucination rates of DL methods on in-distribution versus out-of-distribution data and under increasing subsampling rates to characterize the robustness of DL methods. Beyond DL-based methods, sFRC's effectiveness in detecting hallucinations for a conventional regularization-based restoration method and a state-of-the-art unrolled method is also shown.

Distributional Deep Learning for Super-Resolution of 4D Flow MRI under Domain Shift

Super-resolution is widely used in medical imaging to enhance low-quality data, reducing scan time and improving abnormality detection. Conventional super-resolution approaches typically rely on paired datasets of downsampled and original high resolution images, training models to reconstruct high resolution images from their artificially degraded counterparts. However, in real-world clinical settings, low resolution data often arise from acquisition mechanisms that differ significantly from simple downsampling. As a result, these inputs may lie outside the domain of the training data, leading to poor model generalization due to domain shift. To address this limitation, we propose a distributional deep learning framework that improves model robustness and domain generalization. We develop this approch for enhancing the resolution of 4D Flow MRI (4DF). This is a novel imaging modality that captures hemodynamic flow velocity and clinically relevant metrics such as vessel wall stress. These metrics are critical for assessing aneurysm rupture risk. Our model is initially trained on high resolution computational fluid dynamics (CFD) simulations and their downsampled counterparts. It is then fine-tuned on a small, harmonized dataset of paired 4D Flow MRI and CFD samples. We derive the theoretical properties of our distributional estimators and demonstrate that our framework significantly outperforms traditional deep learning approaches through real data applications. This highlights the effectiveness of distributional learning in addressing domain shift and improving super-resolution performance in clinically realistic scenarios.

Scale-Cascaded Diffusion Models for Super-Resolution in Medical Imaging

Diffusion models have been increasingly used as strong generative priors for solving inverse problems such as super-resolution in medical imaging. However, these approaches typically utilize a diffusion prior trained at a single scale, ignoring the hierarchical scale structure of image data. In this work, we propose to decompose images into Laplacian pyramid scales and train separate diffusion priors for each frequency band. We then develop an algorithm to perform super-resolution that utilizes these priors to progressively refine reconstructions across different scales. Evaluated on brain, knee, and prostate MRI data, our approach both improves perceptual quality over baselines and reduces inference time through smaller coarse-scale networks. Our framework unifies multiscale reconstruction and diffusion priors for medical image super-resolution.

SSPFormer: Self-Supervised Pretrained Transformer for MRI Images

The pre-trained transformer demonstrates remarkable generalization ability in natural image processing. However, directly transferring it to magnetic resonance images faces two key challenges: the inability to adapt to the specificity of medical anatomical structures and the limitations brought about by the privacy and scarcity of medical data. To address these issues, this paper proposes a Self-Supervised Pretrained Transformer (SSPFormer) for MRI images, which effectively learns domain-specific feature representations of medical images by leveraging unlabeled raw imaging data. To tackle the domain gap and data scarcity, we introduce inverse frequency projection masking, which prioritizes the reconstruction of high-frequency anatomical regions to enforce structure-aware representation learning. Simultaneously, to enhance robustness against real-world MRI artifacts, we employ frequency-weighted FFT noise enhancement that injects physiologically realistic noise into the Fourier domain. Together, these strategies enable the model to learn domain-invariant and artifact-robust features directly from raw scans. Through extensive experiments on segmentation, super-resolution, and denoising tasks, the proposed SSPFormer achieves state-of-the-art performance, fully verifying its ability to capture fine-grained MRI image fidelity and adapt to clinical application requirements.

Super-Resolution Enhancement of Medical Images Based on Diffusion Model: An Optimization Scheme for Low-Resolution Gastric Images

Capsule endoscopy has enabled minimally invasive gastrointestinal imaging, but its clinical utility is limited by the inherently low resolution of captured images due to hardware, power, and transmission constraints. This limitation hampers the identification of fine-grained mucosal textures and subtle pathological features essential for early diagnosis. This work investigates a diffusion-based super-resolution framework to enhance capsule endoscopy images in a data-driven and anatomically consistent manner. We adopt the SR3 (Super-Resolution via Repeated Refinement) framework built upon Denoising Diffusion Probabilistic Models (DDPMs) to learn a probabilistic mapping from low-resolution to high-resolution images. Unlike GAN-based approaches that often suffer from training instability and hallucination artifacts, diffusion models provide stable likelihood-based training and improved structural fidelity. The HyperKvasir dataset, a large-scale publicly available gastrointestinal endoscopy dataset, is used for training and evaluation. Quantitative results demonstrate that the proposed method significantly outperforms bicubic interpolation and GAN-based super-resolution methods such as ESRGAN, achieving PSNR of 27.5 dB and SSIM of 0.65 for a baseline model, and improving to 29.3 dB and 0.71 with architectural enhancements including attention mechanisms. Qualitative results show improved preservation of anatomical boundaries, vascular patterns, and lesion structures. These findings indicate that diffusion-based super-resolution is a promising approach for enhancing non-invasive medical imaging, particularly in capsule endoscopy where image resolution is fundamentally constrained.

Fast and Explicit: Slice-to-Volume Reconstruction via 3D Gaussian Primitives with Analytic Point Spread Function Modeling

Recovering high-fidelity 3D images from sparse or degraded 2D images is a fundamental challenge in medical imaging, with broad applications ranging from 3D ultrasound reconstruction to MRI super-resolution. In the context of fetal MRI, high-resolution 3D reconstruction of the brain from motion-corrupted low-resolution 2D acquisitions is a prerequisite for accurate neurodevelopmental diagnosis. While implicit neural representations (INRs) have recently established state-of-the-art performance in self-supervised slice-to-volume reconstruction (SVR), they suffer from a critical computational bottleneck: accurately modeling the image acquisition physics requires expensive stochastic Monte Carlo sampling to approximate the point spread function (PSF). In this work, we propose a shift from neural network based implicit representations to Gaussian based explicit representations. By parameterizing the HR 3D image volume as a field of anisotropic Gaussian primitives, we leverage the property of Gaussians being closed under convolution and thus derive a \textit{closed-form analytical solution} for the forward model. This formulation reduces the previously intractable acquisition integral to an exact covariance addition ($\mathbfΣ_{obs} = \mathbfΣ_{HR} + \mathbfΣ_{PSF}$), effectively bypassing the need for compute-intensive stochastic sampling while ensuring exact gradient propagation. We demonstrate that our approach matches the reconstruction quality of self-supervised state-of-the-art SVR frameworks while delivering a 5$\times$--10$\times$ speed-up on neonatal and fetal data. With convergence often reached in under 30 seconds, our framework paves the way towards translation into clinical routine of real-time fetal 3D MRI. Code will be public at {https://github.com/m-dannecker/Gaussian-Primitives-for-Fast-SVR}.

Versatile and Efficient Medical Image Super-Resolution Via Frequency-Gated Mamba

Medical image super-resolution (SR) is essential for enhancing diagnostic accuracy while reducing acquisition cost and scanning time. However, modeling both long-range anatomical structures and fine-grained frequency details with low computational overhead remains challenging. We propose FGMamba, a novel frequency-aware gated state-space model that unifies global dependency modeling and fine-detail enhancement into a lightweight architecture. Our method introduces two key innovations: a Gated Attention-enhanced State-Space Module (GASM) that integrates efficient state-space modeling with dual-branch spatial and channel attention, and a Pyramid Frequency Fusion Module (PFFM) that captures high-frequency details across multiple resolutions via FFT-guided fusion. Extensive evaluations across five medical imaging modalities (Ultrasound, OCT, MRI, CT, and Endoscopic) demonstrate that FGMamba achieves superior PSNR/SSIM while maintaining a compact parameter footprint ($<$0.75M), outperforming CNN-based and Transformer-based SOTAs. Our results validate the effectiveness of frequency-aware state-space modeling for scalable and accurate medical image enhancement.