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Improving speed and image quality of Magnetic Resonance Imaging (MRI) via novel reconstruction approaches remains one of the highest impact applications for deep learning in medical imaging. The fastMRI dataset, unique in that it contains large volumes of raw MRI data, has enabled significant advances in accelerating MRI using deep learning-based reconstruction methods. While the impact of the fastMRI dataset on the field of medical imaging is unquestioned, the dataset currently lacks clinical expert pathology annotations, critical to addressing clinically relevant reconstruction frameworks and exploring important questions regarding rendering of specific pathology using such novel approaches. This work introduces fastMRI+, which consists of 16154 subspecialist expert bounding box annotations and 13 study-level labels for 22 different pathology categories on the fastMRI knee dataset, and 7570 subspecialist expert bounding box annotations and 643 study-level labels for 30 different pathology categories for the fastMRI brain dataset. The fastMRI+ dataset is open access and aims to support further research and advancement of medical imaging in MRI reconstruction and beyond.
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Deep learning (DL) has emerged as a tool for improving accelerated MRI reconstruction. A common strategy among DL methods is the physics-based approach, where a regularized iterative algorithm alternating between data consistency and a regularizer is unrolled for a finite number of iterations. This unrolled network is then trained end-to-end in a supervised manner, using fully-sampled data as ground truth for the network output. However, in a number of scenarios, it is difficult to obtain fully-sampled datasets, due to physiological constraints such as organ motion or physical constraints such as signal decay. In this work, we tackle this issue and propose a self-supervised learning strategy that enables physics-based DL reconstruction without fully-sampled data. Our approach is to divide the acquired sub-sampled points for each scan into training and validation subsets. During training, data consistency is enforced over the training subset, while the validation subset is used to define the loss function. Results show that the proposed self-supervised learning method successfully reconstructs images without fully-sampled data, performing similarly to the supervised approach that is trained with fully-sampled references. This has implications for physics-based inverse problem approaches for other settings, where fully-sampled data is not available or possible to acquire.
Compressed Sensing MRI (CS-MRI) has shown promise in reconstructing under-sampled MR images, offering the potential to reduce scan times. Classical techniques minimize a regularized least-squares cost function using an expensive iterative optimization procedure. Recently, deep learning models have been developed that model the iterative nature of classical techniques by unrolling iterations in a neural network. While exhibiting superior performance, these methods require large quantities of ground-truth images and have shown to be non-robust to unseen data. In this paper, we explore a novel strategy to train an unrolled reconstruction network in an unsupervised fashion by adopting a loss function widely-used in classical optimization schemes. We demonstrate that this strategy achieves lower loss and is computationally cheap compared to classical optimization solvers while also exhibiting superior robustness compared to supervised models. Code is available at https://github.com/alanqrwang/HQSNet.
Although deep learning (DL) has received much attention in accelerated MRI, recent studies suggest small perturbations may lead to instabilities in DL-based reconstructions, leading to concern for their clinical application. However, these works focus on single-coil acquisitions, which is not practical. We investigate instabilities caused by small adversarial attacks for multi-coil acquisitions. Our results suggest that, parallel imaging and multi-coil CS exhibit considerable instabilities against small adversarial perturbations.
Deep learning has achieved good success in cardiac magnetic resonance imaging (MRI) reconstruction, in which convolutional neural networks (CNNs) learn a mapping from the undersampled k-space to the fully sampled images. Although these deep learning methods can improve the reconstruction quality compared with iterative methods without requiring complex parameter selection or lengthy reconstruction time, the following issues still need to be addressed: 1) all these methods are based on big data and require a large amount of fully sampled MRI data, which is always difficult to obtain for cardiac MRI; 2) the effect of coil correlation on reconstruction in deep learning methods for dynamic MR imaging has never been studied. In this paper, we propose an unsupervised deep learning method for multi-coil cine MRI via a time-interleaved sampling strategy. Specifically, a time-interleaved acquisition scheme is utilized to build a set of fully encoded reference data by directly merging the k-space data of adjacent time frames. Then these fully encoded data can be used to train a parallel network for reconstructing images of each coil separately. Finally, the images from each coil are combined via a CNN to implicitly explore the correlations between coils. The comparisons with classic k-t FOCUSS, k-t SLR, L+S and KLR methods on in vivo datasets show that our method can achieve improved reconstruction results in an extremely short amount of time.
Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) plays an important role in diagnosis and grading of brain tumor. Although manual DCE biomarker extraction algorithms boost the diagnostic yield of DCE-MRI by providing quantitative information on tumor prognosis and prediction, they are time-consuming and prone to human error. In this paper, we propose a fully-automated, end-to-end system for DCE-MRI analysis of brain tumors. Our deep learning-powered technique does not require any user interaction, it yields reproducible results, and it is rigorously validated against benchmark (BraTS17 for tumor segmentation, and a test dataset released by the Quantitative Imaging Biomarkers Alliance for the contrast-concentration fitting) and clinical (44 low-grade glioma patients) data. Also, we introduce a cubic model of the vascular input function used for pharmacokinetic modeling which significantly decreases the fitting error when compared with the state of the art, alongside a real-time algorithm for determination of the vascular input region. An extensive experimental study, backed up with statistical tests, showed that our system delivers state-of-the-art results (in terms of segmentation accuracy and contrast-concentration fitting) while requiring less than 3 minutes to process an entire input DCE-MRI study using a single GPU.
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