fastMRI+: Clinical Pathology Annotations for Knee and Brain Fully Sampled Multi-Coil MRI Data

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.

Unsupervised Deep Learning Methods for Biological Image Reconstruction

Recently, deep learning approaches have become the main research frontier for biological image reconstruction problems thanks to their high performance, along with their ultra-fast reconstruction times. However, due to the difficulty of obtaining matched reference data for supervised learning, there has been increasing interest in unsupervised learning approaches that do not need paired reference data. In particular, self-supervised learning and generative models have been successfully used for various biological imaging applications. In this paper, we overview these approaches from a coherent perspective in the context of classical inverse problems, and discuss their applications to biological imaging.

20-fold Accelerated 7T fMRI Using Referenceless Self-Supervised Deep Learning Reconstruction

High spatial and temporal resolution across the whole brain is essential to accurately resolve neural activities in fMRI. Therefore, accelerated imaging techniques target improved coverage with high spatio-temporal resolution. Simultaneous multi-slice (SMS) imaging combined with in-plane acceleration are used in large studies that involve ultrahigh field fMRI, such as the Human Connectome Project. However, for even higher acceleration rates, these methods cannot be reliably utilized due to aliasing and noise artifacts. Deep learning (DL) reconstruction techniques have recently gained substantial interest for improving highly-accelerated MRI. Supervised learning of DL reconstructions generally requires fully-sampled training datasets, which is not available for high-resolution fMRI studies. To tackle this challenge, self-supervised learning has been proposed for training of DL reconstruction with only undersampled datasets, showing similar performance to supervised learning. In this study, we utilize a self-supervised physics-guided DL reconstruction on a 5-fold SMS and 4-fold in-plane accelerated 7T fMRI data. Our results show that our self-supervised DL reconstruction produce high-quality images at this 20-fold acceleration, substantially improving on existing methods, while showing similar functional precision and temporal effects in the subsequent analysis compared to a standard 10-fold accelerated acquisition.

Improved Simultaneous Multi-Slice Functional MRI Using Self-supervised Deep Learning

Functional MRI (fMRI) is commonly used for interpreting neural activities across the brain. Numerous accelerated fMRI techniques aim to provide improved spatiotemporal resolutions. Among these, simultaneous multi-slice (SMS) imaging has emerged as a powerful strategy, becoming a part of large-scale studies, such as the Human Connectome Project. However, when SMS imaging is combined with in-plane acceleration for higher acceleration rates, conventional SMS reconstruction methods may suffer from noise amplification and other artifacts. Recently, deep learning (DL) techniques have gained interest for improving MRI reconstruction. However, these methods are typically trained in a supervised manner that necessitates fully-sampled reference data, which is not feasible in highly-accelerated fMRI acquisitions. Self-supervised learning that does not require fully-sampled data has recently been proposed and has shown similar performance to supervised learning. However, it has only been applied for in-plane acceleration. Furthermore the effect of DL reconstruction on subsequent fMRI analysis remains unclear. In this work, we extend self-supervised DL reconstruction to SMS imaging. Our results on prospectively 10-fold accelerated 7T fMRI data show that self-supervised DL reduces reconstruction noise and suppresses residual artifacts. Subsequent fMRI analysis remains unaltered by DL processing, while the improved temporal signal-to-noise ratio produces higher coherence estimates between task runs.

On Instabilities of Conventional Multi-Coil MRI Reconstruction to Small Adverserial Perturbations

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.

Zero-Shot Self-Supervised Learning for MRI Reconstruction

Deep learning (DL) has emerged as a powerful tool for accelerated MRI reconstruction, but these methods often necessitate a database of fully-sampled measurements for training. Recent self-supervised and unsupervised learning approaches enable training without fully-sampled data. However, a database of undersampled measurements may not be available in many scenarios, especially for scans involving contrast or recently developed translational acquisitions. Moreover, database-trained models may not generalize well when the unseen measurements differ in terms of sampling pattern, acceleration rate, SNR, image contrast, and anatomy. Such challenges necessitate a new methodology that can enable scan-specific DL MRI reconstruction without any external training datasets. In this work, we propose a zero-shot self-supervised learning approach to perform scan-specific accelerated MRI reconstruction to tackle these issues. The proposed approach splits available measurements for each scan into three disjoint sets. Two of these sets are used to enforce data consistency and define loss during training, while the last set is used to establish an early stopping criterion. In the presence of models pre-trained on a database with different image characteristics, we show that the proposed approach can be combined with transfer learning to further improve reconstruction quality.

Self-Supervised Physics-Guided Deep Learning Reconstruction For High-Resolution 3D LGE CMR

Late gadolinium enhancement (LGE) cardiac MRI (CMR) is the clinical standard for diagnosis of myocardial scar. 3D isotropic LGE CMR provides improved coverage and resolution compared to 2D imaging. However, image acceleration is required due to long scan times and contrast washout. Physics-guided deep learning (PG-DL) approaches have recently emerged as an improved accelerated MRI strategy. Training of PG-DL methods is typically performed in supervised manner requiring fully-sampled data as reference, which is challenging in 3D LGE CMR. Recently, a self-supervised learning approach was proposed to enable training PG-DL techniques without fully-sampled data. In this work, we extend this self-supervised learning approach to 3D imaging, while tackling challenges related to small training database sizes of 3D volumes. Results and a reader study on prospectively accelerated 3D LGE show that the proposed approach at 6-fold acceleration outperforms the clinically utilized compressed sensing approach at 3-fold acceleration.

Improved Supervised Training of Physics-Guided Deep Learning Image Reconstruction with Multi-Masking

Physics-guided deep learning (PG-DL) via algorithm unrolling has received significant interest for improved image reconstruction, including MRI applications. These methods unroll an iterative optimization algorithm into a series of regularizer and data consistency units. The unrolled networks are typically trained end-to-end using a supervised approach. Current supervised PG-DL approaches use all of the available sub-sampled measurements in their data consistency units. Thus, the network learns to fit the rest of the measurements. In this study, we propose to improve the performance and robustness of supervised training by utilizing randomness by retrospectively selecting only a subset of all the available measurements for data consistency units. The process is repeated multiple times using different random masks during training for further enhancement. Results on knee MRI show that the proposed multi-mask supervised PG-DL enhances reconstruction performance compared to conventional supervised PG-DL approaches.

Multi-Mask Self-Supervised Learning for Physics-Guided Neural Networks in Highly Accelerated MRI

Purpose: To develop an improved self-supervised learning strategy that efficiently uses the acquired data for training a physics-guided reconstruction network without a database of fully-sampled data. Methods: Currently self-supervised learning for physics-guided reconstruction networks splits acquired undersampled data into two disjoint sets, where one is used for data consistency (DC) in the unrolled network and the other to define the training loss. The proposed multi-mask self-supervised learning via data undersampling (SSDU) splits acquired measurements into multiple pairs of disjoint sets for each training sample, while using one of these sets for DC units and the other for defining loss, thereby more efficiently using the undersampled data. Multi-mask SSDU is applied on fully-sampled 3D knee and prospectively undersampled 3D brain MRI datasets, which are retrospectively subsampled to acceleration rate (R)=8, and compared to CG-SENSE and single-mask SSDU DL-MRI, as well as supervised DL-MRI when fully-sampled data is available. Results: Results on knee MRI show that the proposed multi-mask SSDU outperforms SSDU and performs closely with supervised DL-MRI, while significantly outperforming CG-SENSE. A clinical reader study further ranks the multi-mask SSDU higher than supervised DL-MRI in terms of SNR and aliasing artifacts. Results on brain MRI show that multi-mask SSDU achieves better reconstruction quality compared to SSDU and CG-SENSE. Reader study demonstrates that multi-mask SSDU at R=8 significantly improves reconstruction compared to single-mask SSDU at R=8, as well as CG-SENSE at R=2. Conclusion: The proposed multi-mask SSDU approach enables improved training of physics-guided neural networks without fully-sampled data, by enabling efficient use of the undersampled data with multiple masks.

Noise2Inpaint: Learning Referenceless Denoising by Inpainting Unrolling

Deep learning based image denoising methods have been recently popular due to their improved performance. Traditionally, these methods are trained in a supervised manner, requiring a set of noisy input and clean target image pairs. More recently, self-supervised approaches have been proposed to learn denoising from only noisy images. These methods assume that noise across pixels is statistically independent, and the underlying image pixels show spatial correlations across neighborhoods. These methods rely on a masking approach that divides the image pixels into two disjoint sets, where one is used as input to the network while the other is used to define the loss. However, these previous self-supervised approaches rely on a purely data-driven regularization neural network without explicitly taking the masking model into account. In this work, building on these self-supervised approaches, we introduce Noise2Inpaint (N2I), a training approach that recasts the denoising problem into a regularized image inpainting framework. This allows us to use an objective function, which can incorporate different statistical properties of the noise as needed. We use algorithm unrolling to unroll an iterative optimization for solving this objective function and train the unrolled network end-to-end. The training paradigm follows the masking approach from previous works, splitting the pixels into two disjoint sets. Importantly, one of these is now used to impose data fidelity in the unrolled network, while the other still defines the loss. We demonstrate that N2I performs successful denoising on real-world datasets, while better preserving details compared to its purely data-driven counterpart Noise2Self.