Acquiring images of the same anatomy with multiple different contrasts increases the diversity of diagnostic information available in an MR exam. Yet, the scan time limitations may prohibit the acquisition of certain contrasts, and some contrasts may be corrupted by noise and artifacts. In such cases, the ability to synthesize unacquired or corrupted contrasts can improve diagnostic utility. For multi-contrast synthesis, the current methods learn a nonlinear intensity transformation between the source and target images, either via nonlinear regression or deterministic neural networks. These methods can, in turn, suffer from the loss of structural details in synthesized images. Here, in this paper, we propose a new approach for multi-contrast MRI synthesis based on conditional generative adversarial networks. The proposed approach preserves intermediate-to-high frequency details via an adversarial loss, and it offers enhanced synthesis performance via pixel-wise and perceptual losses for registered multi-contrast images and a cycle-consistency loss for unregistered images. Information from neighboring cross-sections are utilized to further improve synthesis quality. Demonstrations on T 1-and T 2-weighted images from healthy subjects and patients clearly indicate the superior performance of the proposed approach compared to the previous state-of-the-art methods. Our synthesis approach can help improve the quality and versatility Manuscript

Generative adversarial models with convolutional neural network (CNN) backbones have recently been established as state-of-the-art in numerous medical image synthesis tasks. However, CNNs are designed to perform local processing with compact filters, and this inductive bias compromises learning of contextual features. Here, we propose a novel generative adversarial approach for medical image synthesis, ResViT, that leverages the contextual sensitivity of vision transformers along with the precision of convolution operators and realism of adversarial learning. ResViT's generator employs a central bottleneck comprising novel aggregated residual transformer (ART) blocks that synergistically combine residual convolutional and transformer modules. Residual connections in ART blocks promote diversity in captured representations, while a channel compression module distills task-relevant information. A weight sharing strategy is introduced among ART blocks to mitigate computational burden. A unified implementation is introduced to avoid the need to rebuild separate synthesis models for varying source-target modality configurations. Comprehensive demonstrations are performed for synthesizing missing sequences in multi-contrast MRI, and CT images from MRI. Our results indicate superiority of ResViT against competing CNN-and transformer-based methods in terms of qualitative observations and quantitative metrics.

Multi-contrast MRI acquisitions of an anatomy enrich the magnitude of information available for diagnosis. Yet, excessive scan times associated with additional contrasts may be a limiting factor. Two mainstream frameworks for enhanced scan efficiency are reconstruction of undersampled acquisitions and synthesis of missing acquisitions. Recently, deep learning methods have enabled significant performance improvements in both frameworks. Yet, reconstruction performance decreases towards higher acceleration factors with diminished sampling density at high-spatial-frequencies, whereas synthesis can manifest artefactual sensitivity or insensitivity to image features due to the absence of data samples from the target contrast. Here we propose a new approach for synergistic recovery of undersampled multi-contrast acquisitions based on conditional generative adversarial networks. The proposed method mitigates the limitations of pure learning-based reconstruction or synthesis by utilizing three priors: shared high-frequency prior available in the source contrast to preserve high-spatial-frequency details, low-frequency prior available in the undersampled target contrast to prevent feature leakage/loss, and perceptual prior to improve recovery of high-level features. Demonstrations on brain MRI datasets from healthy subjects and patients indicate the superior performance of the proposed method compared to pure reconstruction and synthesis methods. The proposed method can help improve the quality and scan efficiency of multi-contrast MRI exams.

Supervised reconstruction models are characteristically trained on matched pairs of undersampled and fully-sampled data to capture an MRI prior, along with supervision regarding the imaging operator to enforce data consistency. To reduce supervision requirements, the recent deep image prior framework instead conjoins untrained MRI priors with the imaging operator during inference. Yet, canonical convolutional architectures are suboptimal in capturing long-range relationships, and priors based on randomly initialized networks may yield suboptimal performance. To address these limitations, here we introduce a novel unsupervised MRI reconstruction method based on zero-Shot Learned Adversarial TransformERs (SLATER). SLATER embodies a deep adversarial network with crossattention transformers to map noise and latent variables onto coil-combined MR images. During pre-training, this unconditional network learns a high-quality MRI prior in an unsupervised generative modeling task. During inference, a zero-shot reconstruction is then performed by incorporating the imaging operator and optimizing the prior to maximize consistency to undersampled data. Comprehensive experiments on brain MRI datasets clearly demonstrate the superior performance of SLATER against state-of-the-art unsupervised methods.

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