Self-supervised multicontrast super-resolution for diffusion-weighted prostate MRI

Purpose: This study addresses the challenge of low resolution and signal-to-noise ratio (SNR) in diffusion-weighted images (DWI), which are pivotal for cancer detection. Traditional methods increase SNR at high b-values through multiple acquisitions, but this results in diminished image resolution due to motion-induced variations. Our research aims to enhance spatial resolution by exploiting the global structure within multicontrast DWI scans and millimetric motion between acquisitions. Methods: We introduce a novel approach employing a "Perturbation Network" to learn subvoxel-size motions between scans, trained jointly with an implicit neural representation (INR) network. INR encodes the DWI as a continuous volumetric function, treating voxel intensities of low-resolution acquisitions as discrete samples. By evaluating this function with a finer grid, our model predicts higher-resolution signal intensities for intermediate voxel locations. The Perturbation Network's motion-correction efficacy was validated through experiments on biological phantoms and in vivo prostate scans. Results: Quantitative analyses revealed significantly higher structural similarity measures of super-resolution images to ground truth high-resolution images compared to high-order interpolation (p Conclusion: High-resolution details in DWI can be obtained without the need for high-resolution training data. One notable advantage of the proposed method is that it does not require a super-resolution training set. This is important in clinical practice because the proposed method can easily be adapted to images with different scanner settings or body parts, whereas the supervised methods do not offer such an option.</p

Improved 3D MR Image Acquisition and Processing in Congenital Heart Disease

Congenital heart disease (CHD) is the most common type of birth defect, affecting about 1% of the population. MRI is an essential tool in the assessment of CHD, including diagnosis, intervention planning and follow-up. Three-dimensional MRI can provide particularly rich visualization and information. However, it is often complicated by long scan times, cardiorespiratory motion, injection of contrast agents, and complex and time-consuming postprocessing. This thesis comprises four pieces of work that attempt to respond to some of these challenges. The first piece of work aims to enable fast acquisition of 3D time-resolved cardiac imaging during free breathing. Rapid imaging was achieved using an efficient spiral sequence and a sparse parallel imaging reconstruction. The feasibility of this approach was demonstrated on a population of 10 patients with CHD, and areas of improvement were identified. The second piece of work is an integrated software tool designed to simplify and accelerate the development of machine learning (ML) applications in MRI research. It also exploits the strengths of recently developed ML libraries for efficient MR image reconstruction and processing. The third piece of work aims to reduce contrast dose in contrast-enhanced MR angiography (MRA). This would reduce risks and costs associated with contrast agents. A deep learning-based contrast enhancement technique was developed and shown to improve image quality in real low-dose MRA in a population of 40 children and adults with CHD. The fourth and final piece of work aims to simplify the creation of computational models for hemodynamic assessment of the great arteries. A deep learning technique for 3D segmentation of the aorta and the pulmonary arteries was developed and shown to enable accurate calculation of clinically relevant biomarkers in a population of 10 patients with CHD

Sparse and low-rank techniques for the efficient restoration of images

Image reconstruction is a key problem in numerous applications of computer vision and medical imaging. By removing noise and artifacts from corrupted images, or by enhancing the quality of low-resolution images, reconstruction methods are essential to provide high-quality images for these applications. Over the years, extensive research efforts have been invested toward the development of accurate and efficient approaches for this problem. Recently, considerable improvements have been achieved by exploiting the principles of sparse representation and nonlocal self-similarity. However, techniques based on these principles often suffer from important limitations that impede their use in high-quality and large-scale applications. Thus, sparse representation approaches consider local patches during reconstruction, but ignore the global structure of the image. Likewise, because they average over groups of similar patches, nonlocal self-similarity methods tend to over-smooth images. Such methods can also be computationally expensive, requiring a hour or more to reconstruct a single image. Furthermore, existing reconstruction approaches consider either local patch-based regularization or global structure regularization, due to the complexity of combining both regularization strategies in a single model. Yet, such combined model could improve upon existing techniques by removing noise or reconstruction artifacts, while preserving both local details and global structure in the image. Similarly, current approaches rarely consider external information during the reconstruction process. When the structure to reconstruct is known, external information like statistical atlases or geometrical priors could also improve performance by guiding the reconstruction. This thesis addresses limitations of the prior art through three distinct contributions. The first contribution investigates the histogram of image gradients as a powerful prior for image reconstruction. Due to the trade-off between noise removal and smoothing, image reconstruction techniques based on global or local regularization often over-smooth the image, leading to the loss of edges and textures. To alleviate this problem, we propose a novel prior for preserving the distribution of image gradients modeled as a histogram. This prior is combined with low-rank patch regularization in a single efficient model, which is then shown to improve reconstruction accuracy for the problems of denoising and deblurring. The second contribution explores the joint modeling of local and global structure regularization for image restoration. Toward this goal, groups of similar patches are reconstructed simultaneously using an adaptive regularization technique based on the weighted nuclear norm. An innovative strategy, which decomposes the image into a smooth component and a sparse residual, is proposed to preserve global image structure. This strategy is shown to better exploit the property of structure sparsity than standard techniques like total variation. The proposed model is evaluated on the problems of completion and super-resolution, outperforming state-of-the-art approaches for these tasks. Lastly, the third contribution of this thesis proposes an atlas-based prior for the efficient reconstruction of MR data. Although popular, image priors based on total variation and nonlocal patch similarity often over-smooth edges and textures in the image due to the uniform regularization of gradients. Unlike natural images, the spatial characteristics of medical images are often restricted by the target anatomical structure and imaging modality. Based on this principle, we propose a novel MRI reconstruction method that leverages external information in the form of an probabilistic atlas. This atlas controls the level of gradient regularization at each image location, via a weighted total-variation prior. The proposed method also exploits the redundancy of nonlocal similar patches through a sparse representation model. Experiments on a large scale dataset of T1-weighted images show this method to be highly competitive with the state-of-the-art

Deep learning in medical imaging and radiation therapy

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146980/1/mp13264_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146980/2/mp13264.pd

Simultaneous Multiparametric and Multidimensional Cardiovascular Magnetic Resonance Imaging

No abstract available

3D exemplar-based image inpainting in electron microscopy

In electron microscopy (EM) a common problem is the non-availability of data, which causes artefacts in reconstructions. In this thesis the goal is to generate artificial data where missing in EM by using exemplar-based inpainting (EBI). We implement an accelerated 3D version tailored to applications in EM, which reduces reconstruction times from days to minutes. We develop intelligent sampling strategies to find optimal data as input for reconstruction methods. Further, we investigate approaches to reduce electron dose and acquisition time. Sparse sampling followed by inpainting is the most promising approach. As common evaluation measures may lead to misinterpretation of results in EM and falsify a subsequent analysis, we propose to use application driven metrics and demonstrate this in a segmentation task. A further application of our technique is the artificial generation of projections in tiltbased EM. EBI is used to generate missing projections, such that the full angular range is covered. Subsequent reconstructions are significantly enhanced in terms of resolution, which facilitates further analysis of samples. In conclusion, EBI proves promising when used as an additional data generation step to tackle the non-availability of data in EM, which is evaluated in selected applications. Enhancing adaptive sampling methods and refining EBI, especially considering the mutual influence, promotes higher throughput in EM using less electron dose while not lessening quality.Ein häufig vorkommendes Problem in der Elektronenmikroskopie (EM) ist die Nichtverfügbarkeit von Daten, was zu Artefakten in Rekonstruktionen führt. In dieser Arbeit ist es das Ziel fehlende Daten in der EM künstlich zu erzeugen, was durch Exemplar-basiertes Inpainting (EBI) realisiert wird. Wir implementieren eine auf EM zugeschnittene beschleunigte 3D Version, welche es ermöglicht, Rekonstruktionszeiten von Tagen auf Minuten zu reduzieren. Wir entwickeln intelligente Abtaststrategien, um optimale Datenpunkte für die Rekonstruktion zu erhalten. Ansätze zur Reduzierung von Elektronendosis und Aufnahmezeit werden untersucht. Unterabtastung gefolgt von Inpainting führt zu den besten Resultaten. Evaluationsmaße zur Beurteilung der Rekonstruktionsqualität helfen in der EM oft nicht und können zu falschen Schlüssen führen, weswegen anwendungsbasierte Metriken die bessere Wahl darstellen. Dies demonstrieren wir anhand eines Beispiels. Die künstliche Erzeugung von Projektionen in der neigungsbasierten Elektronentomographie ist eine weitere Anwendung. EBI wird verwendet um fehlende Projektionen zu generieren. Daraus resultierende Rekonstruktionen weisen eine deutlich erhöhte Auflösung auf. EBI ist ein vielversprechender Ansatz, um nicht verfügbare Daten in der EM zu generieren. Dies wird auf Basis verschiedener Anwendungen gezeigt und evaluiert. Adaptive Aufnahmestrategien und EBI können also zu einem höheren Durchsatz in der EM führen, ohne die Bildqualität merklich zu verschlechtern

Bayesian Deep Learning for Cardiac Motion Modelling and Analysis

Cardiovascular diseases (CVDs) remain a primary cause of mortality globally, with an estimated 17.9 million deaths in 2019, accounting for 32% of all global fatalities. In recent decades, non-invasive imaging, particularly Magnetic Resonance Imaging (MRI), has become pivotal in diagnosing CVDs, offering high-resolution, multidimensional, and sequential cardiac data. However, the interpretation of cardiac MRI data is challenging, due to the complexities of cardiac motion and anatomical variations. Traditional manual methods are time-consuming and subject to variability. Deep learning (DL) methods, notably generative models, have recently advanced medical image analysis, offering state-of-the-art solutions for segmentation, registration, and motion modelling. This thesis encapsulates the development and validation of deep-learning frameworks in the field of cardiac motion modelling and analysis from sequential cardiac MRI scans. At its core, it introduces a probabilistic generative model for cardiac motion modelling, underpinned by temporal coherence, capable of synthesising new CMR sequences. Three models are derived from this foundational probabilistic model, each contributing to different aspects. Firstly, through the innovative application of gradient surgery techniques, we address the dual objectives of attaining high registration accuracy and ensuring the diffeomorphic characteristics of the predicted motion fields. Subsequently, we introduce the joint operation of ventricular segmentation and motion modelling. The proposed method combines anatomical precision with the dynamic temporal flow to enhance both the accuracy of motion modelling and the stability of sequential segmentation. Furthermore, we introduce a conditional motion transfer framework that leverages variational models for the generation of cardiac motion, enabling anomaly detection and the augmentation of data, particularly for pathologies that are less commonly represented in datasets. This capability to transfer and transform cardiac motion across healthy and pathological domains is set to revolutionize how clinicians and researchers understand and interpret cardiac function and anomalies. Collectively, these advancements present novelty and application potentials in cardiac image processing. The methodologies proposed herein have the potential to transform routine clinical diagnostics and interventions, allowing for more nuanced and detailed cardiac assessments. The probabilistic nature of these models promises to deliver not only more detailed insights into cardiac health but also to foster the development of personalised medicine approaches in cardiology