Patient-specific bone models are essential for designing surgical guides and preoperative planning, as they enable the visualization of intricate anatomical structures. However, traditional CT-based approaches for creating bone models are limited to preoperative use due to the low flexibility and high radiation exposure of CT and time-consuming manual delineation. Here, we introduce Semi-Supervised Reconstruction with Knowledge Distillation (SSR-KD), a fast and accurate AI framework to reconstruct high-quality bone models from biplanar X-rays in 30 seconds, with an average error under 1.0 mm, eliminating the dependence on CT and manual work. Additionally, high tibial osteotomy simulation was performed by experts on reconstructed bone models, demonstrating that bone models reconstructed from biplanar X-rays have comparable clinical applicability to those annotated from CT. Overall, our approach accelerates the process, reduces radiation exposure, enables intraoperative guidance, and significantly improves the practicality of bone models, offering transformative applications in orthopedics.

Cardiac Magnetic Resonance (CMR) imaging is a critical tool for diagnosing and managing cardiovascular disease, yet its utility is often limited by the sparse acquisition of 2D short-axis slices, resulting in incomplete volumetric information. Accurate 3D reconstruction from these sparse slices is essential for comprehensive cardiac assessment, but existing methods face challenges, including reliance on predefined interpolation schemes (e.g., linear or spherical), computational inefficiency, and dependence on additional semantic inputs such as segmentation labels or motion data. To address these limitations, we propose a novel \textbf{Ca}rdiac \textbf{L}atent \textbf{I}nterpolation \textbf{D}iffusion (CaLID) framework that introduces three key innovations. First, we present a data-driven interpolation scheme based on diffusion models, which can capture complex, non-linear relationships between sparse slices and improves reconstruction accuracy. Second, we design a computationally efficient method that operates in the latent space and speeds up 3D whole-heart upsampling time by a factor of 24, reducing computational overhead compared to previous methods. Third, with only sparse 2D CMR images as input, our method achieves SOTA performance against baseline methods, eliminating the need for auxiliary input such as morphological guidance, thus simplifying workflows. We further extend our method to 2D+T data, enabling the effective modeling of spatiotemporal dynamics and ensuring temporal coherence. Extensive volumetric evaluations and downstream segmentation tasks demonstrate that CaLID achieves superior reconstruction quality and efficiency. By addressing the fundamental limitations of existing approaches, our framework advances the state of the art for spatio and spatiotemporal whole-heart reconstruction, offering a robust and clinically practical solution for cardiovascular imaging.

Timely intervention of interstitial lung disease (ILD) was promising for attenuating the lung function decline and improving clinical outcomes. The prone position HRCT is essential for early diagnosis of ILD, but limited by its high radiation exposure. This study was aimed to explore whether deep learning reconstruction (DLR) could keep the image quality and reduce the radiation dose compared with hybrid iterative reconstruction (HIR) in prone position scanning for patients of early-stage ILD. This study prospectively enrolled 21 patients with early-stage ILD. All patients underwent high-resolution CT (HRCT) and low-dose CT (LDCT) scans. HRCT images were reconstructed with HIR using standard settings, and LDCT images were reconstructed with DLR (lung/bone kernel) in a mild, standard, or strong setting. Overall image quality, image noise, streak artifacts, and visualization of normal and abnormal ILD features were analysed. The effective dose of LDCT was 1.22 ± 0.09 mSv, 63.7% less than the HRCT dose. The objective noise of the LDCT DLR images was 35.9-112.6% that of the HRCT HIR images. The LDCT DLR was comparable to the HRCT HIR in terms of overall image quality. LDCT DLR (bone, strong) visualization of bronchiectasis and/or bronchiolectasis was significantly weaker than that of HRCT HIR (p = 0.046). The LDCT DLR (all settings) did not significantly differ from the HRCT HIR in the evaluation of other abnormal features, including ground glass opacities (GGOs), architectural distortion, reticulation and honeycombing. With 63.7% reduction of radiation dose, the overall image quality of LDCT DLR was comparable to HRCT HIR in prone scanning for early ILD patients. This study supported that DLR was promising for maintaining image quality under a lower radiation dose in prone scanning, and it offered valuable insights for the selection of images reconstruction algorithms for the diagnosis and follow-up of early ILD.

Cardiac Magnetic Resonance (CMR) imaging is a critical tool for diagnosing and managing cardiovascular disease, yet its utility is often limited by the sparse acquisition of 2D short-axis slices, resulting in incomplete volumetric information. Accurate 3D reconstruction from these sparse slices is essential for comprehensive cardiac assessment, but existing methods face challenges, including reliance on predefined interpolation schemes (e.g., linear or spherical), computational inefficiency, and dependence on additional semantic inputs such as segmentation labels or motion data. To address these limitations, we propose a novel Cardiac Latent Interpolation Diffusion (CaLID) framework that introduces three key innovations. First, we present a data-driven interpolation scheme based on diffusion models, which can capture complex, non-linear relationships between sparse slices and improves reconstruction accuracy. Second, we design a computationally efficient method that operates in the latent space and speeds up 3D whole-heart upsampling time by a factor of 24, reducing computational overhead compared to previous methods. Third, with only sparse 2D CMR images as input, our method achieves SOTA performance against baseline methods, eliminating the need for auxiliary input such as morphological guidance, thus simplifying workflows. We further extend our method to 2D+T data, enabling the effective modeling of spatiotemporal dynamics and ensuring temporal coherence. Extensive volumetric evaluations and downstream segmentation tasks demonstrate that CaLID achieves superior reconstruction quality and efficiency. By addressing the fundamental limitations of existing approaches, our framework advances the state of the art for spatio and spatiotemporal whole-heart reconstruction, offering a robust and clinically practical solution for cardiovascular imaging.

Positron emission tomography (PET) is a valuable tool for cancer diagnosis but generally has a lower spatial resolution compared to computed tomography (CT) or magnetic resonance imaging (MRI). High-resolution PET scanners that use silicon photomultipliers and time-of-flight measurements are expensive. Therefore, cost-effective software-based super-resolution methods are required. This study proposes a novel approach for enhancing whole-body PET image resolution applying a 2.5-dimensional Super-Resolution Convolutional Neural Network (2.5D-SRCNN) combined with logarithmic transformation preprocessing. This method aims to improve image quality and maintain quantitative accuracy, particularly for standardized uptake value measurements, while addressing the challenges of providing a memory-efficient alternative to full three-dimensional processing and managing the wide dynamic range of tracer uptake in PET images. We analyzed data from 90 patients who underwent whole-body FDG-PET/CT examinations and reconstructed low-resolution slices with a voxel size of 4 × 4 × 4 mm and corresponding high-resolution (HR) slices with a voxel size of 2 × 2 × 2 mm. The proposed 2.5D-SRCNN model, based on the conventional 2D-SRCNN structure, incorporates information from adjacent slices to generate a high-resolution output. Logarithmic transformation of the voxel values was applied to manage the large dynamic range caused by physiological tracer accumulation in the bladder. Performance was assessed using the peak signal-to-noise ratio (PSNR) and structural similarity index (SSIM). The quantitative accuracy of standardized uptake values (SUV) was validated using a phantom study. The results demonstrated that the 2.5D-SRCNN with logarithmic transformation significantly outperformed the conventional 2D-SRCNN in terms of PSNR and SSIM (<i>p</i> < 0.0001). The proposed method also showed an improved depiction of small spheres in the phantom while maintaining the accuracy of the SUV. Our proposed method for whole-body PET images using a super-resolution model with the 2.5D approach and logarithmic transformation may be effective in generating super-resolution images with a lower spatial error and better quantitative accuracy. The online version contains supplementary material available at 10.1186/s40658-025-00791-y.

Deep learning-based cardiac MRI reconstruction faces significant domain shift challenges when deployed across multiple clinical centers with heterogeneous scanner configurations and imaging protocols. We propose HierAdaptMR, a hierarchical feature adaptation framework that addresses multi-level domain variations through parameter-efficient adapters. Our method employs Protocol-Level Adapters for sequence-specific characteristics and Center-Level Adapters for scanner-dependent variations, built upon a variational unrolling backbone. A Universal Adapter enables generalization to entirely unseen centers through stochastic training that learns center-invariant adaptations. The framework utilizes multi-scale SSIM loss with frequency domain enhancement and contrast-adaptive weighting for robust optimization. Comprehensive evaluation on the CMRxRecon2025 dataset spanning 5+ centers, 10+ scanners, and 9 modalities demonstrates superior cross-center generalization while maintaining reconstruction quality. code: https://github.com/Ruru-Xu/HierAdaptMR

Obtaining multiple CT scans from the same patient is required in many clinical scenarios, such as lung nodule screening and image-guided radiation therapy. Repeated scans would expose patients to higher radiation dose and increase the risk of cancer. In this study, we aim to achieve ultra-low-dose imaging for subsequent scans by collecting extremely undersampled sinogram via regional few-view scanning, and preserve image quality utilizing the preceding fullsampled scan as prior. To fully exploit prior information, we propose a two-stage framework consisting of diffusion model-based sinogram restoration and deep learning-based unrolled iterative reconstruction. Specifically, the undersampled sinogram is first restored by a conditional diffusion model with sinogram-domain prior guidance. Then, we formulate the undersampled data reconstruction problem as an optimization problem combining fidelity terms for both undersampled and restored data, along with a regularization term based on image-domain prior. Next, we propose Prior-aided Alternate Iterative NeTwork (PAINT) to solve the optimization problem. PAINT alternately updates the undersampled or restored data fidelity term, and unrolls the iterations to integrate neural network-based prior regularization. In the case of 112 mm field of view in simulated data experiments, our proposed framework achieved superior performance in terms of CT value accuracy and image details preservation. Clinical data experiments also demonstrated that our proposed framework outperformed the comparison methods in artifact reduction and structure recovery.

Diffusion MRI (dMRI) is a valuable tool to map brain microstructure and connectivity by analyzing water molecule diffusion in tissue. However, acquiring dMRI data requires to capture multiple 3D brain volumes in a short time, often leading to trade-offs in image quality. One challenging artifact is susceptibility-induced distortion, which introduces significant geometric and intensity deformations. Traditional correction methods, such as topup, rely on having access to blip-up and blip-down image pairs, limiting their applicability to retrospective data acquired with a single phase encoding direction. In this work, we propose a deep learning-based approach to correct susceptibility distortions using only a single acquisition (either blip-up or blip-down), eliminating the need for paired acquisitions. Experimental results show that our method achieves performance comparable to topup, demonstrating its potential as an efficient and practical alternative for susceptibility distortion correction in dMRI.

Our objective is to develop a general, nonlinear gradient system model that can accurately predict gradient distortions using convolutional networks. A set of training gradient waveforms were measured on a small animal imaging system and used to train a temporal convolutional network to predict the gradient waveforms produced by the imaging system. The trained network was able to accurately predict nonlinear distortions produced by the gradient system. Network prediction of gradient waveforms was incorporated into the image reconstruction pipeline and provided improvements in image quality and diffusion parameter mapping compared to both the nominal gradient waveform and the gradient impulse response function. Temporal convolutional networks can more accurately model gradient system behavior than existing linear methods and may be used to retrospectively correct gradient errors.

Ultrasound computed tomography (USCT) is a radiation-free, high-resolution modality but remains limited for musculoskeletal imaging due to conventional ray-based reconstructions that neglect strong scattering. We propose a generative neural physics framework that couples generative networks with physics-informed neural simulation for fast, high-fidelity 3D USCT. By learning a compact surrogate of ultrasonic wave propagation from only dozens of cross-modality images, our method merges the accuracy of wave modeling with the efficiency and stability of deep learning. This enables accurate quantitative imaging of in vivo musculoskeletal tissues, producing spatial maps of acoustic properties beyond reflection-mode images. On synthetic and in vivo data (breast, arm, leg), we reconstruct 3D maps of tissue parameters in under ten minutes, with sensitivity to biomechanical properties in muscle and bone and resolution comparable to MRI. By overcoming computational bottlenecks in strongly scattering regimes, this approach advances USCT toward routine clinical assessment of musculoskeletal disease.