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Systematic Review and Meta-analysis of AI-driven MRI Motion Artifact Detection and Correction

Mojtaba Safari, Zach Eidex, Richard L. J. Qiu, Matthew Goette, Tonghe Wang, Xiaofeng Yang

arxiv logopreprintSep 5 2025
Background: To systematically review and perform a meta-analysis of artificial intelligence (AI)-driven methods for detecting and correcting magnetic resonance imaging (MRI) motion artifacts, assessing current developments, effectiveness, challenges, and future research directions. Methods: A comprehensive systematic review and meta-analysis were conducted, focusing on deep learning (DL) approaches, particularly generative models, for the detection and correction of MRI motion artifacts. Quantitative data were extracted regarding utilized datasets, DL architectures, and performance metrics. Results: DL, particularly generative models, show promise for reducing motion artifacts and improving image quality; however, limited generalizability, reliance on paired training data, and risk of visual distortions remain key challenges that motivate standardized datasets and reporting. Conclusions: AI-driven methods, particularly DL generative models, show significant potential for improving MRI image quality by effectively addressing motion artifacts. However, critical challenges must be addressed, including the need for comprehensive public datasets, standardized reporting protocols for artifact levels, and more advanced, adaptable DL techniques to reduce reliance on extensive paired datasets. Addressing these aspects could substantially enhance MRI diagnostic accuracy, reduce healthcare costs, and improve patient care outcomes.

Semi-supervised Deep Transfer for Regression without Domain Alignment

Mainak Biswas, Ambedkar Dukkipati, Devarajan Sridharan

arxiv logopreprintSep 5 2025
Deep learning models deployed in real-world applications (e.g., medicine) face challenges because source models do not generalize well to domain-shifted target data. Many successful domain adaptation (DA) approaches require full access to source data. Yet, such requirements are unrealistic in scenarios where source data cannot be shared either because of privacy concerns or because it is too large and incurs prohibitive storage or computational costs. Moreover, resource constraints may limit the availability of labeled targets. We illustrate this challenge in a neuroscience setting where source data are unavailable, labeled target data are meager, and predictions involve continuous-valued outputs. We build upon Contradistinguisher (CUDA), an efficient framework that learns a shared model across the labeled source and unlabeled target samples, without intermediate representation alignment. Yet, CUDA was designed for unsupervised DA, with full access to source data, and for classification tasks. We develop CRAFT -- a Contradistinguisher-based Regularization Approach for Flexible Training -- for source-free (SF), semi-supervised transfer of pretrained models in regression tasks. We showcase the efficacy of CRAFT in two neuroscience settings: gaze prediction with electroencephalography (EEG) data and ``brain age'' prediction with structural MRI data. For both datasets, CRAFT yielded up to 9% improvement in root-mean-squared error (RMSE) over fine-tuned models when labeled training examples were scarce. Moreover, CRAFT leveraged unlabeled target data and outperformed four competing state-of-the-art source-free domain adaptation models by more than 3%. Lastly, we demonstrate the efficacy of CRAFT on two other real-world regression benchmarks. We propose CRAFT as an efficient approach for source-free, semi-supervised deep transfer for regression that is ubiquitous in biology and medicine.

INR meets Multi-Contrast MRI Reconstruction

Natascha Niessen, Carolin M. Pirkl, Ana Beatriz Solana, Hannah Eichhorn, Veronika Spieker, Wenqi Huang, Tim Sprenger, Marion I. Menzel, Julia A. Schnabel

arxiv logopreprintSep 5 2025
Multi-contrast MRI sequences allow for the acquisition of images with varying tissue contrast within a single scan. The resulting multi-contrast images can be used to extract quantitative information on tissue microstructure. To make such multi-contrast sequences feasible for clinical routine, the usually very long scan times need to be shortened e.g. through undersampling in k-space. However, this comes with challenges for the reconstruction. In general, advanced reconstruction techniques such as compressed sensing or deep learning-based approaches can enable the acquisition of high-quality images despite the acceleration. In this work, we leverage redundant anatomical information of multi-contrast sequences to achieve even higher acceleration rates. We use undersampling patterns that capture the contrast information located at the k-space center, while performing complementary undersampling across contrasts for high frequencies. To reconstruct this highly sparse k-space data, we propose an implicit neural representation (INR) network that is ideal for using the complementary information acquired across contrasts as it jointly reconstructs all contrast images. We demonstrate the benefits of our proposed INR method by applying it to multi-contrast MRI using the MPnRAGE sequence, where it outperforms the state-of-the-art parallel imaging compressed sensing (PICS) reconstruction method, even at higher acceleration factors.

Reperfusion injury in STEMI: a double-edged sword.

Thomas KS, Puthooran DM, Edpuganti S, Reddem AL, Jose A, Akula SSM

pubmed logopapersSep 5 2025
ST-elevation myocardial infarction (STEMI) is a major cardiac event that requires rapid reperfusion therapy. The same reperfusion mechanism that minimizes infarct size and mortality may paradoxically exacerbate further cardiac damage-a condition known as reperfusion injury. Oxidative stress, calcium excess, mitochondrial malfunction, and programmed cell death mechanisms make myocardial dysfunction worse. Even with the best revascularization techniques, reperfusion damage still jeopardizes the long-term prognosis and myocardial healing. A thorough narrative review was carried out using some of the most well-known scientific databases, including ScienceDirect, PubMed, and Google Scholar. With an emphasis on pathophysiological causes, clinical manifestations, innovative biomarkers, imaging modalities, artificial intelligence applications, and developing treatment methods related to reperfusion injury, peer-reviewed publications published between 2015 and 2025 were highlighted. The review focuses on the molecular processes that underlie cardiac reperfusion injury, such as reactive oxygen species, calcium dysregulation, opening of the mitochondrial permeability transition pore, and several types of programmed cell death. Clinical syndromes such as myocardial stunning, coronary no-reflow, and intramyocardial hemorrhage are thoroughly studied-all of which lead to negative consequences like heart failure and left ventricular dysfunction. Cardiac magnetic resonance imaging along with coronary angiography and significant biomarkers like N-terminal proBNP and soluble ST2 aid in risk stratification and prognosis. In addition to mechanical techniques like ischemia postconditioning and remote ischemic conditioning, pharmacological treatments are also examined. Despite promising research findings, the majority of therapies have not yet proven consistently effective in extensive clinical studies. Consideration of sex-specific risk factors, medicines that target the mitochondria, tailored therapies, and the use of artificial intelligence for risk assessment and early diagnosis are some potential future avenues. Reperfusion damage continues to be a significant obstacle to the best possible recovery after STEMI, even with improvements in revascularization. The management of STEMI still relies heavily on early reperfusion, although adjuvant medicines that target reperfusion injury specifically are desperately needed. Molecular-targeted approaches, AI-driven risk assessment, and precision medicine advancements have the potential to reduce cardiac damage and enhance long-term outcomes for patients with STEMI.

Summary from the 2025 International Society for Magnetic Resonance in Medicine workshop on body MRI: Unsolved problems and unmet needs.

Hecht EM, Hu HH, Serai SD, Wu HH, Brunsing RL, Guimaraes AR, Kurugol S, Ringe KI, Syed AB

pubmed logopapersSep 4 2025
In March of 2025, 145 attendees convened at the Hub for Clinical Collaboration of the Children's Hospital of Philadelphia for the inaugural International Society for Magnetic Resonance in Medicine (ISMRM) Body MRI Study Group workshop entitled "Body MRI: Unsolved Problems and Unmet Needs." Approximately 24% of the attendees were MD or MD/PhD's, 45% were PhD's, and 30% were early-career trainees and postdoctoral associates. Among the invited speakers and moderators, 28% were from outside the United States, with a 40:60% female-to-male ratio. The 2.5-day program brought together a multidisciplinary group of scientists, radiologists, technologists, and trainees. Session topics included quantitative imaging biomarkers, low- and high-field strengths, artifact and motion correction, rapid imaging and focused protocols, and artificial intelligence. Another key session focused on the importance of team science and allowed speakers from academia and industry to share their personal experiences and offer advice on how to successfully translate new MRI technology into clinical practice. This article summarizes key points from the event and perceived unmet clinical needs within the field of body MRI.

K-Syn: K-space Data Synthesis in Ultra Low-data Regimes

Guan Yu, Zhang Jianhua, Liang Dong, Liu Qiegen

arxiv logopreprintSep 4 2025
Owing to the inherently dynamic and complex characteristics of cardiac magnetic resonance (CMR) imaging, high-quality and diverse k-space data are rarely available in practice, which in turn hampers robust reconstruction of dynamic cardiac MRI. To address this challenge, we perform feature-level learning directly in the frequency domain and employ a temporal-fusion strategy as the generative guidance to synthesize k-space data. Specifically, leveraging the global representation capacity of the Fourier transform, the frequency domain can be considered a natural global feature space. Therefore, unlike traditional methods that use pixel-level convolution for feature learning and modeling in the image domain, this letter focuses on feature-level modeling in the frequency domain, enabling stable and rich generation even with ultra low-data regimes. Moreover, leveraging the advantages of feature-level modeling in the frequency domain, we integrate k-space data across time frames with multiple fusion strategies to steer and further optimize the generative trajectory. Experimental results demonstrate that the proposed method possesses strong generative ability in low-data regimes, indicating practical potential to alleviate data scarcity in dynamic MRI reconstruction.

Interpretable Transformer Models for rs-fMRI Epilepsy Classification and Biomarker Discovery

Jeyabose Sundar, A., Boerwinkle, V. L., Robinson Vimala, B., Leggio, O., Kazemi, M.

medrxiv logopreprintSep 4 2025
BackgroundAutomated interpretation of resting-state fMRI (rs-fMRI) for epilepsy diagnosis remains a challenge. We developed a regularized transformer that models parcel-wise spatial patterns and long-range temporal dynamics to classify epilepsy and generate interpretable, network-level candidate biomarkers. MethodsInputs were Schaefer-200 parcel time series extracted after standardized preprocessing (fMRIPrep). The Regularized Transformer is an attention-based sequence model with learned positional encoding and multi-head self-attention, combined with fMRI-specific regularization (dropout, weight decay, gradient clipping) and augmentation to improve robustness on modest clinical cohorts. Training used stratified group 4-fold cross-validation on n=65 (30 epilepsy, 35 controls) with fMRI-specific augmentation (time-warping, adaptive noise, structured masking). We compared the transformer to seven baselines (MLP, 1D-CNN, LSTM, CNN-LSTM, GCN, GAT, Attention-Only). External validation used an independent set (10 UNC epilepsy cohort, 10 controls). Biomarker discovery combined gradient-based attributions with parcelwise statistics and connectivity contrasts. ResultsOn an illustrative best-performing fold, the transformer attained Accuracy 0.77, Sensitivity 0.83, Specificity 0.88, F1-Score 0.77, and AUC 0.76. Averaged cross-validation performance was lower but consistent with these findings. External testing yielded Accuracy 0.60, AUC 0.64, Specificity 0.80, Sensitivity 0.40. Attribution-guided analysis identified distributed, network-level candidate biomarkers concentrated in limbic, somatomotor, default-mode and salience systems. ConclusionsA regularized transformer on parcel-level rs-fMRI can achieve strong within-fold discrimination and produce interpretable candidate biomarkers. Results are encouraging but preliminary larger multi-site validation, stability testing and multiple-comparison control are required prior to clinical translation.

AlzFormer: Video-based space-time attention model for early diagnosis of Alzheimer's disease.

Akan T, Akan S, Alp S, Ledbetter CR, Nobel Bhuiyan MA

pubmed logopapersSep 3 2025
Early and accurate Alzheimer's disease (AD) diagnosis is critical for effective intervention, but it is still challenging due to neurodegeneration's slow and complex progression. Recent studies in brain imaging analysis have highlighted the crucial roles of deep learning techniques in computer-assisted interventions for diagnosing brain diseases. In this study, we propose AlzFormer, a novel deep learning framework based on a space-time attention mechanism, for multiclass classification of AD, MCI, and CN individuals using structural MRI scans. Unlike conventional deep learning models, we used spatiotemporal self-attention to model inter-slice continuity by treating T1-weighted MRI volumes as sequential inputs, where slices correspond to video frames. Our model was fine-tuned and evaluated using 1.5 T MRI scans from the ADNI dataset. To ensure the anatomical consistency of all the MRI data, All MRI volumes were pre-processed with skull stripping and spatial normalization to MNI space. AlzFormer achieved an overall accuracy of 94 % on the test set, with balanced class-wise F1-scores (AD: 0.94, MCI: 0.99, CN: 0.98) and a macro-average AUC of 0.98. We also utilized attention map analysis to identify clinically significant patterns, particularly emphasizing subcortical structures and medial temporal regions implicated in AD. These findings demonstrate the potential of transformer-based architectures for robust and interpretable classification of brain disorders using structural MRI.

MRI-based deep learning radiomics in predicting histological differentiation of oropharyngeal cancer: a multicenter cohort study.

Pan Z, Lu W, Yu C, Fu S, Ling H, Liu Y, Zhang X, Gong L

pubmed logopapersSep 3 2025
The primary aim of this research was to create and rigorously assess a deep learning radiomics (DLR) framework utilizing magnetic resonance imaging (MRI) to forecast the histological differentiation grades of oropharyngeal cancer. This retrospective analysis encompassed 122 patients diagnosed with oropharyngeal cancer across three medical institutions in China. The participants were divided at random into two groups: a training cohort comprising 85 individuals and a test cohort of 37. Radiomics features derived from MRI scans, along with deep learning (DL) features, were meticulously extracted and carefully refined. These two sets of features were then integrated to build the DLR model, designed to assess the histological differentiation of oropharyngeal cancer. The model's predictive efficacy was gaged through the area under the receiver operating characteristic curve (AUC) and decision curve analysis (DCA). The DLR model demonstrated impressive performance, achieving strong AUC scores of 0.871 on the training cohort and 0.803 on the test cohort, outperforming both the standalone radiomics and DL models. Additionally, the DCA curve highlighted the significance of the DLR model in forecasting the histological differentiation of oropharyngeal cancer. The MRI-based DLR model demonstrated high predictive ability for histological differentiation of oropharyngeal cancer, which might be important for accurate preoperative diagnosis and clinical decision-making.

Edge-centric Brain Connectome Representations Reveal Increased Brain Functional Diversity of Reward Circuit in Patients with Major Depressive Disorder.

Qin K, Ai C, Zhu P, Xiang J, Chen X, Zhang L, Wang C, Zou L, Chen F, Pan X, Wang Y, Gu J, Pan N, Chen W

pubmed logopapersSep 3 2025
Major depressive disorder (MDD) has been increasingly understood as a disorder of network-level functional dysconnectivity. However, previous brain connectome studies have primarily relied on node-centric approaches, neglecting critical edge-edge interactions that may capture essential features of network dysfunction. This study included resting-state functional MRI data from 838 MDD patients and 881 healthy controls (HC) across 23 sites. We applied a novel edge-centric connectome model to estimate edge functional connectivity and identify overlapping network communities. Regional functional diversity was quantified via normalized entropy based on community overlap patterns. Neurobiological decoding was performed to map brain-wide relationships between functional diversity alterations and patterns of gene expression and neurotransmitter distribution. Comparative machine learning analyses further evaluated the diagnostic utility of edge-centric versus node-centric connectome representations. Compared with HC, MDD patients exhibited significantly increased functional diversity within the prefrontal-striatal-thalamic reward circuit. Neurobiological decoding analysis revealed that functional diversity alterations in MDD were spatially associated with transcriptional patterns enriched for inflammatory processes, as well as distribution of 5-HT1B receptors. Machine learning analyses demonstrated superior classification performance of edge-centric models over traditional node-centric approaches in distinguishing MDD patients from HC at the individual level. Our findings highlighted that abnormal functional diversity within the reward processing system might underlie multi-level neurobiological mechanisms of MDD. The edge-centric connectome approach offers a valuable tool for identifying disease biomarkers, characterizing individual variation and advancing current understanding of complex network configuration in psychiatric disorders.
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