用合成数据训练的提示学习,实现高分辨率多器官扩散MRI重建。
Robust High-Resolution Multi-Organ Diffusion MRI Using Synthetic-Data-Tuned Prompt Learning
- 通过物理建模与合成数据提示学习,自动优化重建参数。
- 分辨率提升一倍,7个解剖区域通用,临床图像表现优异。
- 无需导航信号和真实数据监督,适合精准肿瘤诊断场景。
临床应用多段扩散加权磁共振成像(multi-shot DWI)进行全身肿瘤诊断受限于呼吸、肠蠕动等引起的严重运动相位伪影,且受多器官、多切片、多方向、多b值复杂性影响。本文提出LoSP-Prompt重建框架,通过物理信息建模与合成数据驱动的提示学习克服上述挑战。将段间相位变化建模为高阶局部平滑相位(LoSP),并融入低秩汉克尔矩阵重建;算法秩参数由仅在模拟生理运动的腹部DWI合成数据上训练的提示学习自动设定。在超过1万张临床图像(43名受试者,4种扫描仪,5个中心)上验证:(1)空间分辨率达到临床单段DWI的两倍,显著提升肝病变可见度;(2)仅用一个模型泛化至肝脏、肾脏、骶髂关节、骨盆、膝关节、脊髓和脑共七个解剖区域;(3)图像质量、伪影抑制与降噪性能优于现有方法(11名放射科医生评分,5分制,p<0.05),肾部达4-5分(优秀),肝、骶髂关节及脊髓达4分(良好至优秀),膝关节与脑部肿瘤达3-4分(良好)。该方法无需导航信号与真实数据监督,提供可解释、鲁棒的高分辨率多器官多段DWI解决方案,跨扫描仪性能优异,对精准肿瘤学具有变革潜力。
原文摘要 · Abstract (English)
Clinical adoption of multi-shot diffusion-weighted magnetic resonance imaging (multi-shot DWI) for body-wide tumor diagnostics is limited by severe motion-induced phase artifacts from respiration, peristalsis, and so on, compounded by multi-organ, multi-slice, multi-direction and multi-b-value complexities. Here, we introduce a reconstruction framework, LoSP-Prompt, that overcomes these challenges through physics-informed modeling and synthetic-data-driven prompt learning. We model inter-shot phase variations as a high-order Locally Smooth Phase (LoSP), integrated into a low-rank Hankel matrix reconstruction. Crucially, the algorithm's rank parameter is automatically set via prompt learning trained exclusively on synthetic abdominal DWI data emulating physiological motion. Validated across 10,000+ clinical images (43 subjects, 4 scanner models, 5 centers), LoSP-Prompt: (1) Achieved twice the spatial resolution of clinical single-shot DWI, enhancing liver lesion conspicuity; (2) Generalized to seven diverse anatomical regions (liver, kidney, sacroiliac, pelvis, knee, spinal cord, brain) with a single model; (3) Outperformed state-of-the-art methods in image quality, artifact suppression, and noise reduction (11 radiologists' evaluations on a 5-point scale, $p<0.05$), achieving 4-5 points (excellent) on kidney DWI, 4 points (good to excellent) on liver, sacroiliac and spinal cord DWI, and 3-4 points (good) on knee and tumor brain. The approach eliminates navigator signals and realistic data supervision, providing an interpretable, robust solution for high-resolution multi-organ multi-shot DWI. Its scanner-agnostic performance signifies transformative potential for precision oncology.
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