arXiv subjects

Hersh Chandarana

Publications and source records attributed to Hersh Chandarana.

14 recordsLinked to original sources

arXiv2026

Distortion-Free High-Resolution PROPELLER-DWI: Technical Advances and Initial Demonstration for the Prostate

Purpose: To develop and evaluate an integrated acquisition and reconstruction framework for distortion-free, high-resolution prostate diffusion-weighted imaging (DWI). Methods: PROPELLER-DWI combines pulsed-gradient spin-echo diffusion preparation, an interleaved gradient-and-spin-echo PROPELLER acquisition with golden-angle blade rotation, and self-supervised joint reconstruction and denoising. It was compared with conventional NUFFT reconstruction and MPPCA denoising in a NIST/QIBA diffusion phantom, 25 volunteers, and 4 clinical patients undergoing 3T prostate MRI across three spatial-resolution settings and two b-values (50 and 1000 s/mm2). Reader studies compared geometric fidelity, image quality, and overall preference with clinical single-shot EPI-DWI. Results: PROPELLER-DWI preserved prostate geometry in cases where EPI-DWI showed susceptibility-induced distortion, signal loss, and metal-related artifacts. Self-supervised reconstruction improved noise suppression, with the greatest benefit at higher spatial resolution. Across all resolutions, PROPELLER-DWI had significantly higher geometric fidelity than EPI-DWI, and radiologist preference increased with the severity of EPI distortion. ADC measurements remained consistent across resolutions and comparable to clinical EPI-DWI, whereas EPI-DWI ADC varied with increasing resolution. Retrospective reduced-shot reconstruction also supported shorter scan times. Conclusion: PROPELLER-DWI enables distortion-free, high-resolution prostate DWI while preserving quantitative diffusion measurements, providing a practical alternative for technically challenging prostate MRI and applications requiring improved geometric fidelity.

eess.IV↗

arXiv2026

Free-Breathing PDFF and R2* Quantification at 0.55T: Reduced Respiratory Motion Sensitivity and a Time-Resolved 4D MRI Approach

Purpose: Free-breathing multi-echo MRI enables hepatic PDFF/R2* quantification without breath-holds, but respiratory motion can affect R2* estimation through motion-induced field variations. We investigated whether respiratory motion sensitivity is reduced at 0.55T versus 3T and developed a time-resolved free-breathing 4D MRI approach without respiratory binning. Methods: A navigator-embedded multi-echo stack-of-stars sequence was implemented. Ten subjects were scanned during free breathing and deliberate bulk motion at both 3T and 0.55T. Data were reconstructed using motion-averaged, motion-resolved, and time-resolved approaches. Quantitative performance was also evaluated in a PDFF/R2* phantom using Cartesian and radial acquisitions. Results: Phantom experiments showed close radial-Cartesian agreement for R2* and PDFF at 3T. At 0.55T, R2* showed good agreement over the low-to-moderate range but higher uncertainty at high R2*, where larger radial-Cartesian PDFF differences were also observed. R2* was substantially less sensitive to respiratory motion at 0.55T than at 3T, whereas PDFF was relatively insensitive at both field strengths. Under bulk motion, time-resolved reconstruction provided robust R2* and PDFF measurements, with particularly high consistency between free-breathing and bulk-motion acquisitions at 0.55T. Conclusion: R2* quantification was less sensitive to respiratory motion at 0.55T than at 3T, while PDFF remained relatively insensitive. Time-resolved reconstruction provided additional robustness to bulk motion. Reduced susceptibility effects at 0.55T and time-resolved reconstruction may provide complementary advantages for motion-robust free-breathing hepatic R2* and PDFF quantification.

physics.med-ph↗

arXiv2026

Masked and Predictive Self-Supervised Foundation Models for 3D Brain MRI

Self-supervised foundation models have shown strong promise in medical imaging. However, existing MRI foundation-model studies have primarily emphasized segmentation and dense prediction tasks, while systematic investigation of self-supervised foundation models for MRI-based disease detection remains limited. In this work, we investigate two major self-supervised pretraining paradigms for MRI-based disease detection: reconstruction-based learning via Masked Autoencoders (MAE) and predictive representation learning via Joint Embedding Predictive Architectures (JEPA). We study the role of auxiliary objectives by introducing a novel spectral-domain reconstruction loss for MAE to enhance sensitivity to fine-grained anatomical structure, and by integrating variance--covariance regularization (VCR) within our JEPA framework to encourage decorrelated latent representations. Our models are pretrained on heterogeneous single-contrast MRI volumes in a contrast-agnostic setting, without modality concatenation. Across five downstream disease detection tasks, our results highlight the importance of self-supervised objective design for medical foundation model pretraining, demonstrating that the downstream benefit of each objective is determined by its relevance to the task's structure. Specifically, spectral regularization yields the largest improvements when the downstream discriminative signal is characterized by strong high-frequency anatomical structures, while covariance regularization is most beneficial when discriminative information spans multiple decorrelated feature dimensions. MAE with spectral-domain supervision consistently achieves superior downstream performance for MRI-based disease detection. These findings suggest that self-supervised objectives in medical imaging encode specific biases, and their downstream benefit is fundamentally conditioned on the task's structure.

cs.CV↗

arXiv2026

GRASP MRI: A Decade of Innovation from Bench to Bedside

GRASP (Golden-angle RAdial Sparse Parallel) MRI has emerged as one of the most influential motion-robust dynamic MRI frameworks over the past decade. By combining continuous golden-angle radial sampling with compressed sensing and parallel imaging, GRASP enables free-breathing data acquisition with flexible retrospective image reconstruction. Since its original introduction, the framework has evolved substantially and has inspired a broad range of technical developments, including motion-resolved reconstruction, real-time imaging, quantitative MRI, deep learning-enabled reconstruction, and multidimensional cardiovascular imaging. These advances have further expanded the role of GRASP MRI in a range of clinical applications where conventional breath-hold imaging is challenging. This review summarizes the technical evolution and clinical translation of GRASP MRI over the past decade, with a particular focus on the conceptual advantages of continuous radial acquisition, flexible retrospective reconstruction, and motion-robust imaging. Emerging developments in deep learning reconstruction, real-time volumetric imaging, and quantitative free-breathing MRI are also discussed together with future directions of motion-robust MRI acquisition and reconstruction.

physics.med-ph↗

arXiv2026

Respiratory Motion Management in Abdominal MRI: Revisiting the Gap Between Technical Advances and Clinical Translation

The inherently slow acquisition speed of MRI makes abdominal imaging highly sensitive to respiratory motion artifacts. Since the early days of MRI, the development of respiratory motion compensation has been an active research topic, and this field has achieved substantial technical progress. Despite these advances, majority of these techniques are not clinically available, and motion management methods used in clinical abdominal MRI today have changed little over the past decades. This observation is striking and points to a significant gap between technical innovation and clinical translation in this area. This review is motivated by this question: why have so many motion management techniques not been adopted into routine clinical workflows? Unlike conventional survey-style reviews that focus on summarizing emerging methods, this article takes a different, and perhaps opposite, perspective to investigate why those technologically sophisticated innovations are misaligned with practical clinical needs. Specifically, we discuss the barriers behind the gap between research advances and clinical practice, clarify the clinical requirements for effective respiratory motion management in abdominal MRI, and highlight research directions with stronger relevance to routine workflows. The review begins with an overview of the clinical impact of respiratory motion in abdominal MRI, followed by a discussion of standard abdominal MRI sequences and their motion sensitivity. We then summarize current clinical strategies and advanced approaches, along with the barriers that hinder their clinical adoption. The article concludes with future directions and broader lessons learned from this translational gap, with the goal of guiding future developments towards improved clinical integration.

physics.med-ph↗

arXiv2025

Hybrid Learning: A Novel Combination of Self-Supervised and Supervised Learning for Joint MRI Reconstruction and Denoising in Low-Field MRI

Deep learning has demonstrated strong potential for MRI reconstruction. However, conventional supervised learning requires high-quality, high-SNR references for network training, which are often difficult or impossible to obtain in different scenarios, particularly in low-field MRI. Self-supervised learning provides an alternative by removing the need for training references, but its reconstruction performance can degrade when the baseline SNR is low. To address these limitations, we propose hybrid learning, a two-stage training framework that integrates self-supervised and supervised learning for joint MRI reconstruction and denoising when only low-SNR training references are available. Hybrid learning is implemented in two sequential stages. In the first stage, self-supervised learning is applied to fully sampled low-SNR data to generate higher-quality pseudo-references. In the second stage, these pseudo-references are used as targets for supervised learning to reconstruct and denoise undersampled noisy data. The proposed technique was evaluated in multiple experiments involving simulated and real low-field MRI in the lung and brain at different field strengths. Hybrid learning consistently improved image quality over both standard self-supervised learning and supervised learning with noisy training references at different acceleration rates, noise levels, and field strengths, achieving higher SSIM and lower NMSE. The hybrid learning approach is effective for both Cartesian and non-Cartesian acquisitions. Hybrid learning provides an effective solution for training deep MRI reconstruction models in the absence of high-SNR references. By improving image quality in low-SNR settings, particularly for low-field MRI, it holds promise for broader clinical adoption of deep learning-based reconstruction methods.

eess.IV↗

arXiv2025

Context-aware deep learning using individualized prior information reduces false positives in disease risk prediction and longitudinal health assessment

Temporal context in medicine is valuable in assessing key changes in patient health over time. We developed a machine learning framework to integrate diverse context from prior visits to improve health monitoring, especially when prior visits are limited and their frequency is variable. Our model first estimates initial risk of disease using medical data from the most recent patient visit, then refines this assessment using information digested from previously collected imaging and/or clinical biomarkers. We applied our framework to prostate cancer (PCa) risk prediction using data from a large population (28,342 patients, 39,013 magnetic resonance imaging scans, 68,931 blood tests) collected over nearly a decade. For predictions of the risk of clinically significant PCa at the time of the visit, integrating prior context directly converted false positives to true negatives, increasing overall specificity while preserving high sensitivity. False positive rates were reduced progressively from 51% to 33% when integrating information from up to three prior imaging examinations, as compared to using data from a single visit, and were further reduced to 24% when also including additional context from prior clinical data. For predicting the risk of PCa within five years of the visit, incorporating prior context reduced false positive rates still further (64% to 9%). Our findings show that information collected over time provides relevant context to enhance the specificity of medical risk prediction. For a wide range of progressive conditions, sufficient reduction of false positive rates using context could offer a pathway to expand longitudinal health monitoring programs to large populations with comparatively low baseline risk of disease, leading to earlier detection and improved health outcomes.

cs.AI↗

arXiv2025

Multisession Longitudinal Dynamic MRI Incorporating Patient-Specific Prior Image Information Across Time

Serial Magnetic Resonance Imaging (MRI) exams are often performed in clinical practice, offering shared anatomical and motion information across imaging sessions. However, existing reconstruction methods process each session independently without leveraging this valuable longitudinal information. In this work, we propose a novel concept of longitudinal dynamic MRI, which incorporates patient-specific prior images to exploit temporal correlations across sessions. This framework enables progressive acceleration of data acquisition and reduction of scan time as more imaging sessions become available. The concept is demonstrated using the 4D Golden-angle RAdial Sparse Parallel (GRASP) MRI, a state-of-the-art dynamic imaging technique. Longitudinal reconstruction is performed by concatenating multi-session time-resolved 4D GRASP datasets into an extended dynamic series, followed by a low-rank subspace-based reconstruction algorithm. A series of experiments were conducted to evaluate the feasibility and performance of the proposed method. Results show that longitudinal 4D GRASP reconstruction consistently outperforms standard single-session reconstruction in image quality, while preserving inter-session variations. The approach demonstrated robustness to changes in anatomy, imaging intervals, and body contour, highlighting its potential for improving imaging efficiency and consistency in longitudinal MRI applications. More generally, this work suggests a new context-aware imaging paradigm in which the more we see a patient, the faster we can image.

eess.IV↗

arXiv2025

Self-Supervised Joint Reconstruction and Denoising of T2-Weighted PROPELLER MRI of the Lungs at 0.55T

Purpose: This study aims to improve 0.55T T2-weighted PROPELLER lung MRI through a self-supervised joint reconstruction and denoising model. Methods: T2-weighted 0.55T lung MRI dataset including 44 patients with previous covid infection were used. A self-supervised learning framework was developed, where each blade of the PROPELLER acquisition was split along the readout direction into two partitions. One subset trains the unrolled reconstruction network, while the other subset is used for loss calculation, enabling self-supervised training without clean targets and leveraging matched noise statistics for denoising. For comparison, Marchenko-Pastur Principal Component Analysis (MPPCA) was performed along the coil dimension, followed by conventional parallel imaging reconstruction. The quality of the reconstructed lung MRI was assessed visually by two experienced radiologists independently. Results: The proposed self-supervised model improved the clarity and structural integrity of the lung images. For cases with available CT scans, the reconstructed images demonstrated strong alignment with corresponding CT images. Additionally, the proposed model enables further scan time reduction by requiring only half the number of blades. Reader evaluations confirmed that the proposed method outperformed MPPCA-denoised images across all categories (Wilcoxon signed-rank test, p<0.001), with moderate inter-reader agreement (weighted Cohen's kappa=0.55; percentage of exact and within +/-1 point agreement=91%). Conclusion: By leveraging intrinsic structural redundancies between two disjoint splits of k-space subsets, the proposed self-supervised learning model effectively reconstructs the image while suppressing the noise for 0.55T T2-weighted lung MRI with PROPELLER sampling.

eess.IV↗

arXiv2025

Self-Supervised Noise Adaptive MRI Denoising via Repetition to Repetition (Rep2Rep) Learning

Purpose: This work proposes a novel self-supervised noise-adaptive image denoising framework, called Repetition to Repetition (Rep2Rep) learning, for low-field (<1T) MRI applications. Methods: Rep2Rep learning extends the Noise2Noise framework by training a neural network on two repeated MRI acquisitions, using one repetition as input and another as target, without requiring ground-truth data. It incorporates noise-adaptive training, enabling denoising generalization across varying noise levels and flexible inference with any number of repetitions. Performance was evaluated on both synthetic noisy brain MRI and 0.55T prostate MRI data, and compared against supervised learning and Monte Carlo Stein's Unbiased Risk Estimator (MC-SURE). Results: Rep2Rep learning outperforms MC-SURE on both synthetic and 0.55T MRI datasets. On synthetic brain data, it achieved denoising quality comparable to supervised learning and surpassed MC-SURE, particularly in preserving structural details and reducing residual noise. On the 0.55T prostate MRI dataset, a reader study showed radiologists preferred Rep2Rep-denoised 2-average images over 8-average noisy images. Rep2Rep demonstrated robustness to noise-level discrepancies between training and inference, supporting its practical implementation. Conclusion: Rep2Rep learning offers an effective self-supervised denoising for low-field MRI by leveraging routinely acquired multi-repetition data. Its noise-adaptivity enables generalization to different SNR regimes without clean reference images. This makes Rep2Rep learning a promising tool for improving image quality and scan efficiency in low-field MRI.

eess.IV↗

arXiv2023

FastMRI Prostate: A Publicly Available, Biparametric MRI Dataset to Advance Machine Learning for Prostate Cancer Imaging

The fastMRI brain and knee dataset has enabled significant advances in exploring reconstruction methods for improving speed and image quality for Magnetic Resonance Imaging (MRI) via novel, clinically relevant reconstruction approaches. In this study, we describe the April 2023 expansion of the fastMRI dataset to include biparametric prostate MRI data acquired on a clinical population. The dataset consists of raw k-space and reconstructed images for T2-weighted and diffusion-weighted sequences along with slice-level labels that indicate the presence and grade of prostate cancer. As has been the case with fastMRI, increasing accessibility to raw prostate MRI data will further facilitate research in MR image reconstruction and evaluation with the larger goal of improving the utility of MRI for prostate cancer detection and evaluation. The dataset is available at https://fastmri.med.nyu.edu.

physics.med-ph↗

arXiv2023

On the Feasibility of Machine Learning Augmented Magnetic Resonance for Point-of-Care Identification of Disease

Early detection of many life-threatening diseases (e.g., prostate and breast cancer) within at-risk population can improve clinical outcomes and reduce cost of care. While numerous disease-specific "screening" tests that are closer to Point-of-Care (POC) are in use for this task, their low specificity results in unnecessary biopsies, leading to avoidable patient trauma and wasteful healthcare spending. On the other hand, despite the high accuracy of Magnetic Resonance (MR) imaging in disease diagnosis, it is not used as a POC disease identification tool because of poor accessibility. The root cause of poor accessibility of MR stems from the requirement to reconstruct high-fidelity images, as it necessitates a lengthy and complex process of acquiring large quantities of high-quality k-space measurements. In this study we explore the feasibility of an ML-augmented MR pipeline that directly infers the disease sidestepping the image reconstruction process. We hypothesise that the disease classification task can be solved using a very small tailored subset of k-space data, compared to image reconstruction. Towards that end, we propose a method that performs two tasks: 1) identifies a subset of the k-space that maximizes disease identification accuracy, and 2) infers the disease directly using the identified k-space subset, bypassing the image reconstruction step. We validate our hypothesis by measuring the performance of the proposed system across multiple diseases and anatomies. We show that comparable performance to image-based classifiers, trained on images reconstructed with full k-space data, can be achieved using small quantities of data: 8% of the data for detecting multiple abnormalities in prostate and brain scans, and 5% of the data for knee abnormalities. To better understand the proposed approach and instigate future research, we provide an extensive analysis and release code.

cs.LG↗

arXiv2020

Optimization of MR Fingerprinting for Free-Breathing Quantitative Abdominal Imaging

In this work, we propose a free-breathing magnetic resonance fingerprinting method that can be used to obtain $B_1^+$-robust quantitative maps of the abdomen in a clinically acceptable time. A three-dimensional MR fingerprinting sequence with a radial stack-of-stars trajectory was implemented for quantitative abdominal imaging. The k-space acquisition ordering was adjusted to improve motion-robustness. The flip angle pattern was optimized using the Cramér-Rao Lower Bound, and the encoding efficiency of sequences with 300, 600, 900, and 1800 flip angles was evaluated. To validate the sequence, a movable multicompartment phantom was developed. Reference multiparametric maps were acquired under stationary conditions using a previously validated MRF method. Periodic motion of the phantom was used to investigate the motion-robustness of the proposed sequence. The best performing sequence length (600 flip angles) was used to image the abdomen during a free-breathing volunteer scan. When using a series of 600 or more flip angles, the estimated $T_1$ values in the stationary phantom showed good agreement with the reference scan. Phantom experiments revealed that motion-related artefacts can appear in the quantitative maps, and confirmed that a motion-robust k-space ordering is essential in preventing these artefacts. The in vivo scan demonstrated that the proposed sequence can produce clean parameter maps while the subject breathes freely. Using this sequence, it is possible to generate $B_1^+$-robust quantitative maps of proton density, $T_1$, and $B_1^+$ under free-breathing conditions at a clinically usable resolution within 5 minutes.

physics.med-ph↗

arXiv2019

fastMRI: An Open Dataset and Benchmarks for Accelerated MRI

Accelerating Magnetic Resonance Imaging (MRI) by taking fewer measurements has the potential to reduce medical costs, minimize stress to patients and make MRI possible in applications where it is currently prohibitively slow or expensive. We introduce the fastMRI dataset, a large-scale collection of both raw MR measurements and clinical MR images, that can be used for training and evaluation of machine-learning approaches to MR image reconstruction. By introducing standardized evaluation criteria and a freely-accessible dataset, our goal is to help the community make rapid advances in the state of the art for MR image reconstruction. We also provide a self-contained introduction to MRI for machine learning researchers with no medical imaging background.

cs.CV↗