arXiv subjects

Mara Cercignani

Publications and source records attributed to Mara Cercignani.

4 recordsLinked to original sources

arXiv2025

Ultra-Strong Gradient Diffusion MRI with Self-Supervised Learning for Prostate Cancer Characterization

Diffusion MRI (dMRI) enables non-invasive assessment of prostate microstructure but conventional dMRI metrics such as the Apparent Diffusion Coefficient in multiparametric MRI and reflect a mixture of underlying tissues features rather than distinct histologic characteristics. Integrating dMRI with the compartment-based biophysical VERDICT (Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumours) framework offers richer microstructural insights, though clinical gradient systems (40-80 mT/m) often suffer from poor signal-to-noise ratio at stronger diffusion weightings due to prolonged echo times. Ultra-strong gradients (e.g., 300 mT/m) can mitigate these limitations by improving SNR and contrast-to-noise ratios. This study investigates whether physics-informed self-supervised VERDICT (ssVERDICT) fitting when combined with ultra-strong gradient data, enhances prostate microstructural characterization relative to current fitting approaches and clinical gradient systems. We developed enhanced ssVERDICT fitting approaches using dense multilayer perceptron and convolutional U-Net architectures, comparing them against non-linear least-squares (NLLS) VERDICT fitting, original ssVERDICT implementation, and Diffusion Kurtosis Imaging across clinical- to ultra-strong gradient systems. For the same ultra-strong gradient data, Dense ssVERDICT outperformed NLLS VERDICT, boosting median CNR by 47%, cutting inter-patient Coefficient of Variation by 52%, and reducing pooled $f_{ic}$ variation by 50%. Overall, Dense ssVERDICT delivered the highest CNR, the most stable parameter estimates, and the clearest tumour-normal contrast compared with conventional fitting methods and clinical gradient systems. These findings underscore that meaningful gains in non-invasive prostate cancer characterization arise from the combination of advanced gradient systems and deep learning-based modelling.

eess.IV↗

arXiv2025

Diffusion Tensor MRI and Spherical-Deconvolution-Based Tractography on an Ultra-Low Field Portable MRI System

Ultra-low-field (ULF) MRI is emerging as an alternative modality to high-field (HF) MRI due to its lower cost, minimal siting requirements, portability, and enhanced accessibility factors that enable large-scale deployment. Although ULF-MRI exhibits lower signal-to-noise ratio (SNR), advanced imaging and data-driven denoising methods enabled by high-performance computing have made contrasts like diffusion-weighted imaging (DWI) feasible at ULF. This study investigates the potential and limitations of ULF tractography, using data acquired on a 0.064 T commercially available mobile point-of-care MRI scanner. The results demonstrate that most major white matter bundles can be successfully retrieved in healthy adult brains within clinically tolerable scan times. This study also examines the recovery of diffusion tensor imaging (DTI)-derived scalar maps, including fractional anisotropy and mean diffusivity. Strong correspondence is observed between scalar maps obtained with ULF-MRI and those acquired at high field strengths. Furthermore, fibre orientation distribution functions reconstructed from ULF data show good agreement with high-field references, supporting the feasibility of using ULF-MRI for reliable tractography. These findings open new opportunities to use ULF-MRI in studies of brain health, development, and disease progression particularly in populations traditionally underserved due to geographic or economic constraints. The results show that robust assessments of white matter microstructure can be achieved with ULF-MRI, effectively democratising microstructural MRI and extending advanced imaging capabilities to a broader range of research and clinical settings where resources are typically limited.

physics.med-ph↗

arXiv2024

Image Quality Transfer of Diffusion MRI Guided By High-Resolution Structural MRI

Prior work on the Image Quality Transfer on Diffusion MRI (dMRI) has shown significant improvement over traditional interpolation methods. However, the difficulty in obtaining ultra-high resolution Diffusion MRI scans poses a problem in training neural networks to obtain high-resolution dMRI scans. Here we hypothesise that the inclusion of structural MRI images, which can be acquired at much higher resolutions, can be used as a guide to obtaining a more accurate high-resolution dMRI output. To test our hypothesis, we have constructed a novel framework that incorporates structural MRI scans together with dMRI to obtain high-resolution dMRI scans. We set up tests which evaluate the validity of our claim through various configurations and compare the performance of our approach against a unimodal approach. Our results show that the inclusion of structural MRI scans do lead to an improvement in high-resolution image prediction when T1w data is incorporated into the model input.

eess.IV↗

arXiv2022

Flexible Amortized Variational Inference in qBOLD MRI

Streamlined qBOLD acquisitions enable experimentally straightforward observations of brain oxygen metabolism. $R_2^\prime$ maps are easily inferred; however, the Oxygen extraction fraction (OEF) and deoxygenated blood volume (DBV) are more ambiguously determined from the data. As such, existing inference methods tend to yield very noisy and underestimated OEF maps, while overestimating DBV. This work describes a novel probabilistic machine learning approach that can infer plausible distributions of OEF and DBV. Initially, we create a model that produces informative voxelwise prior distribution based on synthetic training data. Contrary to prior work, we model the joint distribution of OEF and DBV through a scaled multivariate logit-Normal distribution, which enables the values to be constrained within a plausible range. The prior distribution model is used to train an efficient amortized variational Bayesian inference model. This model learns to infer OEF and DBV by predicting real image data, with few training data required, using the signal equations as a forward model. We demonstrate that our approach enables the inference of smooth OEF and DBV maps, with a physiologically plausible distribution that can be adapted through specification of an informative prior distribution. Other benefits include model comparison (via the evidence lower bound) and uncertainty quantification for identifying image artefacts. Results are demonstrated on a small study comparing subjects undergoing hyperventilation and at rest. We illustrate that the proposed approach allows measurement of gray matter differences in OEF and DBV and enables voxelwise comparison between conditions, where we observe significant increases in OEF and $R_2^\prime$ during hyperventilation.

eess.IV↗