arXiv subjects

Marius Staring

Publications and source records attributed to Marius Staring.

At least 19 recordsLinked to original sources

arXiv2026

Data-Efficient Networks for Multi-Contrast MRI Reconstruction based on a Generalized Content/Style Prior

Multi-contrast MR scans contain redundant structural information that can be leveraged during reconstruction and potentially accelerate acquisition times. This idea has inspired end-to-end guided reconstruction models, leveraging one or more contrasts to guide the reconstruction of a different contrast. However, these models require large paired multi-contrast raw datasets for training, limiting their application in low-data regimes. In this work, we propose a modular framework, namely CoSMo-RecNet, for learning guided reconstruction models in the low-data regime. At its core is a reusable multi-contrast representation based on a content/style model, which can be learned from large-scale, publicly accessible, unpaired multi-contrast image datasets, without available k-space data. Using this frozen model as a multi-contrast prior and using a set of reference contrasts, the reconstruction problem reduces to a much simpler refinement problem that can be solved by a lightweight unrolled network and thus learned from small, task-specific reconstruction datasets. We demonstrate the efficacy of CoSMo-RecNet by evaluating it on the low-field 0.3 T M4Raw dataset, showing stable reconstruction quality on decreasing the raw training data budget. CoSMo-RecNet achieved higher reconstruction quality with 5 training subjects or lower compared to a parameter-count-matched MoDL trained on 100 subjects. On a data-limited and severely out-of-distribution ultra-low-field 47 mT Halbach scanner dataset, CoSMo-RecNet was superior to other viable strategies, including classical reconstruction, transfer learning, and zero-shot reconstruction.

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arXiv2026

Conditional Flow Matching for Cross-Field MRI Harmonisation

Magnetic resonance images of the same subject look markedly different across field strengths, which complicates the comparison and pooling of data across sites. We address cross-field brain-MRI translation for the MRIxFields2026 challenge, and in particular its Task~3: a single model that translates between any directed pair of the five field strengths and across three contrasts. We phrase the problem as a conditional flow matching path: because the source and target volumes are spatially registered, we learn a velocity field that carries the source slice directly to the target slice, rather than starting from noise. To learn this mapping from only three paired subjects, the unified model is trained in three stages: a degradation-bridge pretraining that distills a restoration prior from the abundant unpaired retrospective cohort, a cross-field finetuning over all directed pairs on the paired cohort, and an adversarial refinement that sharpens the output. At inference, we integrate the learned velocity with a second-order Heun solver in a handful of steps. A restoration prior learned without any paired data already reaches a mean SSIM of 0.837, and each subsequent training stage improves on it. A single 6.3M-parameter model thereby covers all 60 field-pair and contrast combinations, with inference in five solver steps per slice. On the challenge evaluation set the model reaches a mean SSIM of 0.909, averaged over the three contrasts, outperforming regression and diffusion baselines built on the identical network on all three challenge metrics.

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arXiv2026

Enhancing Implicit Neural Representations with Image Feature Embedding for Unsupervised Cardiac Cine MRI Reconstruction

Cardiac cine Magnetic Resonance Imaging (MRI) is a critical diagnostic tool that provides dynamic insights for radiologists. To accelerate acquisition, under-sampled k-space data is often used, requiring reconstruction methods that combine coil sensitivity encoding with prior information to recover missing data. Deep learning approaches have gained more attention for leveraging data-adaptive priors. While supervised learning approaches are a common choice, they depend on fully sampled reference data, which is not always available. Unsupervised methods eliminate the need for fully sampled reference data, which can be advantageous in cardiac cine MRI reconstruction. Among them, implicit neural representations (INRs) have shown great potential due to their simple architecture and good quality reconstructions. In this work, we propose an image-domain dual-branch INR framework, termed I-FP-INR, which extends the original INR design by introducing an additional feature-processing branch. This design aims to extract complementary feature embeddings to enhance the overall representation, thereby benefiting reconstruction. Extensive evaluations on both public datasets and in-house data show consistent improvements over baseline methods in reconstruction quality, with strong robustness across varied scenarios.

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arXiv2026

Deep Unrolled Networks in Representation Space Applied to MRI Reconstruction

Deep unrolled networks (DUNs) integrate physical forward models with learned regularization in cascaded network architectures, achieving exceptional performance in inverse problems while maintaining interpretability. While most DUNs operate in the object domain (e.g., image space), recent variants explored representation spaces for improved information flow. However, these methods rely on heuristic methods for data consistency (DC), sacrificing fidelity with measurements. In this work, we introduce DUNE (Deep Unrolled Networks in rEpresentation space), a framework that maintains exact adherence to physical measurements while operating in learned representation spaces. By deriving the DC gradient via the chain rule and implementing it through the Vector-Jacobian Product (VJP), we enable exact backpropagation of measurement residuals into the representation space. This formulation supports diverse architectural backbones, including pre-trained encoders to guide the iterative process. We assess DUNE against state-of-the-art baselines on accelerated MRI reconstruction tasks, demonstrating that exact VJP-based gradients yield superior reconstruction quality and structural fidelity across both single-channel portable low-field and multi-channel clinical high-field MRI acquisitions. The code will be available upon publication at https://github.com/EfeIlicak/DUNE.

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arXiv2026

Clinical DVH metrics as a loss function for 3D dose prediction in head and neck radiotherapy

Purpose: Deep-learning-based three-dimensional (3D) dose prediction is widely used in automated radiotherapy workflows. However, most existing models are trained with voxel-wise regression losses, which are poorly aligned with clinical plan evaluation criteria based on dose-volume histogram (DVH) metrics. This study aims to develop a clinically guided loss formulation that directly optimizes clinically used DVH metrics while remaining computationally efficient for head and neck (H\&N) dose prediction. Methods: We propose a clinical DVH metric loss (CDM loss) that incorporates differentiable \textit{D-metrics} and surrogate \textit{V-metrics}, together with a lossless bit-mask region-of-interest (ROI) encoding to improve training efficiency. The method was evaluated on 174 H\&N patients using a temporal split (137 training, 37 testing). Results: Compared with MAE- and DVH-curve based losses, CDM loss substantially improved target coverage and satisfied all clinical constraints. Using a standard 3D U-Net, the PTV Score was reduced from 1.544 (MAE) to 0.491 (MAE + CDM), while OAR sparing remained comparable. Bit-mask encoding reduced training time by 83\% and lowered GPU memory usage. Conclusion: Directly optimizing clinically used DVH metrics enables 3D dose predictions that are better aligned with clinical treatment planning criteria than conventional voxel-wise or DVH-curve-based supervision. The proposed CDM loss, combined with efficient ROI bit-mask encoding, provides a practical and scalable framework for H\&N dose prediction.

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arXiv2026

Physics-Guided Dual-Domain Network with Attention-Based Fusion for Portable MRI Reconstruction

Portable low-field magnetic resonance imaging (MRI) systems have gained renewed interest owing to their cost effectiveness and point-of-care imaging capabilities. Yet, portable MRI systems suffer from relatively low signal-to-noise ratio and limited hardware capabilities. While previous works have proposed the use of deep learning based reconstruction methods to improve low-field image quality, these operated only in the image-domain. Unlike other imaging modalities, MRI directly acquires data in the Fourier-domain (k-space), and exploiting both k-space and image-domain information can improve reconstruction quality. Here, we introduce DUN-DD, a novel physics-guided 3D network for portable MRI reconstruction, with parallel dual-domain branches whose outputs are combined together via an attention-based fusion network. To demonstrate the performance of the proposed method, we present \textit{in vivo} reconstructions obtained from both emulated datasets as well as images acquired with a 47mT Halbach-based portable MRI system. Our results show that DUN-DD outperforms state-of-the-art classical, data-driven, and physics-guided methods on both emulated and real portable MRI acquisitions.

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arXiv2026

CRUNet-MR-Univ: A Foundation Model for Diverse Cardiac MRI Reconstruction

In recent years, deep learning has attracted increasing attention in the field of Cardiac MRI (CMR) reconstruction due to its superior performance over traditional methods, particularly in handling higher acceleration factors, highlighting its potential for real-world clinical applications. However, current deep learning methods remain limited in generalizability. CMR scans exhibit wide variability in image contrast, sampling patterns, scanner vendors, anatomical structures, and disease types. Most existing models are designed to handle only a single or narrow subset of these variations, leading to performance degradation when faced with distribution shifts. Therefore, it is beneficial to develop a unified model capable of generalizing across diverse CMR scenarios. To this end, we propose CRUNet-MR-Univ, a foundation model that leverages spatio-temporal correlations and prompt-based priors to effectively handle the full diversity of CMR scans. Our approach consistently outperforms baseline methods across a wide range of settings, highlighting its effectiveness and promise.

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arXiv2025

A deep learning model to reduce agent dose for contrast-enhanced MRI of the cerebellopontine angle cistern

Objectives: To evaluate a deep learning (DL) model for reducing the agent dose of contrast-enhanced T1-weighted MRI (T1ce) of the cerebellopontine angle (CPA) cistern. Materials and methods: In this multi-center retrospective study, T1 and T1ce of vestibular schwannoma (VS) patients were used to simulate low-dose T1ce with varying reductions of contrast agent dose. DL models were trained to restore standard-dose T1ce from the low-dose simulation. The image quality and segmentation performance of the DL-restored T1ce were evaluated. A head and neck radiologist was asked to rate DL-restored images in multiple aspects, including image quality and diagnostic characterization. Results: 203 MRI studies from 72 VS patients (mean age, 58.51 \pm 14.73, 39 men) were evaluated. As the input dose increased, the structural similarity index measure of the restored T1ce increased from 0.639 \pm 0.113 to 0.993 \pm 0.009, and the peak signal-to-noise ratio increased from 21.6 \pm 3.73 dB to 41.4 \pm 4.84 dB. At 10% input dose, using DL-restored T1ce for segmentation improved the Dice from 0.673 to 0.734, the 95% Hausdorff distance from 2.38 mm to 2.07 mm, and the average surface distance from 1.00 mm to 0.59 mm. Both DL-restored T1ce from 10% and 30% input doses showed excellent images, with the latter being considered more informative. Conclusion: The DL model improved the image quality of low-dose MRI of the CPA cistern, which makes lesion detection and diagnostic characterization possible with 10% - 30% of the standard dose.

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arXiv2025

Efficient Large-Deformation Medical Image Registration via Recurrent Dynamic Correlation

Deformable image registration estimates voxel-wise correspondences between images through spatial transformations, and plays a key role in medical imaging. While deep learning methods have significantly reduced runtime, efficiently handling large deformations remains a challenging task. Convolutional networks aggregate local features but lack direct modeling of voxel correspondences, promoting recent works to explore explicit feature matching. Among them, voxel-to-region matching is more efficient for direct correspondence modeling by computing local correlation features whithin neighbourhoods, while region-to-region matching incurs higher redundancy due to excessive correlation pairs across large regions. However, the inherent locality of voxel-to-region matching hinders the capture of long-range correspondences required for large deformations. To address this, we propose a Recurrent Correlation-based framework that dynamically relocates the matching region toward more promising positions. At each step, local matching is performed with low cost, and the estimated offset guides the next search region, supporting efficient convergence toward large deformations. In addition, we uses a lightweight recurrent update module with memory capacity and decouples motion-related and texture features to suppress semantic redundancy. We conduct extensive experiments on brain MRI and abdominal CT datasets under two settings: with and without affine pre-registration. Results show that our method exibits a strong accuracy-computation trade-off, surpassing or matching the state-of-the-art performance. For example, it achieves comparable performance on the non-affine OASIS dataset, while using only 9.5% of the FLOPs and running 96% faster than RDP, a representative high-performing method.

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arXiv2025

SHMoAReg: Spark Deformable Image Registration via Spatial Heterogeneous Mixture of Experts and Attention Heads

Encoder-Decoder architectures are widely used in deep learning-based Deformable Image Registration (DIR), where the encoder extracts multi-scale features and the decoder predicts deformation fields by recovering spatial locations. However, current methods lack specialized extraction of features (that are useful for registration) and predict deformation jointly and homogeneously in all three directions. In this paper, we propose a novel expert-guided DIR network with Mixture of Experts (MoE) mechanism applied in both encoder and decoder, named SHMoAReg. Specifically, we incorporate Mixture of Attention heads (MoA) into encoder layers, while Spatial Heterogeneous Mixture of Experts (SHMoE) into the decoder layers. The MoA enhances the specialization of feature extraction by dynamically selecting the optimal combination of attention heads for each image token. Meanwhile, the SHMoE predicts deformation fields heterogeneously in three directions for each voxel using experts with varying kernel sizes. Extensive experiments conducted on two publicly available datasets show consistent improvements over various methods, with a notable increase from 60.58% to 65.58% in Dice score for the abdominal CT dataset. Furthermore, SHMoAReg enhances model interpretability by differentiating experts' utilities across/within different resolution layers. To the best of our knowledge, we are the first to introduce MoE mechanism into DIR tasks.

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arXiv2025

Physics-Informed Deep Unrolled Network for Portable MR Image Reconstruction

Magnetic resonance imaging (MRI) is the gold standard imaging modality for numerous diagnostic tasks, yet its usefulness is tempered due to its high cost and infrastructural requirements. Low-cost very-low-field portable scanners offer new opportunities, while enabling imaging outside conventional MRI suites. However, achieving diagnostic-quality images in clinically acceptable scan times remains challenging with these systems. Therefore methods for improving the image quality while reducing the scan duration are highly desirable. Here, we investigate a physics-informed 3D deep unrolled network for the reconstruction of portable MR acquisitions. Our approach includes a novel network architecture that utilizes momentum-based acceleration and leverages complex conjugate symmetry of k-space for improved reconstruction performance. Comprehensive evaluations on emulated datasets as well as 47mT portable MRI acquisitions demonstrate the improved reconstruction quality of the proposed method compared to existing methods.

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arXiv2025

KP-INR: A Dual-Branch Implicit Neural Representation Model for Cardiac Cine MRI Reconstruction

Cardiac Magnetic Resonance (CMR) imaging is a non-invasive method for assessing cardiac structure, function, and blood flow. Cine MRI extends this by capturing heart motion, providing detailed insights into cardiac mechanics. To reduce scan time and breath-hold discomfort, fast acquisition techniques have been utilized at the cost of lowering image quality. Recently, Implicit Neural Representation (INR) methods have shown promise in unsupervised reconstruction by learning coordinate-to-value mappings from undersampled data, enabling high-quality image recovery. However, current existing INR methods primarily focus on using coordinate-based positional embeddings to learn the mapping, while overlooking the feature representations of the target point and its neighboring context. In this work, we propose KP-INR, a dual-branch INR method operating in k-space for cardiac cine MRI reconstruction: one branch processes the positional embedding of k-space coordinates, while the other learns from local multi-scale k-space feature representations at those coordinates. By enabling cross-branch interaction and approximating the target k-space values from both branches, KP-INR can achieve strong performance on challenging Cartesian k-space data. Experiments on the CMRxRecon2024 dataset confirms its improved performance over baseline models and highlights its potential in this field.

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arXiv2025

CMRINet: Joint Groupwise Registration and Segmentation for Cardiac Function Quantification from Cine-MRI

Accurate and efficient quantification of cardiac function is essential for the estimation of prognosis of cardiovascular diseases (CVDs). One of the most commonly used metrics for evaluating cardiac pumping performance is left ventricular ejection fraction (LVEF). However, LVEF can be affected by factors such as inter-observer variability and varying pre-load and after-load conditions, which can reduce its reproducibility. Additionally, cardiac dysfunction may not always manifest as alterations in LVEF, such as in heart failure and cardiotoxicity diseases. An alternative measure that can provide a relatively load-independent quantitative assessment of myocardial contractility is myocardial strain and strain rate. By using LVEF in combination with myocardial strain, it is possible to obtain a thorough description of cardiac function. Automated estimation of LVEF and other volumetric measures from cine-MRI sequences can be achieved through segmentation models, while strain calculation requires the estimation of tissue displacement between sequential frames, which can be accomplished using registration models. These tasks are often performed separately, potentially limiting the assessment of cardiac function. To address this issue, in this study we propose an end-to-end deep learning (DL) model that jointly estimates groupwise (GW) registration and segmentation for cardiac cine-MRI images. The proposed anatomically-guided Deep GW network was trained and validated on a large dataset of 4-chamber view cine-MRI image series of 374 subjects. A quantitative comparison with conventional GW registration using elastix and two DL-based methods showed that the proposed model improved performance and substantially reduced computation time.

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arXiv2025

An imageless magnetic resonance framework for fast and cost-effective decision-making

Magnetic Resonance Imaging (MRI) is the gold standard in countless diagnostic procedures, yet hardware complexity, long scans, and cost preclude rapid screening and point-of-care use. We introduce Imageless Magnetic Resonance Diagnosis (IMRD), a framework that bypasses k-space sampling and image reconstruction by analyzing raw one-dimensional MR signals. We identify potentially impactful embodiments where IMRD requires only optimized pulse sequences for time-domain contrast, minimal low-field hardware, and pattern recognition algorithms to answer clinical closed queries and quantify lesion burden. As a proof of concept, we simulate multiple sclerosis lesions in silico within brain phantoms and deploy two extremely fast protocols (approximately 3 s), with and without spatial information. A 1D convolutional neural network achieves AUC close to 0.95 for lesion detection and R2 close to 0.99 for volume estimation. We also perform robustness tests under reduced signal-to-noise ratio, partial signal omission, and relaxation-time variability. By reframing MR signals as direct diagnostic metrics, IMRD paves the way for fast, low-cost MR screening and monitoring in resource-limited environments.

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arXiv2025

UPCMR: A Universal Prompt-guided Model for Random Sampling Cardiac MRI Reconstruction

Cardiac magnetic resonance imaging (CMR) is vital for diagnosing heart diseases, but long scan time remains a major drawback. To address this, accelerated imaging techniques have been introduced by undersampling k-space, which reduces the quality of the resulting images. Recent deep learning advancements aim to speed up scanning while preserving quality, but adapting to various sampling modes and undersampling factors remains challenging. Therefore, building a universal model is a promising direction. In this work, we introduce UPCMR, a universal unrolled model designed for CMR reconstruction. This model incorporates two kinds of learnable prompts, undersampling-specific prompt and spatial-specific prompt, and integrates them with a UNet structure in each block. Overall, by using the CMRxRecon2024 challenge dataset for training and validation, the UPCMR model highly enhances reconstructed image quality across all random sampling scenarios through an effective training strategy compared to some traditional methods, demonstrating strong adaptability potential for this task.

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arXiv2024

Efficient MedSAMs: Segment Anything in Medical Images on Laptop

Promptable segmentation foundation models have emerged as a transformative approach to addressing the diverse needs in medical images, but most existing models require expensive computing, posing a big barrier to their adoption in clinical practice. In this work, we organized the first international competition dedicated to promptable medical image segmentation, featuring a large-scale dataset spanning nine common imaging modalities from over 20 different institutions. The top teams developed lightweight segmentation foundation models and implemented an efficient inference pipeline that substantially reduced computational requirements while maintaining state-of-the-art segmentation accuracy. Moreover, the post-challenge phase advanced the algorithms through the design of performance booster and reproducibility tasks, resulting in improved algorithms and validated reproducibility of the winning solution. Furthermore, the best-performing algorithms have been incorporated into the open-source software with a user-friendly interface to facilitate clinical adoption. The data and code are publicly available to foster the further development of medical image segmentation foundation models and pave the way for impactful real-world applications.

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arXiv2024

MCP-MedSAM: A Powerful Lightweight Medical Segment Anything Model Trained with a Single GPU in Just One Day

Medical image segmentation involves partitioning medical images into meaningful regions, with a focus on identifying anatomical structures and lesions. It has broad applications in healthcare, and deep learning methods have enabled significant advancements in automating this process. Recently, the introduction of the Segmentation Anything Model (SAM), the first foundation model for segmentation task, has prompted researchers to adapt it for the medical domain to improve performance across various tasks. However, SAM's large model size and high GPU requirements hinder its scalability and development in the medical domain. In this work, we propose MCP-MedSAM, a powerful and lightweight medical SAM model designed to be trainable on a single A100 GPU with 40GB of memory within one day while delivering superior segmentation performance. Recognizing the significant internal differences between modalities and the need for direct segmentation target information within bounding boxes, we introduce two kinds of prompts: the modality prompt and the content prompt. After passing through the prompt encoder, their embedding representations can further improve the segmentation performance by incorporating more relevant information without adding significant training overhead. Additionally, we adopt an effective modality-based data sampling strategy to address data imbalance between modalities, ensuring more balanced performance across all modalities. Our method was trained and evaluated using a large-scale challenge dataset, compared to top-ranking methods on the challenge leaderboard, MCP-MedSAM achieved superior performance while requiring only one day of training on a single GPU. The code is publicly available at \textcolor{blue}{https://github.com/dong845/MCP-MedSAM}.}

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arXiv2024

A Plug-and-Play Method for Guided Multi-contrast MRI Reconstruction based on Content/Style Modeling

Since the various MR contrasts of a given anatomy contain redundant information, one contrast can be used to guide the reconstruction of another undersampled contrast acquired subsequently in the same session. To solve this reconstruction problem leveraging multi-contrast side information, several end-to-end learning-based methods have been proposed. However, a key challenge is the requirement for large paired training datasets comprising raw k-space data and aligned reference images. We propose a modular plug-and-play method, which requires no k-space training data and relies solely on partially paired image-domain datasets. A content/style model of two-contrast MR image data is first learned and subsequently applied as a plug-and-play operator in iterative reconstruction. The disentanglement of content and style allows explicit representation of contrast-independent and contrast-specific factors. Consequently, incorporating prior information into the reconstruction reduces to a simple replacement operation on the aliased content of the estimated image using high-quality content derived from the reference scan. Combining this operation with an MR data consistency step, followed by a corrective procedure for the content estimate, yields an iterative scheme. We name this novel approach PnP-CoSMo. It offers, by design, cross-contrast generalizability and provides an explanatory framework based on the shared and non-shared generative factors underlying the two given contrasts. We explore various aspects, including interpretability and convergence, via simulations. Furthermore, its practicality is demonstrated on the public NYU fastMRI DICOM dataset, showing equivalent or superior quality and greater generalizability compared to end-to-end methods. On two in-house multi-coil datasets, PnP-CoSMo enabled up to 32.6% greater acceleration over non-guided reconstruction at given SSIM.

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