arXiv subjects

Orso Pusterla

Publications and source records attributed to Orso Pusterla.

4 recordsLinked to original sources

arXiv2026

Portable surrogate-free 4D MRI from standard fast multi-slice 2D MRI via implicit neural representations

Four-dimensional MRI (4D MRI) characterizes respiratory organ motion, yet existing reconstruction pipelines are tightly coupled to specific acquisition platforms (e.g., non-Cartesian trajectories with self-gating, vendor-specific navigators, or external respiratory hardware), limiting broad adoption across diverse clinical and research settings, including low-field, open-bore, and non-supine imaging. We present SIMPLE-4D (Surrogate-free, IMplicit, PortabLE 4D MRI), a software-first portable workflow that operates entirely on reconstructed slices from standard fast multi-slice 2D MRI and requires no pulse-sequence modification, no non-Cartesian trajectory, no navigator, and no external hardware. SIMPLE-4D combines an acquisition-agnostic front end consuming standard 2D protocols, a surrogate-free variational motion encoder that extracts a compact motion code directly from each 2D slice, and a physics-aware continuous spatio-temporal reconstruction based on a hash-encoded implicit neural representation (INR) with a SIREN deformation network producing bidirectional cycle-consistent DVFs and motion-dependent Gauss-Legendre thick-slice quadrature. Bidirectionality yields a complete inter-frame motion model by composition, supporting downstream tasks such as dose accumulation without retraining. We validate the identical pipeline on two contrasting datasets: a 1.5 T clinical bSSFP dataset (5 volunteers, 3 sessions each) and a 0.5 T open-bore HASTE dataset (5 volunteers, supine and upright). To our knowledge, this is the first per-frame 4D volumetric respiratory MRI reconstruction on a weight-bearing upright open-bore low-field scanner from reconstructed 2D Cartesian slices alone. On low-field data the INR template additionally acts as an implicit denoiser, yielding +132% SNR. Systematic ablations isolate each component's contribution.

physics.med-ph↗

arXiv2025

CPT-4DMR: Continuous sPatial-Temporal Representation for 4D-MRI Reconstruction

Four-dimensional MRI (4D-MRI) is an promising technique for capturing respiratory-induced motion in radiation therapy planning and delivery. Conventional 4D reconstruction methods, which typically rely on phase binning or separate template scans, struggle to capture temporal variability, complicate workflows, and impose heavy computational loads. We introduce a neural representation framework that considers respiratory motion as a smooth, continuous deformation steered by a 1D surrogate signal, completely replacing the conventional discrete sorting approach. The new method fuses motion modeling with image reconstruction through two synergistic networks: the Spatial Anatomy Network (SAN) encodes a continuous 3D anatomical representation, while a Temporal Motion Network (TMN), guided by Transformer-derived respiratory signals, produces temporally consistent deformation fields. Evaluation using a free-breathing dataset of 19 volunteers demonstrates that our template- and phase-free method accurately captures both regular and irregular respiratory patterns, while preserving vessel and bronchial continuity with high anatomical fidelity. The proposed method significantly improves efficiency, reducing the total processing time from approximately five hours required by conventional discrete sorting methods to just 15 minutes of training. Furthermore, it enables inference of each 3D volume in under one second. The framework accurately reconstructs 3D images at any respiratory state, achieves superior performance compared to conventional methods, and demonstrates strong potential for application in 4D radiation therapy planning and real-time adaptive treatment.

cs.CV↗

arXiv2024

An automated pipeline for computation and analysis of functional ventilation and perfusion lung MRI with matrix pencil decomposition: TrueLung

Purpose: To introduce and evaluate TrueLung, an automated pipeline for computation and analysis of free-breathing and contrast-agent free pulmonary functional MRI. Material and Methods: time-resolved ultra-fast bSSFP acquisitions are transferred to TrueLung, which includes image quality checks, image registration, and computation of perfusion and ventilation maps with matrix pencil decomposition. Neural network whole-lung and lobar segmentations allow quantification of impaired relative perfusion (RQ) and fractional ventilation (RFV). TrueLung delivers functional maps and quantitative outcomes, reported for clinicians in concise documents. We evaluated the pipeline in 75 cystic fibrosis children. Whole-lung and lobar segmentations were manually refined when necessary, and the impact on RQ and RFV was quantified. Results: Functional imaging was performed at 7.9 $\pm$ 1.8 (mean $\pm$ SD) coronal slice positions per patient, totaling on average 6min 20s scan time per patient. The whole pipeline required 20min calculation time per subject. TrueLung delivered the functional maps of all the subjects for radiological assessment. Quality controlling maps and segmentations lasted 1min 12s per patient. The automated segmentations and quantification of whole-lung defects were satisfying in 88% of patients (97% of slices) and the lobar quantification in 73% (93% of slices). The segmentations refinements required 16s per patient for the whole-lung, and 2min 10s for the lobe masks. The relative differences in RFV and RQ between fully-automated and manually refined data were marginal. Conclusions: TrueLung quickly delivers functional maps and quantitative outcomes in an objective and standardized way, suitable for radiological and pneumological assessment with minimal manual input. TrueLung can be used for clinical research in cystic fibrosis and might be applied across various lung diseases.

physics.med-ph↗

arXiv2021

MRI lung lobe segmentation in pediatric cystic fibrosis patients using a recurrent neural network trained with publicly accessible CT datasets

Purpose: To introduce a widely applicable workflow for pulmonary lobe segmentation of MR images using a recurrent neural network (RNN) trained with chest computed tomography (CT) datasets. The feasibility is demonstrated for 2D coronal ultra-fast balanced steady-state free precession (ufSSFP) MRI. Methods: Lung lobes of 250 publicly accessible CT datasets of adults were segmented with an open-source CT-specific algorithm. To match 2D ufSSFP MRI data of pediatric patients, both CT data and segmentations were translated into pseudo-MR images, masked to suppress anatomy outside the lung. Network-1 was trained with pseudo-MR images and lobe segmentations, and applied to 1000 masked ufSSFP images to predict lobe segmentations. These outputs were directly used as targets to train Network-2 and Network-3 with non-masked ufSSFP data as inputs, and an additional whole-lung mask as input for Network-2. Network predictions were compared to reference manual lobe segmentations of ufSSFP data in twenty pediatric cystic fibrosis patients. Manual lobe segmentations were performed by splitting available whole-lung segmentations into lobes. Results: Network-1 was able to segment the lobes of ufSSFP images, and Network-2 and Network-3 further increased segmentation accuracy and robustness. The average all-lobe Dice similarity coefficients were 95.0$\pm$2.8 (mean$\pm$pooled SD [%]), 96.4$\pm$2.0, 93.0$\pm$2.0, and the average median Hausdorff distances were 6.1$\pm$0.9 (mean$\pm$SD [mm]), 5.3$\pm$1.1, 7.1$\pm$1.3, for Network-1, Network-2, and Network-3, respectively. Conclusions: RNN lung lobe segmentation of 2D ufSSFP imaging is feasible, in good agreement with manual segmentations. The proposed workflow might provide access to automated lobe segmentations for various lung MRI examinations and quantitative analyses.

physics.med-ph↗