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arXiv 2603.05693eess.IVcs.AIcs.CV
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通过3D区域感知扩散进行脑部MRI的纵向病变修复

Longitudinal Lesion Inpainting in Brain MRI via 3D Region Aware Diffusion

Zahra Karimaghaloo, Dumitru Fetco, Haz-Edine Assemlal, Hassan Rivaz, Douglas L. Arnold

AI总结:

本文提出基于DDPM的新型伪3D纵向修复框架,利用多通道条件结合不同时间点的纵向信息,提高病变修复的感知保真度和纵向稳定性,同时提升处理效率。

摘要:

准确的纵向脑部MRI分析常因病变演变而受阻,这会偏移自动化神经影像流水线。尽管深度生成模型在修复这些病变方面显示出潜力,但大多数现有方法在横向切片上操作或缺乏3D解剖连续性。我们提出了一种基于去噪扩散概率模型(DDPM)的新型伪3D纵向修复框架。我们的方法利用多通道条件,结合不同访问时间(t_1, t_2)的纵向上下文,并将区域感知扩散(RAD)扩展到医学领域,将生成过程聚焦于病理性区域而不改变周围健康组织。我们在93名患者的纵向脑部MRI上评估了我们的模型。我们的模型在感知保真度方面显著优于最先进的基线(FastSurfer-LIT),将学习感知图像块相似性(LPIPS)距离从0.07降至0.03,同时有效消除切片间不连续性。此外,我们的模型在纵向稳定性方面表现出色,时间保真度指数为1.024,接近理想值1.0,并显著缩小了与LIT的TFI 1.22之间的差距。值得注意的是,RAD机制在效率上提供了显著的提升;我们的框架在每个体积上的平均处理时间为2.53分钟,比LIT所需的24.30分钟快约10倍。通过利用纵向先验和区域特定去噪,我们的框架为研究进行性神经退行性疾病提供了高度可靠且高效的预处理步骤。一个由93个预处理扫描构成的衍生数据集将在接受后提供给请求者。代码将在接受后发布。

英文摘要:

Accurate longitudinal analysis of brain MRI is often hindered by evolving lesions, which bias automated neuroimaging pipelines. While deep generative models have shown promise in inpainting these lesions, most existing methods operate cross-sectionally or lack 3D anatomical continuity. We present a novel pseudo-3D longitudinal inpainting framework based on Denoising Diffusion Probabilistic Models (DDPM). Our approach utilizes multi-channel conditioning to incorporate longitudinal context from distinct visits (t_1, t_2) and extends Region-Aware Diffusion (RAD) to the medical domain, focusing the generative process on pathological regions without altering surrounding healthy tissue. We evaluated our model against state-of-the-art baselines on longitudinal brain MRI from 93 patients. Our model significantly outperforms the leading baseline (FastSurfer-LIT) in terms of perceptual fidelity, reducing the Learned Perceptual Image Patch Similarity (LPIPS) distance from 0.07 to 0.03 while effectively eliminating inter-slice discontinuities. Furthermore, our model demonstrates high longitudinal stability with a Temporal Fidelity Index of 1.024, closely approaching the ideal value of 1.0 and substantially narrowing the gap compared to LIT's TFI of 1.22. Notably, the RAD mechanism provides a substantial gain in efficiency; our framework achieves an average processing time of 2.53 min per volume, representing approximately 10x speedup over the 24.30 min required by LIT. By leveraging longitudinal priors and region-specific denoising, our framework provides a highly reliable and efficient preprocessing step for the study of progressive neurodegenerative diseases. A derivative dataset consisting of 93 pre-processed scans used for testing will be available upon request after acceptance. Code will be released upon acceptance.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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