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Main Authors: Sanda, Rohan, Aali, Asad, Johnston, Andrew, Reis, Eduardo, Wetzstein, Gordon, Fridovich-Keil, Sara
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2509.21531
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author Sanda, Rohan
Aali, Asad
Johnston, Andrew
Reis, Eduardo
Wetzstein, Gordon
Fridovich-Keil, Sara
author_facet Sanda, Rohan
Aali, Asad
Johnston, Andrew
Reis, Eduardo
Wetzstein, Gordon
Fridovich-Keil, Sara
contents Magnetic resonance imaging (MRI) requires long acquisition times, raising costs, reducing accessibility, and making scans more susceptible to motion artifacts. Diffusion probabilistic models that learn data-driven priors can potentially assist in reducing acquisition time. However, they typically require large training datasets that can be prohibitively expensive to collect. Patch-based diffusion models have shown promise in learning effective data-driven priors over small real-valued datasets, but have not yet demonstrated clinical value in MRI. We extend the Patch-based Diffusion Inverse Solver (PaDIS) to complex-valued, multi-coil MRI reconstruction, and compare it against a state-of-the-art whole-image diffusion baseline (FastMRI-EDM) for 7x undersampled MRI reconstruction on the FastMRI brain dataset. We show that PaDIS-MRI models trained on small datasets of as few as 25 k-space images outperform FastMRI-EDM on image quality metrics (PSNR, SSIM, NRMSE), pixel-level uncertainty, cross-contrast generalization, and robustness to severe k-space undersampling. In a blinded study with three radiologists, PaDIS-MRI reconstructions were chosen as diagnostically superior in 91.7% of cases, compared to baselines (i) FastMRI-EDM and (ii) classical convex reconstruction with wavelet sparsity. These findings highlight the potential of patch-based diffusion priors for high-fidelity MRI reconstruction in data-scarce clinical settings where diagnostic confidence matters.
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publishDate 2025
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spellingShingle Patch-Based Diffusion for Data-Efficient, Radiologist-Preferred MRI Reconstruction
Sanda, Rohan
Aali, Asad
Johnston, Andrew
Reis, Eduardo
Wetzstein, Gordon
Fridovich-Keil, Sara
Image and Video Processing
Computer Vision and Pattern Recognition
Magnetic resonance imaging (MRI) requires long acquisition times, raising costs, reducing accessibility, and making scans more susceptible to motion artifacts. Diffusion probabilistic models that learn data-driven priors can potentially assist in reducing acquisition time. However, they typically require large training datasets that can be prohibitively expensive to collect. Patch-based diffusion models have shown promise in learning effective data-driven priors over small real-valued datasets, but have not yet demonstrated clinical value in MRI. We extend the Patch-based Diffusion Inverse Solver (PaDIS) to complex-valued, multi-coil MRI reconstruction, and compare it against a state-of-the-art whole-image diffusion baseline (FastMRI-EDM) for 7x undersampled MRI reconstruction on the FastMRI brain dataset. We show that PaDIS-MRI models trained on small datasets of as few as 25 k-space images outperform FastMRI-EDM on image quality metrics (PSNR, SSIM, NRMSE), pixel-level uncertainty, cross-contrast generalization, and robustness to severe k-space undersampling. In a blinded study with three radiologists, PaDIS-MRI reconstructions were chosen as diagnostically superior in 91.7% of cases, compared to baselines (i) FastMRI-EDM and (ii) classical convex reconstruction with wavelet sparsity. These findings highlight the potential of patch-based diffusion priors for high-fidelity MRI reconstruction in data-scarce clinical settings where diagnostic confidence matters.
title Patch-Based Diffusion for Data-Efficient, Radiologist-Preferred MRI Reconstruction
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.21531