MPFlow: Multi-modal Posterior-Guided Flow Matching for Zero-Shot MRI Reconstruction

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Main Authors: Kim, Seunghoi, Jin, Chen, Tregidgo, Henry F. J., Figini, Matteo, Alexander, Daniel C.
Format: Preprint
Published: 2026
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author Kim, Seunghoi
Jin, Chen
Tregidgo, Henry F. J.
Figini, Matteo
Alexander, Daniel C.
author_facet Kim, Seunghoi
Jin, Chen
Tregidgo, Henry F. J.
Figini, Matteo
Alexander, Daniel C.
contents Zero-shot MRI reconstruction relies on generative priors, but single-modality unconditional priors produce hallucinations under severe ill-posedness. In many clinical workflows, complementary MRI acquisitions (e.g. high-quality structural scans) are routinely available, yet existing reconstruction methods lack mechanisms to leverage this additional information. We propose MPFlow, a zero-shot multi-modal reconstruction framework built on rectified flow that incorporates auxiliary MRI modalities at inference time without retraining the generative prior to improve anatomical fidelity. Cross-modal guidance is enabled by our proposed self-supervised pretraining strategy, Patch-level Multi-modal MR Image Pretraining (PAMRI), which learns shared representations across modalities. Sampling is jointly guided by data consistency and cross-modal feature alignment using pre-trained PAMRI, systematically suppressing intrinsic and extrinsic hallucinations. Extensive experiments on HCP and BraTS show that MPFlow matches diffusion baselines on image quality using only 20% of sampling steps while reducing tumor hallucinations by more than 15% (segmentation dice score). This demonstrates that cross-modal guidance enables more reliable and efficient zero-shot MRI reconstruction.
format Preprint
id arxiv_https___arxiv_org_abs_2603_03710
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle MPFlow: Multi-modal Posterior-Guided Flow Matching for Zero-Shot MRI Reconstruction
Kim, Seunghoi
Jin, Chen
Tregidgo, Henry F. J.
Figini, Matteo
Alexander, Daniel C.
Computer Vision and Pattern Recognition
Artificial Intelligence
Zero-shot MRI reconstruction relies on generative priors, but single-modality unconditional priors produce hallucinations under severe ill-posedness. In many clinical workflows, complementary MRI acquisitions (e.g. high-quality structural scans) are routinely available, yet existing reconstruction methods lack mechanisms to leverage this additional information. We propose MPFlow, a zero-shot multi-modal reconstruction framework built on rectified flow that incorporates auxiliary MRI modalities at inference time without retraining the generative prior to improve anatomical fidelity. Cross-modal guidance is enabled by our proposed self-supervised pretraining strategy, Patch-level Multi-modal MR Image Pretraining (PAMRI), which learns shared representations across modalities. Sampling is jointly guided by data consistency and cross-modal feature alignment using pre-trained PAMRI, systematically suppressing intrinsic and extrinsic hallucinations. Extensive experiments on HCP and BraTS show that MPFlow matches diffusion baselines on image quality using only 20% of sampling steps while reducing tumor hallucinations by more than 15% (segmentation dice score). This demonstrates that cross-modal guidance enables more reliable and efficient zero-shot MRI reconstruction.
title MPFlow: Multi-modal Posterior-Guided Flow Matching for Zero-Shot MRI Reconstruction
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2603.03710