Diffusion MRI with machine learning
dMRI analysis faces core challenges including severe noise, high inter-scanner and inter-subject variability, and complex microstructural modeling. This study systematically reviews and empirically evaluates machine learning across the full dMRI pipeline—signal denoising, harmonization, microstructural mapping, fiber tractography, and white-matter pathway quantification—and establishes, for the first time, its applicability boundaries. We innovatively integrate CNNs, GANs, VAEs, transfer learning, multi-site harmonization, and explainable AI (XAI), while proposing a benchmark dataset construction and validation framework tailored for clinical deployment. Our analysis identifies shared bottlenecks in model robustness, reproducibility, and interpretability, and identifies generalizability and standardized evaluation as critical leverage points. The work provides a methodological guide and research roadmap for developing trustworthy, reproducible, and interpretable next-generation dMRI analysis tools.