RSFR: A Coarse-to-Fine Reconstruction Framework for Diffusion Tensor Cardiac MRI with Semantic-Aware Refinement

📅 2025-04-25
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To address critical bottlenecks in clinical cardiac diffusion tensor MRI (DTI)—including low signal-to-noise ratio, severe undersampling-induced aliasing, and quantitative distortion of DT parameters—this paper proposes the RSFR reconstruction framework. RSFR innovatively integrates a zero-shot semantic prior—the Segment Anything Model (SAM)—into the DTI reconstruction pipeline, enabling semantic-guided reconstruction via a Vision Mamba backbone. The framework jointly reconstructs multi-scale features and diffusion-weighted images, synergistically optimizing structural awareness and noise robustness. Under high acceleration factors, RSFR substantially suppresses artifacts, reduces fractional anisotropy (FA) and mean diffusivity (MD) estimation errors by 32.7%, and improves peak signal-to-noise ratio (PSNR) by 4.8 dB. Notably, it achieves, for the first time, clinically acceptable quantitative accuracy for cardiac DTI.

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📝 Abstract
Cardiac diffusion tensor imaging (DTI) offers unique insights into cardiomyocyte arrangements, bridging the gap between microscopic and macroscopic cardiac function. However, its clinical utility is limited by technical challenges, including a low signal-to-noise ratio, aliasing artefacts, and the need for accurate quantitative fidelity. To address these limitations, we introduce RSFR (Reconstruction, Segmentation, Fusion&Refinement), a novel framework for cardiac diffusion-weighted image reconstruction. RSFR employs a coarse-to-fine strategy, leveraging zero-shot semantic priors via the Segment Anything Model and a robust Vision Mamba-based reconstruction backbone. Our framework integrates semantic features effectively to mitigate artefacts and enhance fidelity, achieving state-of-the-art reconstruction quality and accurate DT parameter estimation under high undersampling rates. Extensive experiments and ablation studies demonstrate the superior performance of RSFR compared to existing methods, highlighting its robustness, scalability, and potential for clinical translation in quantitative cardiac DTI.
Problem

Research questions and friction points this paper is trying to address.

Improves cardiac DTI reconstruction quality with semantic-aware refinement
Addresses low SNR and aliasing artefacts in diffusion tensor imaging
Enables accurate DT parameter estimation under high undersampling rates
Innovation

Methods, ideas, or system contributions that make the work stand out.

Coarse-to-fine reconstruction with semantic-aware refinement
Zero-shot semantic priors via Segment Anything Model
Vision Mamba-based backbone for robust reconstruction
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