RT Journal Article SR Electronic T1 Leveraging Physics-Based Synthetic MR Images and Deep Transfer Learning for Artifact Reduction in Echo-Planar Imaging JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 733 OP 741 DO 10.3174/ajnr.A8566 VO 46 IS 4 A1 Raymond, Catalina A1 Yao, Jingwen A1 Clifford, Bryan A1 Feiweier, Thorsten A1 Oshima, Sonoko A1 Telesca, Donatello A1 Zhong, Xiaodong A1 Meyer, Heiko A1 Everson, Richard G. A1 Salamon, Noriko A1 Cloughesy, Timothy F. A1 Ellingson, Benjamin M. YR 2025 UL http://www.ajnr.org/content/46/4/733.abstract AB BACKGOUND AND PURPOSE: This study utilizes a physics-based approach to synthesize realistic MR artifacts and train a deep learning generative adversarial network (GAN) for use in artifact reduction on EPI, a crucial neuroimaging sequence with high acceleration that is notoriously susceptible to artifacts.MATERIALS AND METHODS: A total of 4,573 anatomical MR sequences from 1,392 patients undergoing clinically indicated MRI of the brain were used to create a synthetic data set using physics-based, simulated artifacts commonly found in EPI. By using multiple MRI contrasts, we hypothesized the GAN would learn to correct common artifacts while preserving the inherent contrast information, even for contrasts the network has not been trained on. A modified Pix2PixGAN architecture with an Attention-R2UNet generator was used for the model. Three training strategies were employed: (1) An “all-in-one” model trained on all the artifacts at once; (2) a set of “single models”, one for each artifact; and a (3) “stacked transfer learning” approach where a model is first trained on one artifact set, then this learning is transferred to a new model and the process is repeated for the next artifact set. Lastly, the “Stacked Transfer Learning” model was tested on ADC maps from single-shot diffusion MRI data in N = 49 patients diagnosed with recurrent glioblastoma to compare visual quality and lesion measurements between the natively acquired images and AI-corrected images.RESULTS: The “stacked transfer learning” approach had superior artifact reduction performance compared to the other approaches as measured by Mean Squared Error (MSE = 0.0016), Structural Similarity Index (SSIM = 0.92), multiscale SSIM (MS-SSIM = 0.92), peak signal-to-noise ratio (PSNR = 28.10), and Hausdorff distance (HAUS = 4.08mm), suggesting that leveraging pre-trained knowledge and sequentially training on each artifact is the best approach this application. In recurrent glioblastoma, significantly higher visual quality was observed in model predicted images compared to native images, while quantitative measurements within the tumor regions remained consistent with non-corrected images.CONCLUSIONS: The current study demonstrates the feasibility of using a physics-based method for synthesizing a large data set of images with realistic artifacts and the effectiveness of utilizing this synthetic data set in a “stacked transfer learning” approach to training a GAN for reduction of EPI-based artifacts.BTIPbrain tumor imaging protocolGANgenerative adversarial networkHAUSHausdorff distanceMS-SSIMmultiscale structural similarity indexMSEmean square errorNAWMNormal Appearing White MatterPSNRpeak signal to noise ratioRANOResponse Assessment in Neuro OncologyRASRight, Anterior, SuperiorSSIMstructural similarity index