Patch-Based Diffusion Reconstruction for Accelerated Cardiac Cine

Abstract

Purpose: To develop and evaluate a diffusion-based reconstruction framework for highly accelerated 2D real-time (RT) cine cardiovascular magnetic resonance imaging (CMR). Methods: We trained an unconditional patch-based diffusion model and incorporated it into a reconstruction framework, termed CineDiff, using diffusion posterior sampling for data consistency. CineDiff was evaluated in four settings: (i) 30 retrospectively undersampled breath-held cine at 1.5T and 3T from healthy participants across multiple acceleration rates, (ii) 15 prospectively undersampled free-breathing RT cine at 1.5T and 3T from patients indicated for clinical CMR, and (iii) 10 prospectively undersampled mid-field (0.55T) free-breathing scans, including five from healthy subjects and five from porcine models. For retrospective undersampling, reconstruction quality was assessed using peak signal-to-noise ratio (PSNR), structural similarity index measure (SSIM), learned perceptual image patch similarity (LPIPS), and deep image structure and texture similarity (DISTS). For prospective undersampling, image quality was evaluated by blinded expert scoring on a 5-point Likert scale. Results: In retrospectively undersampled breath-held cine data, CineDiff achieved higher PSNR and SSIM and lower LPIPS and DISTS than the comparison methods across all evaluated acceleration rates. In prospectively undersampled free-breathing RT cine data, CineDiff received higher expert image-quality scores. Qualitatively, CineDiff reduced block-like artifacts and preserved finer anatomical detail compared with traditional compressed sensing and a variational network method, termed CineVN. Conclusion: CineDiff enabled high-quality reconstruction of highly accelerated 2D RT cine CMR. The method also demonstrated robustness to out-of-distribution data, including mid-field and porcine acquisitions.