# Real-time Cardiovascular MR with Spatio-temporal Artifact Suppression using Deep Learning - Proof of Concept in Congenital Heart Disease

arXiv: https://arxiv.org/abs/1803.05192 · HTML: https://mlsanity.com/paper/1803.05192/

## Key facts

- Cited by 18 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 14 Mar 2018.

## Built on by (most cited first, 18 of 18)

- [Unsupervised MRI Reconstruction via Zero-Shot Learned Adversarial Transformers](https://mlsanity.com/paper/2105.08059/) (2021)
- [Uncertainty Estimation and Propagation in Accelerated MRI Reconstruction](https://mlsanity.com/paper/2308.02631/) (2023)
- [An End-To-End-Trainable Iterative Network Architecture for Accelerated Radial Multi-Coil 2D Cine MR Image Reconstruction](https://mlsanity.com/paper/2102.00783/) (2021)
- [End-to-End 4D Heart Mesh Recovery Across Full-Stack and Sparse Cardiac MRI](https://mlsanity.com/paper/2509.12090/) (2025)
- [A Projection-Based K-space Transformer Network for Undersampled Radial MRI Reconstruction with Limited Training Subjects](https://mlsanity.com/paper/2206.07219/) (2022)
- [Deep Separable Spatiotemporal Learning for Fast Dynamic Cardiac MRI](https://mlsanity.com/paper/2402.15939/) (2024)
- [HyperSLICE: HyperBand optimized Spiral for Low-latency Interactive Cardiac Examination](https://mlsanity.com/paper/2302.02688/) (2023)
- [Data and Physics Driven Learning Models for Fast MRI -- Fundamentals and Methodologies from CNN, GAN to Attention and Transformers](https://mlsanity.com/paper/2204.01706/) (2022)
- [The Past, Current, and Future of Neonatal Intensive Care Units with Artificial Intelligence](https://mlsanity.com/paper/2302.00225/) (2023)
- [RED-PSM: Regularization by Denoising of Factorized Low Rank Models for Dynamic Imaging](https://mlsanity.com/paper/2304.03483/) (2023)
- [NoSENSE: Learned unrolled cardiac MRI reconstruction without explicit sensitivity maps](https://mlsanity.com/paper/2309.15608/) (2023)
- [Attention Incorporated Network for Sharing Low-rank, Image and K-space Information during MR Image Reconstruction to Achieve Single Breath-hold Cardiac Cine Imaging](https://mlsanity.com/paper/2407.03034/) (2024)
- [Deep Learning Assisted Outer Volume Removal for Highly-Accelerated Real-Time Dynamic MRI](https://mlsanity.com/paper/2505.00643/) (2025)
- [Artificial Intelligence-Based Image Reconstruction in Cardiac Magnetic Resonance](https://mlsanity.com/paper/2209.10298/) (2022)
- [Zero-shot Dynamic MRI Reconstruction with Global-to-local Diffusion Model](https://mlsanity.com/paper/2411.03723/) (2024)
- [High Resolution Isotropic 3D Cine imaging with Automated Segmentation using Concatenated 2D Real-time Imaging and Deep Learning](https://mlsanity.com/paper/2506.22532/) (2025)
- [Rapid online deep artifact suppression for real-time spiral bSSFP CMR with blipped-CAIPI simultaneous multi-slice imaging at 1.5 T](https://mlsanity.com/paper/2605.26127/) (2026)
- [Unsupervised Metal Artifact Reduction in Dental CBCT using Fine-tuned Cycle-Consistent Adversarial Networks](https://mlsanity.com/paper/2607.20977/) (2026)

## Abstract (arXiv)

PURPOSE: Real-time assessment of ventricular volumes requires high acceleration factors. Residual convolutional neural networks (CNN) have shown potential for removing artifacts caused by data undersampling. In this study we investigated the effect of different radial sampling patterns on the accuracy of a CNN. We also acquired actual real-time undersampled radial data in patients with congenital heart disease (CHD), and compare CNN reconstruction to Compressed Sensing (CS). METHODS: A 3D (2D plus time) CNN architecture was developed, and trained using 2276 gold-standard paired 3D data sets, with 14x radial undersampling. Four sampling schemes were tested, using 169 previously unseen 3D 'synthetic' test data sets. Actual real-time tiny Golden Angle (tGA) radial SSFP data was acquired in 10 new patients (122 3D data sets), and reconstructed using the 3D CNN as well as a CS algorithm; GRASP. RESULTS: Sampling pattern was shown to be important for image quality, and accurate visualisation of cardiac structures. For actual real-time data, overall reconstruction time with CNN (including creation of aliased images) was shown to be more than 5x faster than GRASP. Additionally, CNN image quality and accuracy of biventricular volumes was observed to be superior to GRASP for the same raw data. CONCLUSION: This paper has demonstrated the potential for the use of a 3D CNN for deep de-aliasing of real-time radial data, within the clinical setting. Clinical measures of ventricular volumes using real-time data with CNN reconstruction are not statistically significantly different from the gold-standard, cardiac gated, BH techniques.
