# Evaluating the Impact of Intensity Normalization on MR Image Synthesis

arXiv: https://arxiv.org/abs/1812.04652 · HTML: https://mlsanity.com/paper/1812.04652/

## Key facts

- Cited by 26 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 11 Dec 2018.

## Built on by (most cited first, 26 of 26)

- [Federated Learning Enables Big Data for Rare Cancer Boundary Detection](https://mlsanity.com/paper/2204.10836/) (2022)
- [Deep learning-based synthetic-CT generation in radiotherapy and PET: a review](https://mlsanity.com/paper/2102.02734/) (2021)
- [GaNDLF: A Generally Nuanced Deep Learning Framework for Scalable End-to-End Clinical Workflows in Medical Imaging](https://mlsanity.com/paper/2103.01006/) (2021)
- [A Structural Causal Model for MR Images of Multiple Sclerosis](https://mlsanity.com/paper/2103.03158/) (2021)
- [Coordinate Translator for Learning Deformable Medical Image Registration](https://mlsanity.com/paper/2203.03626/) (2022)
- [Similarity and Quality Metrics for MR Image-To-Image Translation](https://mlsanity.com/paper/2405.08431/) (2024)
- [HACA3: A Unified Approach for Multi-site MR Image Harmonization](https://mlsanity.com/paper/2212.06065/) (2022)
- [HyperFusion: A Hypernetwork Approach to Multimodal Integration of Tabular and Medical Imaging Data for Predictive Modeling](https://mlsanity.com/paper/2403.13319/) (2024)
- [Beyond the LUMIR challenge: The pathway to foundational registration models](https://mlsanity.com/paper/2505.24160/) (2025)
- [Vector Field Attention for Deformable Image Registration](https://mlsanity.com/paper/2407.10209/) (2024)
- [SAN-Net: Learning Generalization to Unseen Sites for Stroke Lesion Segmentation with Self-Adaptive Normalization](https://mlsanity.com/paper/2205.04329/) (2022)
- [Deformation equivariant cross-modality image synthesis with paired non-aligned training data](https://mlsanity.com/paper/2208.12491/) (2022)
- [TRUSTED: The Paired 3D Transabdominal Ultrasound and CT Human Data for Kidney Segmentation and Registration Research](https://mlsanity.com/paper/2310.12646/) (2023)
- [Bridging the gap between prostate radiology and pathology through machine learning](https://mlsanity.com/paper/2112.02164/) (2021)
- [Open-radiomics: A Collection of Standardized Datasets and a Technical Protocol for Reproducible Radiomics Machine Learning Pipelines](https://mlsanity.com/paper/2207.14776/) (2022)
- [Estimating Brain Age with Global and Local Dependencies](https://mlsanity.com/paper/2209.08933/) (2022)
- [Radiomics in Medical Imaging: Methods, Applications, and Challenges](https://mlsanity.com/paper/2602.00102/) (2026)
- [Region-based U-net for accelerated training and enhanced precision in deep brain segmentation](https://mlsanity.com/paper/2403.09414/) (2024)
- [MAMOC: MRI Motion Correction via Masked Autoencoding](https://mlsanity.com/paper/2405.14590/) (2024)
- [Separation of Body and Background in Radiological Images. A Practical Python Code](https://mlsanity.com/paper/2409.00442/) (2024)
- [Uncertainty quantification for White Matter Hyperintensity segmentation detects silent failures and improves automated Fazekas quantification](https://mlsanity.com/paper/2411.17571/) (2024)
- [Evaluation of state-of-the-art deep learning models in the segmentation of the heart ventricles in parasternal short-axis echocardiograms](https://mlsanity.com/paper/2503.08970/) (2025)
- [Validation of Various Normalization Methods for Brain Tumor Segmentation: Can Federated Learning Overcome This Heterogeneity?](https://mlsanity.com/paper/2510.07126/) (2025)
- [Post-Operative Glioma Segmentation via Loss Stabilization, Normalization and Subspace Attention](https://mlsanity.com/paper/2607.22749/) (2026)
- [Predictive Enhancement Calibration for Latent Breast MRI Virtual Contrast Enhancement](https://mlsanity.com/paper/2608.03612/) (2026)
- [You Cannot Recover What Was Never Measured: Quantifying the Information Ceiling of Ultra-Low-Field MRI Super-Resolution](https://mlsanity.com/paper/2609.36837/) (2026)

## Abstract (arXiv)

Image synthesis learns a transformation from the intensity features of an input image to yield a different tissue contrast of the output image. This process has been shown to have application in many medical image analysis tasks including imputation, registration, and segmentation. To carry out synthesis, the intensities of the input images are typically scaled--i.e., normalized--both in training to learn the transformation and in testing when applying the transformation, but it is not presently known what type of input scaling is optimal. In this paper, we consider seven different intensity normalization algorithms and three different synthesis methods to evaluate the impact of normalization. Our experiments demonstrate that intensity normalization as a preprocessing step improves the synthesis results across all investigated synthesis algorithms. Furthermore, we show evidence that suggests intensity normalization is vital for successful deep learning-based MR image synthesis.
