Bridging Synthetic-to-Real Gaps: Frequency-Aware Perturbation and Selection for Single-shot Multi-Parametric Mapping Reconstruction

Data-centric artificial intelligence (AI) has remarkably advanced medical imaging, with emerging methods using synthetic data to address data scarcity while introducing synthetic-to-real gaps. Unsupervised domain adaptation (UDA) shows promise in ground truth-scarce tasks, but its application in reconstruction remains underexplored. Although multiple overlapping-echo detachment (MOLED) achieves ultra-fast multi-parametric reconstruction, extending its application to various clinical scenarios, the quality suffers from deficiency in mitigating the domain gap, difficulty in maintaining structural integrity, and inadequacy in ensuring mapping accuracy. To resolve these issues, we proposed frequency-aware perturbation and selection (FPS), comprising Wasserstein distance-modulated frequency-aware perturbation (WDFP) and hierarchical frequency-aware selection network (HFSNet), which integrates frequency-aware adaptive selection (FAS), compact FAS (cFAS) and feature-aware architecture integration (FAI). Specifically, perturbation activates domain-invariant feature learning within uncertainty, while selection refines optimal solutions within perturbation, establishing a robust and closed-loop learning pathway. Extensive experiments on synthetic data, along with diverse real clinical cases from 5 healthy volunteers, 94 ischemic stroke patients, and 46 meningioma patients, demonstrate the superiority and clinical applicability of FPS. Furthermore, FPS is applied to diffusion tensor imaging (DTI), underscoring its versatility and potential for broader medical applications. The code is available at https://github.com/flyannie/FPS.