# Self-Auditing Residual Drifting for Pathology-Preserving Accelerated Knee MRI

arXiv: https://arxiv.org/abs/2607.02428 · HTML: https://mlsanity.com/paper/2607.02428/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 23 of its 35 references that are in the map.
- First posted on arXiv 2 Jul 2026.

## Builds on (most cited first, 23 of 23)

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Attention-based Deep Multiple Instance Learning](https://mlsanity.com/paper/1802.04712/) (2018)
- [Selective Classification for Deep Neural Networks](https://mlsanity.com/paper/1705.08500/) (2017)
- [fastMRI: An Open Dataset and Benchmarks for Accelerated MRI](https://mlsanity.com/paper/1811.08839/) (2018)
- [MoDL: Model Based Deep Learning Architecture for Inverse Problems](https://mlsanity.com/paper/1712.02862/) (2017)
- [Learning a Variational Network for Reconstruction of Accelerated MRI Data](https://mlsanity.com/paper/1704.00447/) (2017)
- [Score-based diffusion models for accelerated MRI](https://mlsanity.com/paper/2110.05243/) (2021)
- [A Deep Cascade of Convolutional Neural Networks for Dynamic MR Image Reconstruction](https://mlsanity.com/paper/1704.02422/) (2017)
- [End-to-End Variational Networks for Accelerated MRI Reconstruction](https://mlsanity.com/paper/2004.06688/) (2020)
- [Confidence Calibration and Predictive Uncertainty Estimation for Deep Medical Image Segmentation](https://mlsanity.com/paper/1911.13273/) (2019)
- [Generative Modeling via Drifting](https://mlsanity.com/paper/2602.04770/) (2026)
- [Uncertainty Quantification in Deep MRI Reconstruction](https://mlsanity.com/paper/1901.11228/) (2019)
- [SKM-TEA: A Dataset for Accelerated MRI Reconstruction with Dense Image Labels for Quantitative Clinical Evaluation](https://mlsanity.com/paper/2203.06823/) (2022)
- [High-Frequency Space Diffusion Models for Accelerated MRI](https://mlsanity.com/paper/2208.05481/) (2022)
- [Learning Fourier-Constrained Diffusion Bridges for MRI Reconstruction](https://mlsanity.com/paper/2308.01096/) (2023)
- [SPIRiT-Diffusion: Self-Consistency Driven Diffusion Model for Accelerated MRI](https://mlsanity.com/paper/2304.05060/) (2023)
- [Comparative Benchmarking of Failure Detection Methods in Medical Image Segmentation: Unveiling the Role of Confidence Aggregation](https://mlsanity.com/paper/2406.03323/) (2024)
- [Learning to Predict Error for MRI Reconstruction](https://mlsanity.com/paper/2002.05582/) (2020)
- [Estimating MRI Image Quality via Image Reconstruction Uncertainty](https://mlsanity.com/paper/2106.10992/) (2021)
- [PixCUE: Joint Uncertainty Estimation and Image Reconstruction in MRI using Deep Pixel Classification](https://mlsanity.com/paper/2303.00111/) (2023)
- [RDDM: A Residual-Driven Drifting Model for High-Fidelity Low-Dose CT Denoising](https://mlsanity.com/paper/2605.17188/) (2026)

## Abstract (arXiv)

Accelerated magnetic resonance imaging reduces acquisition time, but reconstruction from undersampled k-space can blur diagnostically relevant structures or introduce failures that are not captured by global image metrics. We propose SA-RDM-DC, a Self-Auditing Residual generative Drifting Model with Data Consistency for accelerated knee MRI. The method adapts the newly proposed generative drifting paradigm to accelerated MRI by training a physics-conditioned drift field from the zero-filled reconstruction toward the fully sampled residual correction. It predicts image- and missing-k-space residual corrections, enforces data consistency with acquired k-space, uses frequency-aware and residual drifting supervision to recover fine detail, and produces dense error maps and slice-level risk scores in the same inference pass. We evaluate SA-RDM-DC on multi-coil fastMRI knee data at acceleration factors of 4, 8, and 12, with fastMRI+ pathology annotations for region-level and classifier-based task preservation, and on SKM-TEA for zero-shot and fine-tuned protocol-shift evaluation. Compared with zero-filled reconstruction, UNet-image-SENSE, DC-UNet, Score-Diffusion, ELF-Diff, SENSE-VarNet, and MoDL baselines, SA-RDM-DC achieves the highest SSIM across fastMRI acceleration factors while retaining subsecond per-slice inference and avoiding the long sampling time of iterative diffusion baselines. In pathology-aware analysis, SA-RDM-DC preserves lesion-region structural fidelity and reduces meniscus prediction instability. Its self-auditing scores strongly identify high-error reconstructions on fastMRI and partially transfer as a selective-review signal under SKM-TEA protocol shift. These results support reconstruction evaluation that jointly considers image fidelity, pathology preservation, runtime, and case-specific reliability.