Evidence map›Paper›PMID 40711943›Full record

ArticleMagnetic resonance in medicine2025

Quantifying physiological variability and improving reproducibility in 4D-flow MRI cerebrovascular measurements with self-supervised deep learning.

Brock W Jolicoeur, Zaynab S Yardim, Grant S Roberts, Leonardo A Rivera-Rivera, Laura B Eisenmenger, Kevin M Johnson

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brock W JolicoeurDepartment of Biomedical Engineering, University of Wisconsin, Madison, Wisconsin, USA.ORCID https://orcid.org/0009-0002-9354-7103
Zaynab S YardimDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Grant S RobertsDepartment of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0003-1472-4352
Leonardo A Rivera-RiveraDepartment of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Laura B EisenmengerDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Kevin M JohnsonDepartment of Biomedical Engineering, University of Wisconsin, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0002-8660-0853

Funding

Wisconsin Registry for Alzheimer's Prevention: Sex Differences in DNA MethylationR01AG027161 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Nathaniel Ark Chin, Sterling C Johnson · 2007 to 2026
$35.6M
Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sanjay Asthana · 2019 to 2026
$34.5M
The Longitudinal Course of Neural Function and Amyloid in People At Risk for ADR01AG021155 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sterling C Johnson · 2004 to 2026
$27.0M
Non-Invasive Imaging Markers to Elicit the Role of Vascular Involvement in Alzheimer’s DiseaseR01AG075788 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Kevin Michael Johnson · 2022 to 2026
$3.2M
NIA NIH HHS P30 AG062715NIA NIH HHS R01 AG021155NIA NIH HHS R01 AG027161NIA NIH HHS R01 AG075788NIH HHS NIH P30AG062715NIH HHS NIH R01AG021155NIH HHS NIH R01AG075788NIH HHS R01AG027161
6 · The paper itself

Abstract

purposeTo assess the efficacy of self-supervised deep learning (DL) denoising in reducing measurement variability in 4D-Flow MRI, and to clarify the contributions of physiological variation to cerebrovascular hemodynamics.

methodsA self-supervised DL denoising framework was trained on 3D radially sampled 4D-Flow MRI data. The model was evaluated in a prospective test-retest imaging study in which 10 participants underwent multiple 4D-Flow MRI scans. This included back-to-back scans and a single scan interleaved acquisition designed to isolate noise from physiological variations. The effectiveness of DL denoising was assessed by comparing pixelwise velocity and hemodynamic metrics before and after denoising.

resultsDL denoising significantly enhanced the reproducibility of 4D-Flow MRI measurements, reducing the 95% confidence interval of cardiac-resolved velocity from 215 to 142 mm/s in back-to-back scans and from 158 to 96 mm/s in interleaved scans, after adjusting for physiological variation. In derived parameters, DL denoising did not significantly improve integrated measures, such as flow rates, but did significantly improve noise sensitive measures, such as pulsatility index. Physiologic variation in back-to-back time-resolved scans contributed 26.37% ± 0.08% and 32.42% ± 0.05% of standard error before and after DL.

conclusionSelf-supervised DL denoising enhances the quantitative repeatability of 4D-Flow MRI by reducing technical noise; however, variations from physiology and post-processing are not removed. These findings underscore the importance of accounting for both technical and physiological variability in neurovascular flow imaging, particularly for studies aiming to establish biomarkers for neurodegenerative diseases with vascular contributions.

Indexed as

Cerebrovascular CirculationDeep LearningImage Processing, Computer-AssistedMagnetic Resonance ImagingAdultAlgorithmsBlood Flow VelocityBrainFemaleHemodynamicsHumansImaging, Three-DimensionalMaleMiddle AgedProspective StudiesReproducibility of Results4D‐flow MRIdeep learningdenoisingneurodegenerative diseasesphysiological variation

Identifiers

PMID40711943
PMCPMC12501683

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.