Active Sampling for MRI-based Sequential Decision Making

TL;DR

This paper introduces a reinforcement learning framework for adaptive, sequential MRI sampling that reduces data acquisition while maintaining diagnostic accuracy, advancing MRI towards affordable point-of-care use.

Contribution

It presents a novel multi-objective reinforcement learning method for sequential MRI sampling, enabling comprehensive diagnostics with fewer samples than existing approaches.

Findings

Achieves competitive diagnostic performance with fewer samples.

Demonstrates effectiveness in knee pathology assessment tasks.

Substantially reduces k-space sampling compared to benchmarks.

Abstract

Despite the superior diagnostic capability of Magnetic Resonance Imaging (MRI), its use as a Point-of-Care (PoC) device remains limited by high cost and complexity. To enable such a future by reducing the magnetic field strength, one key approach will be to improve sampling strategies. Previous work has shown that it is possible to make diagnostic decisions directly from k-space with fewer samples. Such work shows that single diagnostic decisions can be made, but if we aspire to see MRI as a true PoC, multiple and sequential decisions are necessary while minimizing the number of samples acquired. We present a novel multi-objective reinforcement learning framework enabling comprehensive, sequential, diagnostic evaluation from undersampled k-space data. Our approach during inference actively adapts to sequential decisions to optimally sample. To achieve this, we introduce a training methodology that identifies the samples that contribute the best to each diagnostic objective using a step-wise weighting reward function. We evaluate our approach in two sequential knee pathology assessment tasks: ACL sprain detection and cartilage thickness loss assessment. Our framework achieves diagnostic performance competitive with various policy-based benchmarks on disease detection, severity quantification, and overall sequential diagnosis, while substantially saving k-space samples. Our approach paves the way for the future of MRI as a comprehensive and affordable PoC device. Our code is publicly available at https://github.com/vios-s/MRI_Sequential_Active_Sampling