Ultra-Strong Gradient Diffusion MRI with Self-Supervised Learning for Prostate Cancer Characterization

TL;DR

This study demonstrates that combining ultra-strong gradient MRI with deep learning-based self-supervised VERDICT fitting significantly improves prostate cancer microstructural characterization, offering higher contrast and more stable parameter estimates.

Contribution

The paper introduces enhanced deep learning approaches for ssVERDICT fitting that outperform traditional methods, especially when used with ultra-strong gradient MRI data.

Findings

Dense ssVERDICT increases CNR by 47%

Reduces inter-patient variability by 52%

Provides clearer tumor-normal contrast

Abstract

Diffusion MRI (dMRI) enables non-invasive assessment of prostate microstructure but conventional dMRI metrics such as the Apparent Diffusion Coefficient in multiparametric MRI and reflect a mixture of underlying tissues features rather than distinct histologic characteristics. Integrating dMRI with the compartment-based biophysical VERDICT (Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumours) framework offers richer microstructural insights, though clinical gradient systems (40-80 mT/m) often suffer from poor signal-to-noise ratio at stronger diffusion weightings due to prolonged echo times. Ultra-strong gradients (e.g., 300 mT/m) can mitigate these limitations by improving SNR and contrast-to-noise ratios. This study investigates whether physics-informed self-supervised VERDICT (ssVERDICT) fitting when combined with ultra-strong gradient data, enhances prostate microstructural characterization relative to current fitting approaches and clinical gradient systems. We developed enhanced ssVERDICT fitting approaches using dense multilayer perceptron and convolutional U-Net architectures, comparing them against non-linear least-squares (NLLS) VERDICT fitting, original ssVERDICT implementation, and Diffusion Kurtosis Imaging across clinical- to ultra-strong gradient systems. For the same ultra-strong gradient data, Dense ssVERDICT outperformed NLLS VERDICT, boosting median CNR by 47%, cutting inter-patient Coefficient of Variation by 52%, and reducing pooled $f_{ic}$ variation by 50%. Overall, Dense ssVERDICT delivered the highest CNR, the most stable parameter estimates, and the clearest tumour-normal contrast compared with conventional fitting methods and clinical gradient systems. These findings underscore that meaningful gains in non-invasive prostate cancer characterization arise from the combination of advanced gradient systems and deep learning-based modelling.