Deep Learning Superresolution for 7T Knee MR Imaging: Impact on Image Quality and Diagnostic Performance

TL;DR

Deep learning superresolution enhances subjective image quality in 7T knee MRI but does not improve diagnostic accuracy over standard low-resolution imaging.

Contribution

This study demonstrates the application of a Hybrid Attention Transformer model for superresolution in 7T knee MRI, showing improved image quality without increased diagnostic accuracy.

Findings

SR images had higher quality than LR

SR images had lower noise than HR

Detection of pathologies was similar across all image types

Abstract

Background: Deep learning superresolution (SR) may enhance musculoskeletal MR image quality, but its diagnostic value in knee imaging at 7T is unclear. Objectives: To compare image quality and diagnostic performance of SR, low-resolution (LR), and high-resolution (HR) 7T knee MRI. Methods: In this prospective study, 42 participants underwent 7T knee MRI with LR (0.8*0.8*2 mm3) and HR (0.4*0.4*2 mm3) sequences. SR images were generated from LR data using a Hybrid Attention Transformer model. Three radiologists assessed image quality, anatomic conspicuity, and detection of knee pathologies. Arthroscopy served as reference in 10 cases. Results: SR images showed higher overall quality than LR (median score 5 vs 4, P<.001) and lower noise than HR (5 vs 4, P<.001). Visibility of cartilage, menisci, and ligaments was superior in SR and HR compared to LR (P<.001). Detection rates and diagnostic performance (sensitivity, specificity, AUC) for intra-articular pathology were similar across image types (P>=.095). Conclusions: Deep learning superresolution improved subjective image quality in 7T knee MRI but did not increase diagnostic accuracy compared with standard LR imaging.