Abstract

Reconstructing healthy tissue in a voided brain MRI is hardest in the interior of large voids, where the missing structure is underdetermined by the surrounding context. To address this, we propose a retrieval-augmented wavelet di usion model that conditions the reconstruction on an estimate of the missing tissue constructed from other subjects. For each case, we retrieve the most similar real brains and average the nearest donors into a prior, and the prior is concatenated to the wavelet-domain input and  ne-tuned end to end. To improve the generation of healthy tissue, we further use lesion-free brains from the Human Connectome Project both as additional training data and for the retrieval donor pool. On a held-out split of the BraTS 2026 inpainting data, the merged prior improves over a strong unconditioned di usion baseline, reaching an SSIM of 0.879; a size-resolved analysis shows that the residual error is concentrated in the interior of large voids. Our results indicate that a merged retrieved-donor prior is a promising strategy to supply the non-redundant structure that context alone cannot recover.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/BraTS_Inpainting_019.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=xMP3iml8xh

BibTex

@InProceedings{PerSan_RetrievalAugmented_MICCAISAT2026,
        author = { Persson, Sanna AND Bendazzoli, Simone AND Moreno, Rodrigo},
        title = { { Retrieval-Augmented Wavelet Diffusion for Local Synthesis of Healthy Brain Tissue } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17254},
        month = {pending},
        page = {pending}
}


back to top