Abstract

We present FlowMoDL, an unrolled neural network for highly accelerated 4D flow MRI reconstruction that directly optimizes for both anatomical magnitude and phase-derived velocity accuracy. Building on the MoDL framework, FlowMoDL alternates a learned (3+1)D spatiotemporal denoiser with conjugate-gradient data-consistency updates based on the SENSE forward model. A novel dual-pathway conditioning scheme adapts the denoiser features and data-consistency weighting, enabling a single model to handle varying acceleration factors (10× to 50×). To ensure physiological accuracy, the network is trained using a deep-supervision composite loss that explicitly penalizes velocity magnitude and angular errors, stabilized by a curriculum schedule. We evaluate FlowMoDL on the multi-center CMRx4DFlow dataset against classical and deep-learning baselines (CG-SENSE, MoDL, FlowVN, and FlowMRI-Net). A key advantage of FlowMoDL is its superior gradient step efficiency. When evaluated under an equivalent, limited budget of gradient steps, competing flow-specific networks degrade significantly. In contrast, FlowMoDL robustly converges and strictly outperforms all competitors across all acceleration factors in magnitude SSIM, nRMSE, relative velocity error, and angular error, successfully recovering sharp structural details and temporally coherent velocity fields.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/CMRxRecon2026_009.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=tHSB46jBtj

BibTex

@InProceedings{GotTri_FlowMoDL_MICCAISAT2026,
        author = { Gottwald, Tristan AND Bruch, Michelle AND Hassan, Mubashir-Ul AND Alickovic, Fatma AND Kloiber, Milan AND Tenbrinck, Daniel AND Panholzer, Torsten AND Schaller, Melanie AND Hutter, Jana},
        title = { { FlowMoDL: Model-Based Deep Learning with Conjugate-Gradient Data Consistency for Highly Accelerated 4D Flow MRI Reconstruction } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17267},
        month = {pending},
        page = {pending}
}


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