{"title":"Significance of Papillary and Trabecular Muscular Volume in Right Ventricular Volumetry with Cardiac MR Imaging.","authors":"Yuki Shibagaki, Hideharu Oka, Rina Imanishi, Sorachi Shimada, Kouichi Nakau, Satoru Takahashi","doi":"10.2463/mrms.mp.2025-0015","DOIUrl":"10.2463/mrms.mp.2025-0015","url":null,"abstract":"<p><strong>Purpose: </strong>Pulmonary valve regurgitation after repaired Tetralogy of Fallot (TOF) or double-outlet right ventricle (DORV) causes hypertrophy and papillary muscle enlargement. Cardiac magnetic resonance imaging (CMR) can evaluate the right ventricular (RV) dilatation, but the effect of trabecular and papillary muscle (TPM) exclusion on RV volume for TOF or DORV reoperation decision is unclear.</p><p><strong>Methods: </strong>Twenty-three patients with repaired TOF or DORV, and 19 healthy controls aged ≥15, underwent CMR from 2012 to 2022. TPM volume is measured by artificial intelligence. Reoperation was considered when RV end-diastolic volume index (RVEDVI) >150 mL/m<sup>2</sup> or RV end-systolic volume index (RVESVI) >80 mL/m<sup>2</sup>.</p><p><strong>Results: </strong>RV volumes were higher in the disease group than controls (P α 0.001). RV mass and TPM volumes were higher in the disease group (P α 0.001). The reduction rate of RV volumes due to the exclusion of TPM volume was 6.3% (2.1-10.5), 11.7% (6.9-13.8), and 13.9% (9.5-19.4) in the control, volume load, and volume α pressure load groups, respectively. TPM/RV volumes were higher in the volume α pressure load group (control: 0.07 g/mL, volume: 0.14 g/mL, volume α pressure: 0.17 g/mL), and correlated with QRS duration (R α 0.77). In 3 patients in the volume α pressure, RV volume included TPM was indicated for reoperation, but when RV volume was reduced by TPM removal, reoperation was no indicated.</p><p><strong>Conclusion: </strong>RV volume measurements, including TPM in volume α pressure load, may help determine appropriate volume recommendations for reoperation.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moxibustion Stimulation Induces Changes in Brain Activity: A Functional MR Imaging Study.","authors":"Hiroko Nagata, Masahiro Umeda, Tomokazu Murase","doi":"10.2463/mrms.mp.2024-0128","DOIUrl":"10.2463/mrms.mp.2024-0128","url":null,"abstract":"<p><strong>Purpose: </strong>Acupuncture is believed to significantly modify neural circuits in the brain. However, the effects of moxibustion stimulation remain unclear. Therefore, we used functional MRI to investigate brain activation sites induced by moxibustion stimulation using an electric moxibustion device that mimics Japanese Tonetsu-kyu half-grain-sized direct moxibustion.</p><p><strong>Methods: </strong>Twenty-two healthy adult participants underwent 6 rounds of 7-s moxibustion stimulations on the right acupuncture point ST36 using electric moxibustion during functional MRI measurement. The maximum output temperature of electric moxibustion was 67.5°C. However, the contact surface temperature was adjusted to 58.6 ± 0.1°C using cooking wrap to avoid small burns caused by heating. The ON time was divided into 3 periods: ON1, 2s from the start of moxibustion stimulation (<45°C); ON2, 5s from 2s after the start of output to the end of stimulation (>45°C); and ON3, 3s after the completion of stimulation. Each block was designed with all options other than ON set to OFF.</p><p><strong>Results: </strong>Common and different activations were observed in all ON times. During stimulation, common activation was observed in the insula, S1, and supramarginal gyrus. Activation in the central operculum, frontal operculum and supplementary motor area was observed only in the ON1 condition, while activation in the frontal pole, cerebellum, and right S2 was observed only in the ON2 condition. Using electric moxibustion that mimics a grain-sized direct moxa cone, common and different activations were confirmed from the start of output to 45°C and above 45°C, and the activation was sustained after the completion of stimulation.</p><p><strong>Conclusion: </strong>This study showed that moxibustion could affect almost the same areas of pain-related regions. Based on the findings of this study, further research on moxibustion-induced brain activation may help elucidate the mechanism of its therapeutic effects.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Detecting the Stage of Fibrosis in Non-alcoholic Fatty Liver Disease by 9.4T Phosphorus Magnetic Resonance Spectroscopy.","authors":"Haoxiang Li, Lin Yao, Zhongli Xiao, Shaolin Li","doi":"10.2463/mrms.mp.2024-0080","DOIUrl":"https://doi.org/10.2463/mrms.mp.2024-0080","url":null,"abstract":"<p><strong>Purpose: </strong>To study the potential advantages of phosphorus magnetic resonance spectroscopy (<sup>31</sup>P-MRS) in differentiating advanced from mild fibrosis in non-alcoholic fatty liver disease (NAFLD) and early diagnosis at high field strength MR (9.4 Tesla).</p><p><strong>Methods: </strong>Fibrosis of normal and carbon tetrachloride (CCl<sub>4</sub>)-treated male rats was staged into: none (F0), perisinusoidal or periportal (F1), perisinusoidal and portal/periportal (F2), bridging fibrosis (F3) and cirrhosis (F4) by Sirius Red staining. The degree of steatosis and inflammatory activity were also graded based on Hematoxylin and Eosin staining. Rats were divided into different groups by different stages of fibrosis (F0, F1-2, F3-4) and laboratory blood tests were performed to verify the degree of liver injury. <sup>31</sup>P-MRS was performed at 9.4T MR to obtain signal peaks of different phosphorus metabolites and the changes of the ratios between the peaks were observed.</p><p><strong>Results: </strong>At 9.4 T, phosphoethanolamine (PE), phosphocholine (PC) and glycerophosphorylethanolamine (GPE), glycerophosphorylcholine (GPC) could be separated respectively from the peaks of phosphomonoesters (PME) and phosphodiesters (PDE), meanwhile nicotinamide adenine dinucleotide phosphate (NADPH) and uridine diphosphate glucose (UDPG) showed up as well. The marker of cell membrane metabolism, in F1-2, PME/PDE (P < 0.001), PC/GPE (P < 0.01), PC/GPC (P < 0.05) and PC/(PME + PDE) (P < 0.05) decreased while GPE/(PME + PDE) (P < 0.05) and GPC/(PME + PDE) (P < 0.05) increased significantly. In F3-4, there was a recovery trend of most ratios, especially for PC/(PME + PDE) (P < 0.05). As for the main ratio related to energy metabolism, β-ATP/P<sub>total</sub> (P < 0.05) decreased in the early stage of the disease (F1-2) and this decline was maintained in advanced stage (F3-4). NADPH/P<sub>total</sub> (P < 0.01) and β-ATP/Pi (inorganic phosphate) (P < 0.05) ratio was lower in F3-4 comparing with F0.</p><p><strong>Conclusion: </strong><sup>31</sup>P-MRS can generally stage the liver fibrosis by comparing the ratios of the phosphorus metabolites resonance peaks at 9.4 T and more importantly it can be used for early diagnosis.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aortic Disturbed Flow Is Associated with Aortic Angle in Patients with Tetralogy of Fallot or Double-Outlet Right Ventricle.","authors":"Hideharu Oka, Kouichi Nakau, Rina Imanishi, Kazunori Fukao, Sadahiro Nakagawa, Tatsuya Suzuki, Satoru Takahashi","doi":"10.2463/mrms.mp.2024-0203","DOIUrl":"https://doi.org/10.2463/mrms.mp.2024-0203","url":null,"abstract":"<p><strong>Purpose: </strong>Aortopathy, characterized by aortic dilatation caused by cystic medial necrosis, typically develops in adulthood but has been observed at a young age in patients with tetralogy of Fallot. We hypothesized that some patients with tetralogy of Fallot or double-outlet right ventricle experience early-onset aortic disturbed flow. This study aimed to identify and analyze the causes of disturbed flow using 4D flow MRI.</p><p><strong>Methods: </strong>This study included 24 patients who underwent 4D flow MRI at our institution between January 2022 and September 2024. MRI and cardiac catheterization were performed during follow-up. 4D flow MRI was used to detect disturbed flow and investigate its underlying causes.</p><p><strong>Results: </strong>The mean age of patients with tetralogy of Fallot or double-outlet right ventricle was 12 years (range, 1 to 37 years). Of the 24 participants, 11 (46%) exhibited disturbed flow. Patients with disturbed flow had significantly higher Valsalva Z-scores (4.7 ± 3.1 vs. 2.4 ± 1.4, P = 0.013) and a significantly narrower left ventricular outflow tract-ascending aorta angle (113.5 ± 11.6 vs. 127.1 ± 6.7°, P = 0.002). Wall shear stress and energy loss were not significantly different between the 2 groups.</p><p><strong>Conclusion: </strong>Aortic disturbed flow may occur in patients with tetralogy of Fallot or double-outlet right ventricle, regardless of age, suggesting an association with the left ventricular outflow tract-ascending aorta angle. The occurrence of disturbed flow at a young age should be noted as it may contribute to the future progression of aortopathy.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utility of Thin-slice Single-shot T2-weighted MR Imaging with Deep Learning Reconstruction as a Protocol for Evaluating Pancreatic Cystic Lesions.","authors":"Kumi Ozaki, Hanae Hasegawa, Jihun Kwon, Yasutomo Katsumata, Masami Yoneyama, Shota Ishida, Takafumi Iyoda, Masataka Sakamoto, Shuuhei Aramaki, Yukichi Tanahashi, Satoshi Goshima","doi":"10.2463/mrms.mp.2025-0042","DOIUrl":"https://doi.org/10.2463/mrms.mp.2025-0042","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effects of industry-developed deep learning reconstruction with super resolution (DLR-SR) on single-shot turbo spin-echo (SshTSE) images with thickness of 2 mm with DLR (SshTSE<sup>2mm</sup>) relative to those of images with a thickness of 5 mm with DLR (SSshTSE<sup>5mm</sup>) in the patients with pancreatic cystic lesions.</p><p><strong>Methods: </strong>Thirty consecutive patients who underwent abdominal MRI examinations because of pancreatic cystic lesions under observation between June 2024 and July 2024 were enrolled. We qualitatively and quantitatively evaluated the image qualities of SshTSE<sup>2mm</sup> and SshTSE<sup>5mm</sup> with and without DLR-SR.</p><p><strong>Results: </strong>The SNRs of the pancreas, spleen, paraspinal muscle, peripancreatic fat, and pancreatic cystic lesions of SshTSE<sup>2mm</sup> with and without DLR-SR did not decrease in compared to that of SshTSE<sup>5mm</sup> with and without DLR-SR. There were no significant differences in contrast-to-noise ratios (CNRs) of the pancreas-to-cystic lesions and fat between 4 types of images. SshTSE<sup>2mm</sup> with DLR-SR had the highest image quality related to pancreas edge sharpness, perceived coarseness pancreatic duct clarity, noise, artifacts, overall image quality, and diagnostic confidence of cystic lesions, followed by SshTSE<sup>2mm</sup> without DLR-SR and SshTSE<sup>5mm</sup> with and without DLR-SR (P < 0.0001).</p><p><strong>Conclusions: </strong>SshTSE<sup>2mm</sup> with DLR-SR images had better quality than the other images and did not have decreased SNRs and CNRs. The thin-slice SshTSE with DLR-SR may be feasible and clinically useful for the evaluation of patients with pancreatic cystic lesions.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of the Fast Field Echo Resembling a CT Using Restricted Echo-spacing (FRACTURE) Technique to Cranial and Facial Bone Lesions: A Feasibility Study.","authors":"Ryota Kogue, Masayuki Maeda, Seiya Kishi, Fumine Tanaka, Maki Umino, Hajime Sakuma","doi":"10.2463/mrms.ici.2025-0007","DOIUrl":"https://doi.org/10.2463/mrms.ici.2025-0007","url":null,"abstract":"<p><p>A novel imaging technique, CT-like MRI, specifically Fast Field Echo Resembling a CT Using Restricted Echo-spacing (FRACTURE), has been developed to depict bones. The purpose of this study is to evaluate the feasibility of FRACTURE MRI in cranial and facial bone lesions. Our results suggest that FRACTURE MRI can be used in addition to conventional MRI to evaluate a variety of pathologies of the cranial and facial bones.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Model-based Deep-learning Reconstruction Compared with that of Compressed Sensing-Sensitivity Encoding on the Image Quality and Precision of Cine Cardiac MR in Evaluating Left-ventricular Volume and Strain: A Study on Healthy Volunteers.","authors":"Satonori Tsuneta, Satoru Aono, Rina Kimura, Jihun Kwon, Noriyuki Fujima, Kinya Ishizaka, Noriko Nishioka, Masami Yoneyama, Fumi Kato, Kazuyuki Minowa, Kohsuke Kudo","doi":"10.2463/mrms.mp.2024-0202","DOIUrl":"https://doi.org/10.2463/mrms.mp.2024-0202","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of model-based deep-learning reconstruction (DLR) compared with that of compressed sensing-sensitivity encoding (CS) on cine cardiac magnetic resonance (CMR).</p><p><strong>Methods: </strong>Cine CMR images of 10 healthy volunteers were obtained with reduction factors of 2, 4, 6, and 8 and reconstructed using CS and DLR. The visual image quality scores assessed sharpness, image noise, and artifacts. Left-ventricular (LV) end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), and ejection fraction (EF) were manually measured. LV global circumferential strain (GCS) was automatically measured using the software. The precision of EDV, ESV, SV, EF, and GCS measurements was compared between CS and DLR using Bland-Altman analysis with full-sampling data as the gold standard.</p><p><strong>Results: </strong>Compared with CS, DLR significantly improved image quality with reduction factors of 6 and 8. The precision of EDV and ESV with a reduction factor of 8, and GCS with reduction factors of 6 and 8 measurements improved with DLR compared with CS, whereas those of SV and EF measurements were not different between DLR and CS.</p><p><strong>Conclusion: </strong>The effect of DLR on cine CMR's image quality and precision in evaluating quantitative volume and strain was equal or superior to that of CS. DLR may replace CS for cine CMR.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimization of the Data Pattern and Analysis Algorithm for the T2-based Water Suppression Diffusion MRImaging (T2wsup-dMRI) Technique.","authors":"Tokunori Kimura","doi":"10.2463/mrms.tn.2024-0181","DOIUrl":"https://doi.org/10.2463/mrms.tn.2024-0181","url":null,"abstract":"<p><p>We have proposed a T2-based free water suppression diffusion MRI (T2wsup-dMRI) technique to address parameter quantification issues due to cerebrospinal fluid (CSF) partial volume effects (PVEs), using a closed form (CF) algorithm. This study optimizes data patterns in (TE, b-value) space and analyzes algorithms for enhanced accuracy and precision. We simulated noise-added numerical, phantom, and brain MRI data to evaluate relative error and coefficient of variation in quantitative parameters using various data patterns and analysis algorithms (CF and least squares [LSQ] fitting). With 4 minimum data points applied to healthy brain tissue with T2 < 100 ms, the CF algorithm with water volume separation was optimal. For more than 4 points, a smaller b-value with shorter TE combined with 2d single- and bi-exponential LSQ fitting provided the best results. The T2wsup-dMRI technique reduces CSF-PVE artifacts in tissue-specific parameter quantification, enhancing approaches for patient needs, data acquisition, and computing costs.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standardizing Ultrafast Dynamic Contrast-enhanced MR Imaging: Considerations for Spatial Resolution and Imaging Techniques.","authors":"Naoko Mori","doi":"10.2463/mrms.lte.2025-0026","DOIUrl":"https://doi.org/10.2463/mrms.lte.2025-0026","url":null,"abstract":"","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Binghua Li, Zhe Sun, Chao Li, Koji Kamagata, Christina Andica, Wataru Uchida, Kaito Takabayashi, Sen Guo, Rui Zou, Shigeki Aoki, Toshihisa Tanaka, Qibin Zhao
{"title":"Are Diffusion Models Effective Good Feature Extractors for MRI Discriminative Tasks?","authors":"Binghua Li, Zhe Sun, Chao Li, Koji Kamagata, Christina Andica, Wataru Uchida, Kaito Takabayashi, Sen Guo, Rui Zou, Shigeki Aoki, Toshihisa Tanaka, Qibin Zhao","doi":"10.2463/mrms.mp.2024-0206","DOIUrl":"https://doi.org/10.2463/mrms.mp.2024-0206","url":null,"abstract":"<p><strong>Purpose: </strong>Diffusion models (DMs) excel in pixel-level and spatial tasks and are proven feature extractors for 2D image discriminative tasks when pretrained. However, their capabilities in 3D MRI discriminative tasks remain largely untapped. This study seeks to assess the effectiveness of DMs in this underexplored area.</p><p><strong>Methods: </strong>We use 59830 T1-weighted MR images (T1WIs) from the extensive, yet unlabeled, UK Biobank dataset. Additionally, we apply 369 T1WIs from the BraTS2020 dataset specifically for brain tumor classification, and 421 T1WIs from the ADNI1 dataset for the diagnosis of Alzheimer's disease. Firstly, a high-performing denoising diffusion probabilistic model (DDPM) with a U-Net backbone is pretrained on the UK Biobank, then fine-tuned on the BraTS2020 and ADNI1 datasets. Afterward, we assess its feature representation capabilities for discriminative tasks using linear probes. Finally, we accordingly introduce a novel fusion module, named CATS, that enhances the U-Net representations, thereby improving performance on discriminative tasks.</p><p><strong>Results: </strong>Our DDPM produces synthetic images of high quality that match the distribution of the raw datasets. Subsequent analysis reveals that DDPM features extracted from middle blocks and smaller timesteps are of high quality. Leveraging these features, the CATS module, with just 1.7M additional parameters, achieved average classification scores of 0.7704 and 0.9217 on the BraTS2020 and ADNI1 datasets, demonstrating competitive performance with that of the representations extracted from the transferred DDPM model, as well as the 33.23M parameters ResNet18 trained from scratch.</p><p><strong>Conclusion: </strong>We have found that pretraining a DM on a large-scale dataset and then fine-tuning it on limited data from discriminative datasets is a viable approach for MRI data. With these well-performing DMs, we show that they excel not just in generation tasks but also as feature extractors when combined with our proposed CATS module.</p>","PeriodicalId":94126,"journal":{"name":"Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}