Principled Feature Disentanglement for High-Fidelity Unified Brain MRI Synthesis

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To address inconsistent analysis in multi-sequence brain MRI clinical practice caused by frequent missing modalities, this paper proposes HF-GAN, a unified synthesis framework. Methodologically, it introduces (1) a principle-driven structured feature disentanglement mechanism that explicitly separates complementary anatomical information from modality-specific information; (2) a hybrid-flow architecture—combining multi-to-one and parallel one-to-one synthesis—integrated with a Channel-Attention-based Feature Fusion (CAFF) module for dynamic latent-space integration; and (3) a modality injector and 2D slice-level modeling strategy to enhance computational efficiency and generalizability. Evaluated on both healthy and pathological datasets, HF-GAN achieves state-of-the-art performance, significantly outperforming mainstream 3D synthesis methods. When applied to missing-modality imputation, it improves downstream brain tumor segmentation Dice scores by over 5%, demonstrating strong clinical utility.

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📝 Abstract
Multisequence Magnetic Resonance Imaging (MRI) provides a more reliable diagnosis in clinical applications through complementary information across sequences. However, in practice, the absence of certain MR sequences is a common problem that can lead to inconsistent analysis results. In this work, we propose a novel unified framework for synthesizing multisequence MR images, called hybrid-fusion GAN (HF-GAN). The fundamental mechanism of this work is principled feature disentanglement, which aligns the design of the architecture with the complexity of the features. A powerful many-to-one stream is constructed for the extraction of complex complementary features, while utilizing parallel, one-to-one streams to process modality-specific information. These disentangled features are dynamically integrated into a common latent space by a channel attention-based fusion module (CAFF) and then transformed via a modality infuser to generate the target sequence. We validated our framework on public datasets of both healthy and pathological brain MRI. Quantitative and qualitative results show that HF-GAN achieves state-of-the-art performance, with our 2D slice-based framework notably outperforming a leading 3D volumetric model. Furthermore, the utilization of HF-GAN for data imputation substantially improves the performance of the downstream brain tumor segmentation task, demonstrating its clinical relevance.
Problem

Research questions and friction points this paper is trying to address.

Synthesizing missing MRI sequences to ensure consistent analysis
Disentangling complementary and modality-specific features for image generation
Improving brain tumor segmentation through high-fidelity data imputation
Innovation

Methods, ideas, or system contributions that make the work stand out.

Hybrid-fusion GAN framework for unified MRI synthesis
Principled feature disentanglement with parallel processing streams
Channel attention fusion module for dynamic feature integration
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