Harmonization in Magnetic Resonance Imaging: A Survey of Acquisition, Image-level, and Feature-level Methods

📅 2025-07-22
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🤖 AI Summary
Batch effects arising from cross-device and multi-site MRI acquisitions severely confound biological signal identification, undermining reproducibility in multicenter studies and degrading the generalizability of deep learning models. This paper systematically reviews methods for mitigating MRI image heterogeneity, uniquely integrating prospective acquisition protocols, retrospective image processing, feature disentanglement, and the traveling-subject paradigm. We comprehensively evaluate deep learning–based techniques—including image reconstruction, style transfer, adversarial training, and adaptive normalization—under a novel “biologically faithful correction” principle. We catalog widely used public datasets and standardized evaluation metrics. Our analysis identifies critical challenges in reproducibility validation, cross-modal generalization, and clinical deployment. Finally, we outline future research directions: interpretable correction frameworks, federation-compatible adaptation strategies, and real-world clinical validation.

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📝 Abstract
Modern medical imaging technologies have greatly advanced neuroscience research and clinical diagnostics. However, imaging data collected across different scanners, acquisition protocols, or imaging sites often exhibit substantial heterogeneity, known as "batch effects" or "site effects". These non-biological sources of variability can obscure true biological signals, reduce reproducibility and statistical power, and severely impair the generalizability of learning-based models across datasets. Image harmonization aims to eliminate or mitigate such site-related biases while preserving meaningful biological information, thereby improving data comparability and consistency. This review provides a comprehensive overview of key concepts, methodological advances, publicly available datasets, current challenges, and future directions in the field of medical image harmonization, with a focus on magnetic resonance imaging (MRI). We systematically cover the full imaging pipeline, and categorize harmonization approaches into prospective acquisition and reconstruction strategies, retrospective image-level and feature-level methods, and traveling-subject-based techniques. Rather than providing an exhaustive survey, we focus on representative methods, with particular emphasis on deep learning-based approaches. Finally, we summarize the major challenges that remain and outline promising avenues for future research.
Problem

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

Reducing heterogeneity in MRI data across scanners and protocols
Preserving biological signals while removing site-related biases
Improving reproducibility and generalizability of learning-based models
Innovation

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

MRI harmonization via acquisition and reconstruction strategies
Deep learning-based image-level and feature-level methods
Traveling-subject techniques for bias reduction
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Qinqin Yang
Department of Radiological Sciences, University of California Irvine, Irvine, CA 92697, USA
F
Firoozeh Shomal-Zadeh
Department of Radiology, University Hospitals Cleveland Medical Center /Case Western Reserve University, Cleveland, OH 44106, USA
Ali Gholipour
Ali Gholipour
Professor, University of California Irvine
Machine LearningMedical ImagingMedical Image ComputingMRIFetal MRI