Evidence map›Paper›PMID 42146385›Full record

ArticlebioRxiv : the preprint server for biology2026

Real-time AI integration for MR to detect artifacts and guide pulse sequence adaptations.

Aaron T Gudmundson, Zahra Shams, Abdelrahman Gad, Shuyuan Wang, Dunja Simicic, Saipavitra Murali-Manohar, Gizeaddis L Simegn, Ipek Özdemir, Christopher W Davies-Jenkins, Vivek Yedavalli and 6 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Aaron T GudmundsonThe Malone Center for Engineering in Healthcare, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0001-5104-0959
Zahra ShamsRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-0311-0665
Abdelrahman GadRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-4461-3517
Shuyuan WangDepartment of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0001-7766-4858
Dunja SimicicRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-6600-2696
Saipavitra Murali-ManoharRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-4978-0736
Gizeaddis L SimegnRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-1333-4555
Ipek ÖzdemirRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-6807-9390
Christopher W Davies-JenkinsRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-6015-762X
Vivek YedavalliRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-2450-4014
Georg OeltzschnerRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-3083-9811
Omer Burak DemirelNorth America Clinical Science, MR R&D, Philips, Cambridge, MA, USA.ORCID 0000-0003-4726-0590
Jeremias SulamDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0003-0946-1957
Michael SchärRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Sandeep GanjiNorth America Clinical Science, MR R&D, Philips, Cambridge, MA, USA.ORCID 0000-0002-0247-7596
Richard A E EddenRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-0671-7374

Funding

TRD 4: Platforms for multi-modal and multi-scale imaging dataP41EB031771 · NIBIB · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Peter CM Van Zijl · 2021 to 2026
$9.9M
Universal GABA-edited MRS at 3TR01EB016089 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Richard Anthony Edward Edden · 2013 to 2026
$5.4M
Simultaneous Hadamard Editing of GABA and GlutathioneR01EB023963 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI EDDEN, RICHARD ANTHONY EDWARD · 2017 to 2024
$3.8M
Edited Magnetic Resonance Spectroscopy of the Pediatric BrainR01EB032788 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Richard Anthony Edward Edden · 2023 to 2026
$2.7M
Model Selection for Magnetic Resonance SpectroscopyR01EB035529 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Georg Oeltzschner · 2024 to 2026
$1.7M
General Linear Modeling For Magnetic Resonance SpectroscopyR21EB033516 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI OELTZSCHNER, GEORG · 2022 to 2024
$670k
Downfield MR spectroscopic imaging of the human brainK99EB034768 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI ÖZDEMIR, İPEK · 2023 to 2024
$273k
Neurometabolic trajectory of the developing brainK99HD118185 · NICHD · JOHNS HOPKINS UNIVERSITY · PI Saipavitra Venkateshwaran Murali Manohar · 2026 to 2026
$133k
NIBIB NIH HHS K99 EB034768NIBIB NIH HHS P41 EB031771NIBIB NIH HHS R01 EB016089NIBIB NIH HHS R01 EB023963NIBIB NIH HHS R01 EB032788NIBIB NIH HHS R01 EB035529NIBIB NIH HHS R21 EB033516NICHD NIH HHS K99 HD118185
6 · The paper itself

Abstract

Purpose: To present a first-of-its-kind artificial intelligence (AI-)integrated MR pulse sequence that detects out-of-voxel (OOV) artifacts in real-time (within-TR) and responds prospectively by updating the crusher gradient scheme. Methods: Per Excitation Real-time Execution & Guided Responses with Integrated Neural-network Evaluation (PEREGRINE), developed for deployment of deep learning models and sequence updates, operated time-domain (TD) and frequency-domain (FD) convolutional autoencoders that detect OOV artifacts. Scans without (AI-off) and with (AI-on) updates were collected from the prefrontal cortex of healthy volunteers using edited MRS. The degree of OOV contamination (OOV score) was quantified per transient based upon the prevalence of OOV signals in the TD and FD data. OOV scores above a user-defined threshold triggered an update of the gradient scheme, iterating through 48 permutations (6 axis transpositions × 8 polarity flips). Results: Within each 2-second TR, PEREGRINE successfully provided single-transient OOV scores and updated gradients accordingly. No difference was observed between the OOV scores from the full ("Full" condition) AI-on and AI-off sessions due to the AI-on scan cycling over better and worse gradient permutations relative to the AI-off scan. However, the AI-on scan had significantly lower OOV scores than the AI-off scan when selecting the transients where PEREGRINE persisted ("Dwell" condition) on a given gradient permutation. Ultimately, Fit Quality Number (FQN), from linear combination modeling, improved significantly for the AI-on compared to the AI-off scan. Conclusion: PEREGRINE enabled an AI-integrated sequence allowing for real-time evaluation and reduction of OOV artifacts, identifying gradient modifications that produced less OOV contamination.

Indexed as

artifact detectiondeep learningMagnetic resonance spectroscopyout-of-voxel artifactsreal-time updates

Identifiers

PMID42146385
PMCPMC13174430

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.