Publications by authors named "Andreas Kofler"

Stress perfusion cardiac magnetic resonance is an important technique for examining and assessing the blood supply of the myocardium. Currently, the majority of clinical perfusion scans are evaluated based on visual assessment by experienced clinicians. This makes the process subjective, and to this end, quantitative methods have been proposed to offer a more user-independent assessment of perfusion.

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Objective: We present a model-based image reconstruction approach based on unrolled neural networks which corrects for image distortion and noise in low-field ( B  ∼  50 mT) MRI.

Methods: Utilising knowledge about the underlying physics, a novel network architecture (SH-Net) is introduced which involves the estimation of spherical harmonic coefficients to guarantee a spatially smooth field map estimate. The SH-Net is integrated in an end-to-end trainable model which jointly estimates the B-field map as well as the image.

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Objective: We propose a method for the reconstruction of parameter-maps in Quantitative Magnetic Resonance Imaging (QMRI).

Methods: Because different quantitative parameter-maps differ from each other in terms of local features, we propose a method where the employed dictionary learning (DL) and sparse coding (SC) algorithms automatically estimate the optimal dictionary-size and sparsity level separately for each parameter-map. We evaluated the method on a T-mapping QMRI problem in the brain using the BrainWeb data as well as in-vivo brain images acquired on an ultra-high field 7 T scanner.

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Background: Cardiac MRI has become the gold-standard imaging technique for assessing cardiovascular morphology and function. In spite of this, its slow data acquisition process presents imaging challenges due to the motion from heartbeats, respiration, and blood flow. In recent studies, deep learning (DL) algorithms have shown promising results for the task of image reconstruction.

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Background: Unrolled neural networks (NNs) have been extensively applied to different image reconstruction problems across all imaging modalities. A key component of the latter is that they allow for physics-informed learning of the regularization method, which is parametrized by the NN. However, due to the lack of understanding of deep NNs from a theoretical point of view, unrolled NNs are still black-boxes when the regularizers are given by deep NNs, for example, U-Nets.

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. To provide 3D high-resolution cardiac T1 maps using model-based super-resolution reconstruction (SRR)..

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Purpose: Iterative convolutional neural networks (CNNs) which resemble unrolled learned iterative schemes have shown to consistently deliver state-of-the-art results for image reconstruction problems across different imaging modalities. However, because these methods include the forward model in the architecture, their applicability is often restricted to either relatively small reconstruction problems or to problems with operators which are computationally cheap to compute. As a consequence, they have not been applied to dynamic non-Cartesian multi-coil reconstruction problems so far.

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Purpose: In the past, dictionary learning (DL) and sparse coding (SC) have been proposed for the regularization of image reconstruction problems. The regularization is given by a sparse approximation of all image patches using a learned dictionary, that is, an overcomplete set of basis functions learned from data. Despite its competitiveness, DL and SC require the tuning of two essential hyperparameters: the sparsity level S - the number of basis functions of the dictionary, called atoms, which are used to approximate each patch, and K - the overall number of such atoms in the dictionary.

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Cardiac imaging has a pivotal role in the prevention, diagnosis and treatment of ischaemic heart disease. SPECT is most commonly used for clinical myocardial perfusion imaging, whereas PET is the clinical reference standard for the quantification of myocardial perfusion. MRI does not involve exposure to ionizing radiation, similar to echocardiography, which can be performed at the bedside.

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In this work we reduce undersampling artefacts in two-dimensional (2D) golden-angle radial cine cardiac MRI by applying a modified version of the U-net. The network is trained on 2D spatio-temporal slices which are previously extracted from the image sequences. We compare our approach to two 2D and a 3D deep learning-based post processing methods, three iterative reconstruction methods and two recently proposed methods for dynamic cardiac MRI based on 2D and 3D cascaded networks.

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Background: It is difficult to predict the biologic behavior of pancreatic endocrine tumors in absence of metastases or invasion into adjacent organs. The World Health Organization (WHO) has proposed in 2004 size, angioinvasion, mitotic activity, and MIB1 proliferation index as prognostic criteria. Our aim was to test retrospectively the predictive value of these 2004 WHO criteria and of CK19, CD99, COX2, and p27 immunohistochemistry in a large series of patients with long-term follow-up.

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Plasma cell myelomas (PMs) exhibit clinical and molecular heterogeneity. To date, morphology and immunohistochemistry on bone marrow trephines are of limited value to stratify patients into different prognostic categories. However, some chromosomal translocations are of prognostic and/or of predictive importance in PMs.

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Background: Persons infected with human immunodeficiency virus (HIV) have an increased risk for several cancers, but the influences of behavioral risk factors, such as smoking and intravenous drug use, and highly active antiretroviral therapy (HAART) on cancer risk are not clear.

Methods: Patient records were linked between the Swiss HIV Cohort Study and Swiss cantonal cancer registries. Observed and expected numbers of incident cancers were assessed in 7304 persons infected with HIV followed for 28,836 person-years.

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Objective: To evaluate the efficacy and safety of simplified maintenance therapy (SMT) compared with continued protease inhibitor (PI) therapy.

Design: Meta-analysis of nine randomized controlled trials in which 833 patients were switched to SMT (abacavir, efavirenz or nevirapine) and 616 continued PI, assessing virologic failure (primary outcome), discontinuation of therapy for reasons other than virologic failure, CD4 cell count, total plasma cholesterol and triglycerides.

Results: The risk ratio for virologic failure for SMT compared to continued PI was 1.

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