Deep learning enables reduced gadolinium dose for contrast-enhanced brain MRI
Abstract
BACKGROUND: There are concerns over gadolinium deposition from gadolinium-based contrast agents (GBCA) administration. PURPOSE: To reduce gadolinium dose in contrast-enhanced brain MRI using a deep learning method. STUDY TYPE: Retrospective, crossover. POPULATION: Sixty patients receiving clinically indicated contrast-enhanced brain MRI. SEQUENCE: -weighted inversion-recovery prepped fast-spoiled-gradient-echo (IR-FSPGR) imaging was acquired at both 1.5T and 3T. In 60 brain MRI exams, the IR-FSPGR sequence was obtained under three conditions: precontrast, postcontrast images with 10% low-dose (0.01mmol/kg) and 100% full-dose (0.1 mmol/kg) of gadobenate dimeglumine. We trained a deep learning model using the first 10 cases (with mixed indications) to approximate full-dose images from the precontrast and low-dose images. Synthesized full-dose images were created using the trained model in two test sets: 20 patients with mixed indications and 30 patients with glioma. ASSESSMENT: For both test sets, low-dose, true full-dose, and the synthesized full-dose postcontrast image sets were compared quantitatively using peak-signal-to-noise-ratios (PSNR) and structural-similarity-index (SSIM). For the test set comprised of 20 patients with mixed indications, two neuroradiologists scored blindly and independently for the three postcontrast image sets, evaluating image quality, motion-artifact suppression, and contrast enhancement compared with precontrast images. STATISTICAL ANALYSIS: Results were assessed using paired t-tests and noninferiority tests. RESULTS: The proposed deep learning method yielded significant (n = 50, P < 0.001) improvements over the low-dose images (>5 dB PSNR gains and >11.0% SSIM). Ratings on image quality (n = 20, P = 0.003) and contrast enhancement (n = 20, P < 0.001) were significantly increased. Compared to true full-dose images, the synthesized full-dose images have a slight but not significant reduction in image quality (n = 20, P = 0.083) and contrast enhancement (n = 20, P = 0.068). Slightly better (n = 20, P = 0.039) motion-artifact suppression was noted in the synthesized images. The noninferiority test rejects the inferiority of the synthesized to true full-dose images for image quality (95% CI: -14-9%), artifacts suppression (95% CI: -5-20%), and contrast enhancement (95% CI: -13-6%). DATA CONCLUSION: With the proposed deep learning method, gadolinium dose can be reduced 10-fold while preserving contrast information and avoiding significant image quality degradation. LEVEL OF EVIDENCE: 3 Technical Efficacy: Stage 5 J. MAGN. RESON. IMAGING 2018;48:330-340.
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“9 Besides the associated health risks, using Gd both doubles the cost of a scan and increases the scanning time.”
BackgroundMethodEnhancing head and neck tumor management with artificial intelligence: Integration and perspectives
Zhong, N., Wang, H., Huang, X., Li, Z., Cao, L., Huo, F., Liu, B., & Bu, L. (2023) · Seminars in Cancer Biology · doi:10.1016/j.semcancer.2023.07.002 · Cited by 71 · see citing works
Rapid Knee MRI Acquisition and Analysis Techniques for Imaging Osteoarthritis
Chaudhari, A. S., Kogan, F., Pedoia, V., Majumdar, S., Gold, G. E., & Hargreaves, B. A. (2019) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.26991 · Cited by 67 · see citing works
Workflow Applications of Artificial Intelligence in Radiology and an Overview of Available Tools
Kapoor, N., Lacson, R. C., & Khorasani, R. (2020) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2020.08.016 · Cited by 66 · see citing works
A generic deep learning model for reduced gadolinium dose in contrast‐enhanced brain MRI
Pasumarthi, S., Tamir, J. I., Christensen, S., et al. (2021) · Magnetic Resonance in Medicine · doi:10.1002/mrm.28808 · Cited by 65 · see citing works
SUSAN: segment unannotated image structure using adversarial network
Liu, F. (2018) · Magnetic Resonance in Medicine · doi:10.1002/mrm.27627 · Cited by 63 · see citing works
Bash, S., Johnson, B., Gibbs, W. N., Zhang, T., Shankaranarayanan, A., & Tanenbaum, L. N. (2021) · Clinical Neuroradiology · doi:10.1007/s00062-021-01121-2 · Cited by 60 · see citing works
“Diagnostic imaging modalities are particularly suited to benefit with opportunities such as reduced radiation and/or contrast dose for PET [3, 4], MR [5] and CT [6].”
BackgroundChaudhari, A. S., Grissom, M. J., Fang, Z., Sveinsson, B., Lee, J. H., Gold, G. E., Hargreaves, B. A., & Stevens, K. J. (2020) · American Journal of Roentgenology · doi:10.2214/ajr.20.24172 · Cited by 60 · see citing works
Can Deep Learning Replace Gadolinium in Neuro-Oncology?
Ammari, S., Bône, A., Balleyguier, C., Moulton, E. J., Chouzenoux, É., Volk, A., Menu, Y., Bidault, F., Nicolas, F., Robert, P., et al. (2021) · Investigative Radiology · doi:10.1097/rli.0000000000000811 · Cited by 58 · see citing works
AI for image quality and patient safety in CT and MRI
Melazzini, L., Bortolotto, C., Brizzi, L., Achilli, M. F., Basla, N., Meo, A. D. D., Gerbasi, A., Bottinelli, O. M., Bellazzi, R., & Preda, L. (2025) · European Radiology Experimental · doi:10.1186/s41747-025-00562-5 · Cited by 58 · see citing works
“2) [23].”
InfluentialWeakly-Supervised teacher-Student network for liver tumor segmentation from non-enhanced images
Zhang, D., Chen, B., Chong, J., & Li, S. (2021) · Medical Image Analysis · doi:10.1016/j.media.2021.102005 · Cited by 57 · see citing works
“For instance, 2D/3DUNet-197 based methods for contrast image synthesizing or hippocampus segmentation (Gong et al., 2018; Porter et al., 2020).”
MethodWang, G., Gong, E., Banerjee, S., Martin, D., Tong, E., Choi, J., Chen, H., Wintermark, M., Pauly, J. M., & Zaharchuk, G. (2020) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2020.2987026 · Cited by 57 · see citing works
“Concerning the network design, the generator is likely to be improved by introducing a more densely connected neural network, which has been shown useful in biomedical imaging reconstruction [58], [59].”
BackgroundLi, W., Xiao, H., Li, T., Ren, G., Lam, S., Teng, X., Liu, C., Zhang, J., Lee, F. K.-H., Au, K., et al. (2021) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2021.11.007 · Cited by 56 · see citing works
Neuroimaging in the Era of Artificial Intelligence: Current Applications
Monsour, R. (2022) · Federal Practitioner · doi:10.12788/fp.0231 · Cited by 54 · see citing works
Neuroimaging of Traumatic Brain Injury
Douglas, D., Ro, T., Toffoli, T., Krawchuk, B., Muldermans, J., Gullo, J., Dulberger, A. R., Anderson, A., Douglas, P. K., & Wintermark, M. (2018) · Medical Sciences · doi:10.3390/medsci7010002 · Cited by 54 · see citing works
Rapid MR relaxometry using deep learning: An overview of current techniques and emerging trends
Feng, L., Ma, D., & Liu, F. (2020) · NMR in Biomedicine · doi:10.1002/nbm.4416 · Cited by 52 · see citing works
Wong, L. M., King, A. D., Ai, Q. Y. H., Lam, W. K., Poon, D. M. C., Ma, B. B. Y., Chan, K. C. A., & Mo, F. K. F. (2020) · European Radiology · doi:10.1007/s00330-020-07451-y · Cited by 52 · see citing works
Artificial intelligence applications for pediatric oncology imaging
Daldrup-Link, H. E. (2019) · Pediatric Radiology · doi:10.1007/s00247-019-04360-1 · Cited by 51 · see citing works
“Gong and coworkers [20] used a CNN to reduce the dose of gadoliniumbased contrast agents for brain MRI scans to 10% of the original dose by reconstructing low-dose images to standard-dose images.”
MethodArtificial intelligence in multiparametric magnetic resonance imaging: A review
Li, C., Li, W., Liu, C., Zheng, H., Cai, J., & Wang, S. (2022) · Medical Physics · doi:10.1002/mp.15936 · Cited by 50 · see citing works
Deep Learning in MR Image Processing
Lee, D., Lee, J., Ko, J., Yoon, J., Ryu, K., & Nam, Y. (2019) · Investigative Magnetic Resonance Imaging · doi:10.13104/imri.2019.23.2.81 · Cited by 50 · see citing works
“(97) showed that full dose gadolinium-enhanced MR images can be synthesized with low dose MR images.”
BackgroundTadavarthi, Y., Makeeva, V., Wagstaff, W., Zhan, H. T., Podlasek, A., Bhatia, N. K., Heilbrun, M. E., Krupinski, E. A., Safdar, N. M., Banerjee, I., et al. (2022) · Radiology Artificial Intelligence · doi:10.1148/ryai.210114 · Cited by 50 · see citing works
“MRI does not produce ionizing radiation, but researchers have explored machine learning techniques to reduce gadolinium-based intravenous contrast agent dosage (33).”
BackgroundRadiology AI and sustainability paradox: environmental, economic, and social dimensions
Koçak, B., Ponsiglione, A., Romeo, V., Ugga, L., Huisman, M., & Cuocolo, R. (2025) · Insights into Imaging · doi:10.1186/s13244-025-01962-2 · Cited by 58 · see citing works
“AI-powered imaging sequences have demonstrated the ability to lower the required contrast dosage without compromising diagnostic accuracy, offering both clinical and environmental bene fi ts [75].”
Distortion correction of single-shot EPI enabled by deep-learning
Hu, Z., Wang, Y., Zhang, Z., Zhang, J., Zhang, H., Guo, C., Sun, Y., & Guo, H. (2020) · NeuroImage · doi:10.1016/j.neuroimage.2020.117170 · Cited by 48 · see citing works
“Recently, deep-learning algorithm has been applied across various MR imaging fields, such as image reconstruction, denoising, and contrast synthesis (Gong et al., 2018; Yoon et al., 2018; Zhu et al., 2018).”
Choi, J. W., Cho, Y. J., Ha, J. Y., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-00058-3 · Cited by 46 · see citing works
Diverse Applications of Artificial Intelligence in Neuroradiology
Duong, M. T., Rauschecker, A. M., & Mohan, S. (2020) · Neuroimaging Clinics of North America · doi:10.1016/j.nic.2020.07.003 · Cited by 45 · see citing works
“47 Accordingly, CNNs may reduce the gadolinium dose required to interpret enhancing lesions on brain MRI 48,49 and even radiation exposure on CT. 50,51 For nuclear medicine studies, DL algorithms are being developed to create “synthetic” amyloid positron emission tomography (PET) to reduce…”
MethodInfluentialDeep learning–based methods may minimize GBCA dosage in brain MRI
Luo, H., Zhang, T., Gong, N., Tamir, J., Pasumarthi, S., Xu, C., Duan, Y., Zhou, T., Zhou, F., Zaharchuk, G., et al. (2021) · European Radiology · doi:10.1007/s00330-021-07848-3 · Cited by 45 · see citing works
Preetha, C. J., Meredig, H., Brugnara, G., Mahmutoglu, M. A., Foltyn‐Dumitru, M., al, E., & Weller, M. (2021) · Zurich Open Repository and Archive (University of Zurich) · doi:10.5167/uzh-209425 · Cited by 45 · see citing works
Stephen, O., Maduh, U. J., & Sain, M. (2021) · Electronics · doi:10.3390/electronics11010055 · Cited by 44 · see citing works
Applications of artificial intelligence multiomics in precision oncology
Srivastava, R. (2022) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-022-04161-4 · Cited by 44 · see citing works
“These autoencoders reduce the radiation dose and use of intravenous contrast (Haubold et al. 2021; Gong et al. 2018; Katsari et al. 2021) which improve the safety of the patients.”
BackgroundHu, H. (2020) · Frontiers in Chemistry · doi:10.3389/fchem.2020.00203 · Cited by 43 · see citing works
“…imaging, which includes the following aspects: image acquisition, removing the unwanted artifacts, improving the image quality, reducing the contrast agent dose, and shortening the diagnose period (Gong et al., 2018; Shan et al., 2018; Zaharchuk et al., 2018; Codari et al., 2019; Zhu et al., 2019).”
BackgroundArtificial Intelligence in Neuroradiology: Current Status and Future Directions.
Lui, Y. W., Chang, P., Zaharchuk, G., Barboriak, D. P., Flanders, A. E., Wintermark, M., Hess, C. P., & Filippi, C. G. (2020) · PubMed Central · doi:10.3174/ajnr.a6681 · Cited by 47 · see citing works
Mallio, C. A., Radbruch, A., Deike‐Hofmann, K., van der Molen, A. J., Dekkers, I. A., Zaharchuk, G., Parizel, P. M., Zobel, B. B., & Quattrocchi, C. C. (2023) · Investigative Radiology · doi:10.1097/rli.0000000000000983 · Cited by 44 · see citing works
Cabitza, F., Campagner, A., & Sconfienza, L. M. (2021) · Health Information Science and Systems · doi:10.1007/s13755-021-00138-8 · Cited by 44 · see citing works
Artificial intelligence in oncologic imaging
Chen, M., Terzic, A., Becker, A. S., Johnson, J. M., Wu, C. C., Wintermark, M., Wald, C., & Wu, J. (2022) · European Journal of Radiology Open · doi:10.1016/j.ejro.2022.100441 · Cited by 41 · see citing works
“Gong et al. reported up to 90% contrast media reduction with preserved image quality using deep learning models [12].”
Sherwani, M. K., & Gopalakrishnan, S. (2024) · Frontiers in Radiology · doi:10.3389/fradi.2024.1385742 · Cited by 47 · see citing works
Kaye, E., Aherne, E. A., Düzgöl, C., Häggström, I., Kobler, E., Mazaheri, Y., Fung, M., Zhang, Z., Otazo, R., Vargas, H. A., et al. (2020) · Radiology Artificial Intelligence · doi:10.1148/ryai.2020200007 · Cited by 39 · see citing works
“9 %)** Age(y)* 64 [11] 68 [12] 64 [12] Weight (kg)* 81 [16] 79 [28] 85 [17] Indication for MRI exam Prostate cancer 75 11 30 Elevated PSA 24 4 6 Other 4 0 1”
Deep learning model for predicting gestational age after the first trimester using fetal MRI
Kojita, Y., Matsuo, H., Kanda, T., Nishio, M., Sofue, K., Nogami, M., Kono, A. K., Hori, M., & Murakami, T. (2021) · European Radiology · doi:10.1007/s00330-021-07915-9 · Cited by 39 · see citing works
Xie, Y., & Li, Q. (2022) · Electronics · doi:10.3390/electronics11040586 · Cited by 38 · see citing works
Accelerating GluCEST imaging using deep learning for B0 correction
Li, Y., Xie, D., Cember, A., Nanga, R. P. R., Yang, H., Kumar, D., Hariharan, H., Li, B., Detre, J. A., Reddy, R. D., et al. (2020) · Magnetic Resonance in Medicine · doi:10.1002/mrm.28289 · Cited by 38 · see citing works
Xie, H., Lei, Y., Wang, T., Roper, J. R., Axente, M., Bradley, J. D., Liu, T., & Yang, X. (2022) · Medical Physics · doi:10.1002/mp.15578 · Cited by 37 · see citing works
Gadolinium Retention and Breast MRI Screening: More Harm Than Good?
Sardanelli, F., Cozzi, A., Trimboli, R. M., et al. (2019) · American Journal of Roentgenology · doi:10.2214/ajr.19.21988 · Cited by 36 · see citing works
Nguyen, X. V., Öztek, M. A., Nelakurti, D. D., Brunnquell, C. L., Mossa‐Basha, M., Haynor, D. R., & Prevedello, L. M. S. (2020) · Topics in Magnetic Resonance Imaging · doi:10.1097/rmr.0000000000000249 · Cited by 35 · see citing works
“Becauseneuralnetworksusedinmedicalimagingcancontainmanylayers Becauseneuralnetworksusedinmedicalimagingcancontainmanylayers,adeepnetworkmaycontainmillionsoflearnedparameters.”
Current applications of deep-learning in neuro-oncological MRI
Zegers, C. M. L., Posch, J., Traverso, A., Eekers, D. B. P., Postma, A. A., Backes, W. H., Dekker, A. L. A. J., & van Elmpt, W. (2021) · Physica Medica · doi:10.1016/j.ejmp.2021.03.003 · Cited by 35 · see citing works
“This ranged from tasks regarding the reduction of contrast agents in the image acquisition [7], the filtering of artefacts and spectral fitting in MRSI [8,9], the separation of brain from non-brain tissue [10], the generation of synthetic Computed Tomography (CT) images for radiotherapy treatment…”
MethodResultXiong, X., Ding, Y., Sun, C., et al. (2022) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2022.3190293 · Cited by 34 · see citing works
“To reduce the use of gadolinium-based contrast agents, Gong et al. [20] developed an encoder–decoder model to synthesize full-contrast MRI from pre-contrast MRI and low contrast-enhanced MRI.”
MethodPasquini, L., Napolitano, A., Pignatelli, M., Tagliente, E., Parrillo, C., Nasta, F., Romano, A., Bozzao, A., & Napoli, A. D. (2022) · Pharmaceutics · doi:10.3390/pharmaceutics14112378 · Cited by 34 · see citing works
“A CNN can be considered as a simplified version of the neocognitron model introduced by Fukushima [26] in 1980 to simulate the human visual system.”
BackgroundMethodInfluentialArtificial Intelligence for Neuroimaging in Pediatric Cancer
da Rocha, J. L. D., Lai, J., Pandey, P., Myat, P. S. M., Loschinskey, Z., Bag, A. K., & Sitaram, R. (2025) · Cancers · doi:10.3390/cancers17040622 · Cited by 35 · see citing works
“For example, deep learning based on an encoder–decoder CNN has been applied to generate high-quality post-contrast MRI from pre-contrast MRI and low-dose post-contrast MRI [79].”
Reducing Contrast Agent Dose in Cardiovascular MR Angiography with Deep Learning
Montalt‐Tordera, J., Quail, M. A., Steeden, J. A., et al. (2021) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.27573 · Cited by 33 · see citing works
“It has been shown that a deep learning postprocessing step can recover high-dose (HD) CE-MRA characteristics from LD brain MRA images.(11) This study aims to investigate whether a similar approach can be used to regain HD features from LD-MRA of the great vessels in CHD.”
BackgroundMethodResultInfluentialHaase, R., Pinetz, T., Bendella, Z., et al. (2023) · Investigative Radiology · doi:10.1097/rli.0000000000000955 · Cited by 33 · see citing works
Rovira, À., Doniselli, F. M., Auger, C., Haider, L., Hodel, J., Severino, M., Wattjes, M. P., van der Molen, A. J., Jasperse, B., Mallio, C. A., et al. (2023) · European Radiology · doi:10.1007/s00330-023-10151-y · Cited by 34 · see citing works
“Recent studies have also suggested that synthesized images that approximate full contrast dose images from pre-contrast and low-dose images (generated with deep learning methods) could help to further reduce GBCA doses, without significant image quality degradation [56]).”
The role of AI in prostate MRI quality and interpretation: Opportunities and challenges
Kim, H., Kang, S. W., Kim, J., Nagar, H., Sabuncu, M. R., Margolis, D., & Kim, C. K. (2023) · European Journal of Radiology · doi:10.1016/j.ejrad.2023.110887 · Cited by 32 · see citing works
Pharmacokinetics, Safety, and Efficacy of Gadopiclenol in Pediatric Patients Aged 2 to 17 Years
Jurkiewicz, E., Tsvetkova, S., Grinberg, A., et al. (2022) · Investigative Radiology · doi:10.1097/rli.0000000000000865 · Cited by 32 · see citing works
“In this regard, a deep learning–based technology that could reduce the GBCA dose while maintaining image quality and contrast information of full-dose contrast images has been proposed.(4) Furthermore, developing newGBCAs allowing the reduction of injected Gd dose while keeping the same efficacy provided by the curren…”
BackgroundGadolinium Deposition Safety: Seeking the Patient’s Perspective
Mallio, C. A., Quattrocchi, C. C., Rovira, À., & Parizel, P. M. (2020) · American Journal of Neuroradiology · doi:10.3174/ajnr.a6586 · Cited by 31 · see citing works
“A6586 944 Mallio Jun 2020 www.ajnr.org diffusion-weighted imaging,28 showed the absence of tissue changes in the visually hyperintense dentate nuclei on unenhanced T1weighted images after cumulative doses of GBCA.”
BackgroundInfluentialDeveloping and deploying deep learning models in brain magnetic resonance imaging: A review
Aggarwal, K., Jimeno, M. M., Ravi, K. S., González, R. G., & Geethanath, S. (2023) · NMR in Biomedicine · doi:10.1002/nbm.5014 · Cited by 31 · see citing works
“110,111 115 incorporate a conditional Generative Adversarial Network (cGAN) 116 into the compressed sensing MRI framework (CS-MRI).”
BackgroundArtificial intelligence-powered nanomedicine
Luo, G., 蒋显超, Hu, C., Li, L., Yan, L., Xiao, G., Duo, Y., & Zhang, X. (2026) · Chemical Society Reviews · doi:10.1039/d5cs01406a · Cited by 33 · see citing works
Bône, A., Ammari, S., Lamarque, J.-P., et al. (2021) · IEEE International Symposium on Biomedical Imaging (ISBI) · doi:10.1109/isbi48211.2021.9434029 · Cited by 30 · see citing works
“Four performance metrics are considered: in addition to the “global” L2 loss which is directly optimized, we also compute the tumoraveraged L2 (t-L2) based on segmentation maps of enhancing lesions, as well as the peak signal-to-noise ratio (PSNR) and the structural similarity index (SSIM, see [14]) as in [8, 9].”
BackgroundMethodInfluentialReducing Gadolinium Contrast With Artificial Intelligence
Tsui, B. Q., Calabrese, E., Zaharchuk, G., & Rauschecker, A. M. (2023) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.29095 · Cited by 29 · see citing works
“24,25 Similarly, bias in training data is an important consideration for any machine learning model.”
Data‐driven synthetic MRI FLAIR artifact correction via deep neural network
Ryu, K., Nam, Y., Gho, S., Jang, J., Lee, H., Cha, J., Baek, H. J., Park, J., & Kim, D. (2019) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.26712 · Cited by 29 · see citing works
“21 Considering the current outcomes of deep neural networks on these applications, the approach may be applicable for correcting the artifacts of synthetic FLAIR images.”
Method
- Authors
- Gong, E., Pauly, J. M., Wintermark, M., & Zaharchuk, G.
- Affiliations
- Stanford Medicine (US)
- Stanford University (US)
- Corresponding author
- Gong, Enhao
- Venue
- Journal of Magnetic Resonance Imaging
- Publisher
- Wiley
- Published
- 2018-02-13
- Volume
- 48
- Issue
- 2
- Pages
- 330-340
- ISSN
- 1053-1807 (ISSN-L)
- 1522-2586
- OpenAlex
- W2789565832
- Cited by
- 351
- References
- 37
- Citations by year
- 2026: 27 · 2025: 42 · 2024: 52 · 2023: 42 · 2022: 53 · 2021: 53 · 2020: 47 · 2019: 26 · 2018: 9
- FWCI
- 23.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Magnetic Resonance Imaging (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Materials Science › Materials Chemistry › Lanthanide and Transition Metal Complexes
- Keywords
- gadolinium-based contrast agents, gadobenate dimeglumine, deep learning image synthesis, gadolinium deposition, glioma, image quality assessment, motion artifact reduction, non-inferiority
- MeSH terms
- Machine Learning, Deep Learning, Adult, Aged, Brain, Brain Neoplasms, Contrast Media, Female, Gadolinium, Glioma, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Motion, Artifacts
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