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    Area of Science:

    • Medical Imaging
    • Neuroimaging
    • Biophysics

    Background:

    • Increasing spatial resolution in diffusion-weighted imaging (DWI) is difficult due to signal-to-noise ratio (SNR) and T2* relaxation limitations in single-shot echo-planar imaging (EPI).
    • Super-resolution reconstruction (SRR) using orthogonal anisotropic acquisitions shows promise in simulations but lacks practical validation, especially concerning image distortion in real DWI scans.

    Purpose of the Study:

    • To investigate the practical feasibility of enhancing spatial resolution in DWI using super-resolution reconstruction (SRR).
    • To address the challenge of image misalignment caused by distortions in orthogonal DWI acquisitions.
    • To demonstrate the effectiveness of combining distortion compensation with SRR for improved DWI resolution.

    Main Methods:

    • Proposed a novel method combining distortion compensation with SRR for DWI.
    • Distortion compensation was achieved using a dual echo field map to estimate field inhomogeneity.
    • SRR was formulated as a maximum a posteriori problem utilizing a realistic image generation model.

    Main Results:

    • The combined distortion compensation and SRR approach was evaluated using real anisotropic DWI acquisitions.
    • Demonstrated superior results compared to single isotropic scans acquired within the same duration.
    • Observed enhanced structural detail and improved tractography outcomes with the proposed method.

    Conclusions:

    • This study provides the first practical evidence that SRR can enhance DWI spatial resolution.
    • The integration of distortion compensation with SRR overcomes alignment issues in orthogonal acquisitions.
    • This technique, using conventional SS-EPI, has the potential to significantly impact DWI in neuroscience and clinical settings.