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Prob-BBDM: A Probabilistic Brownian Bridge Diffusion Model for MRI sequence image-to-image translation.

Martin Valls1, Pascal Bourdon1, Christine Fernandez-Maloigne1

  • 1I3M common laboratory CNRS-Siemens Healthinners, University Hospital and University of Poitiers, Poitiers, 86000, France; XLIM Laboratory, CNRS UMR 7252, University of Poitiers, Poitiers, 86000, France.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society
|March 15, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces Probabilistic-Brownian Bridge Diffusion Models (Prob-BBDM) for efficient AI-driven synthesis of magnetic resonance imaging (MRI) sequences. The novel model generates high-quality MRI from 2D slices, demonstrating clinical utility and generalizability.

Keywords:
Diffusion modelImage-to-image translationMedical imaging synthesis

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Area of Science:

  • Artificial Intelligence
  • Medical Imaging
  • Image Synthesis

Background:

  • AI-driven image synthesis is advancing medical imaging applications.
  • Acquiring multiple MRI sequences is resource-intensive and time-consuming.
  • There is a need for efficient methods to synthesize MRI sequences.

Purpose of the Study:

  • To propose a novel image-to-image translation model for synthesizing MRI sequences from 2D axial slices.
  • To leverage Brownian Bridge Diffusion Models (BBDM) with a variational encoder for enhanced synthesis quality.
  • To evaluate the performance, efficiency, and generalizability of the proposed model.

Main Methods:

  • Developed a Probabilistic-BBDM (Prob-BBDM) integrating a variational encoder-guided diffusion mechanism.
  • Trained and evaluated the model on the BraTS 2021 dataset for MRI sequence synthesis.
  • Assessed clinical utility using synthesized slices for tumor segmentation with a pre-trained model.

Main Results:

  • Prob-BBDM achieved superior performance with up to 88.46% SSIM and 26.09 dB PSNR.
  • The synthesis process required only 4 diffusion steps, demonstrating computational efficiency.
  • Synthesized slices used for tumor segmentation achieved a Dice score of 88.71% and HD95 of 3.49mm.
  • Consistent performance was observed on an external third-party dataset, confirming generalizability.

Conclusions:

  • Prob-BBDM offers high-quality, efficient, and generalizable MRI synthesis.
  • The model preserves critical diagnostic information, showing clinical utility.
  • This work presents a promising advancement in AI-driven medical image translation.