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Decipher-MR: a vision-language foundation model for 3D MRI representations
Zhijian Yang1, Noel DSouza2, Istvan Megyeri3
1GE Healthcare, Seattle, WA, USA. zhijian.yang@gehealthcare.com.
NPJ Digital Medicine
|April 4, 2026
Summary
We developed Decipher-MR, a novel foundation model for Magnetic Resonance Imaging (MRI) analysis. This AI model enhances machine learning applications in MRI by overcoming data limitations and improving diagnostic accuracy across various tasks.
Area of Science:
- Artificial Intelligence
- Medical Imaging
- Machine Learning
Background:
- Magnetic Resonance Imaging (MRI) is vital for clinical diagnosis and research.
- Complexity and data heterogeneity in MRI challenge scalable and generalizable machine learning.
- Existing foundation models struggle with MRI due to data scarcity and limited anatomical scope.
Purpose of the Study:
- To introduce Decipher-MR, a 3D MRI-specific vision-language foundation model.
- To address limitations in applying foundation models to the unique characteristics of MRI data.
- To create a robust and reusable AI foundation for diverse MRI applications.
Main Methods:
- Trained Decipher-MR on 200,000 MRI series from over 22,000 studies.
- Integrated self-supervised vision learning with report-guided text supervision.
- Employed a modular design for efficient tuning of task-specific decoders with a frozen encoder.
Main Results:
- Decipher-MR demonstrated consistent improvements across disease classification, demographic prediction, anatomical localization, and cross-modal retrieval.
- Outperformed existing foundation models and task-specific approaches in evaluated tasks.
- Showcased the model's ability to build robust representations for broad MRI applications.
Conclusions:
- Decipher-MR serves as a promising and reusable foundation for AI in MRI.
- The model's performance suggests significant potential for advancing MRI-based diagnostics and research.
- The findings support the broader application of foundation models in medical imaging analysis.

