Voxel-accurate MRI-microscopy Correlation Enables AI-powered Prediction of Brain Disease States

Julian Schroers1,2, Yvonne Yang1,3,4, Ekin Reyhan1,3

  • 1Neurology Clinic, National Center for Tumor Diseases and European Center for Neurooncology (EZN), Heidelberg University Hospital, Heidelberg, Germany.

Theranostics
|April 17, 2026
PubMed
Abstract

Insights

We developed BRIDGE, a platform linking MRI to cellular detail for the first time. This allows precise mapping of MRI signals to their biological origins, improving brain imaging interpretation and enabling AI-driven insights into tumor microenvironments.

Area of Science:

  • Neuroimaging
  • Radiology
  • Computational Biology

Background:

  • Magnetic resonance imaging (MRI) is crucial for brain visualization but lacks cellular-level understanding of signal origins and temporal changes.
  • Current MRI techniques struggle to precisely link imaging signals to underlying biological structures and processes.
  • Understanding the cellular basis of MRI signals is vital for accurate diagnosis and treatment monitoring.

Purpose of the Study:

  • To develop a platform for precise, voxel-level mapping of MRI signals to their biological ground truth.
  • To enable longitudinal, in vivo correlation of MRI findings with cellular and microenvironmental details.
  • To leverage this integrated data for training deep learning models to enhance MRI resolution and interpretation.

Main Methods:

  • Introduction of BRIDGE (Brain Radiological Imaging with Deep-learning based Ground-Truth Exploration), an integrated platform.
  • Multi-step, iterative co-registration pipeline linking in vivo MRI with in vivo two-photon and ex vivo super-resolution microscopy.
  • Development of convolutional neural networks for enhancing MRI effective resolution using registered data.

Main Results:

  • Identification of a microenvironmental vessel biomarker for early metastatic colonization in breast cancer brain metastasis models.
  • Correlation of T2*-weighted hypointense lesions with reduced blood flow and erythrostasis in perimetastatic capillaries.
  • Demonstration of direct correlations between T2-weighted signal changes and tumor growth dynamics in glioma models.

Conclusions:

  • BRIDGE establishes a microscopic ground truth for MRI signatures, advancing radiological interpretation.
  • The platform enables deep learning-based predictive histology and provides cellular insights into tumor microenvironments.
  • This approach offers direct clinical imaging implications for understanding and diagnosing brain diseases.

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