Fast and robust q-space trajectory imaging using voxel-wise multilayer perceptrons for parameter estimation.

Q-space trajectory imaging (QTI) provides promising markers of tissue microstructure, but clinical translation requires shorter acquisitions, faster analysis, and more robust parameter estimation at high spatial resolution. To address these barriers, we trained a voxel-wise multilayer perceptron (MLP) to infer QTI-derived scalar parameters directly from the diffusion signal. We established reference QTI parameters of the brain in 18 healthy subjects using constrained fitting on 50-min QTI scans. The MLP was trained to estimate those reference parameters from a five-minute subset of the diffusion data. We compared the MLP with the constrained fit applied to the same short-protocol input, computing normalized root mean squared error, peak signal-to-noise ratio, and structural similarity with respect to the reference. Here, the MLP consistently achieved better performance metrics, with normalized root mean squared errors up to two-fold lower. For one whole-brain dataset, MLP inference reduced computation time from more than an hour with constrained fitting to a few seconds. Robustness to lower SNR was tested in a separate 1.7 mm isotropic voxel size acquisition of the full protocol, in which the MLP retained lower errors and less visually apparent noise. Finally, we demonstrate qualitative feasibility in two glioma patients scanned with the short protocol. We conclude that a simple MLP can provide high-quality QTI parameter estimates from short tensor-valued diffusion acquisitions. This enables five-minute, high-resolution QTI and may encourage further clinical studies of markers such as microscopic fractional anisotropy.