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PreprintCC BY-NC-NDmedRxiv

K-space Optimized Spatial Temporal Architecture for Low Latency in Interventional Cardiac MRI

  1. 1University of California, San Diego

Abstract

PurposeTo develop and evaluate a recurrent neural network that operates directly on undersampled golden-angle radial k-space, enabling low-latency cardiac cine reconstruction for interventional cardiac MRI (iCMR).

MethodsKOSTAL (K-space Optimized Spatial Temporal Architecture for Low latency) combines a per-coil k-space convolutional gated recurrent unit (convGRU), which learns a mask-conditioned view-sharing rule over the accumulated k-space, with an image-space recurrent module. It was trained and tested on the open-access multi-coil OCMR dataset using 10 simulated golden-angle spokes per frame against a 1000-spoke reference. Ablations varied recurrent module architecture and placement; temporal behavior was assessed using a imaging-plane transition test. Generalization was evaluated without retraining in 23 pediatric patients prospectively scanned during free-breathing using a radial golden-angle bSSFP sequence with binned XD-GRASP and clinical breath-held cine serving as references.

ResultsAt 10 spokes per frame, KOSTAL reached a median SSIM of 0.907 (gridding: 0.622) in under 34 ms of processing time per frame. Image quality (IQ) matched gridded results formed from 7-11 times more spokes. Recurrence in k-space rather than image space accounted for most of this gain (0.891 versus [≤]0.650). IQ recovered from an abrupt plane transition in 75 ms, versus 303 ms for 200-spoke gridding. KOSTAL had the best agreement with the binned reference and the highest long-axis CNR. KOSTAL accurately tracked left-ventricular blood-pool volume (end-diastolic volume bias-0.7 mL) with a shorter lag (71 ms) than iterative reconstruction (239-287 ms).

ConclusionLearned, mask-conditioned recurrence in k-space yields high image quality at a latency compatible with interventional guidance.

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BibTeX
@misc{buckup2026kspace,
  title = {{K-space Optimized Spatial Temporal Architecture for Low Latency in Interventional Cardiac MRI}},
  author = {M. Buckup and N. Mahajan and A. E. Rodriguez-Soto and J. Blood and S. Hegde and E. L. Schuchardt and B. Printz and H. K. Narayan and B. L. Gordon and F. Contijoch},
  howpublished = {medRxiv},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.21.26363257},
  url = {https://www.medrxiv.org/content/10.64898/2026.09.21.26363257v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - UNPB
TI  - K-space Optimized Spatial Temporal Architecture for Low Latency in Interventional Cardiac MRI
AU  - M. Buckup
AU  - N. Mahajan
AU  - A. E. Rodriguez-Soto
AU  - J. Blood
AU  - S. Hegde
AU  - E. L. Schuchardt
AU  - B. Printz
AU  - H. K. Narayan
AU  - B. L. Gordon
AU  - F. Contijoch
PY  - 2026
DA  - 2026/09/21
PB  - medRxiv
DO  - 10.64898/2026.09.21.26363257
UR  - https://www.medrxiv.org/content/10.64898/2026.09.21.26363257v1
AB  - PurposeTo develop and evaluate a recurrent neural network that operates directly on undersampled golden-angle radial k-space, enabling low-latency cardiac cine reconstruction for interventional cardiac MRI (iCMR).  MethodsKOSTAL (K-space Optimized Spatial Temporal Architecture for Low latency) combines a per-coil k-space convolutional gated recurrent unit (convGRU), which learns a mask-conditioned view-sharing rule over the accumulated k-space, with an image-space recurrent module. It was trained and tested on the open-access multi-coil OCMR dataset using 10 simulated golden-angle spokes per frame against a 1000-spoke reference. Ablations varied recurrent module architecture and placement; temporal behavior was assessed using a imaging-plane transition test. Generalization was evaluated without retraining in 23 pediatric patients prospectively scanned during free-breathing using a radial golden-angle bSSFP sequence with binned XD-GRASP and clinical breath-held cine serving as references.  ResultsAt 10 spokes per frame, KOSTAL reached a median SSIM of 0.907 (gridding: 0.622) in under 34 ms of processing time per frame. Image quality (IQ) matched gridded results formed from 7-11 times more spokes. Recurrence in k-space rather than image space accounted for most of this gain (0.891 versus [≤]0.650). IQ recovered from an abrupt plane transition in 75 ms, versus 303 ms for 200-spoke gridding. KOSTAL had the best agreement with the binned reference and the highest long-axis CNR. KOSTAL accurately tracked left-ventricular blood-pool volume (end-diastolic volume bias-0.7 mL) with a shorter lag (71 ms) than iterative reconstruction (239-287 ms).  ConclusionLearned, mask-conditioned recurrence in k-space yields high image quality at a latency compatible with interventional guidance.
ER  -