TRV-2026-2369Certified recordPeer-reviewed

Influence of dominant sequence artifacts on generative AI for virtual contrast-enhancement in breast MRI

Virtual contrast-enhanced (vCE) breast MRI is a deep learning approach for generating contrast-like images from non-contrast acquisitions. As diffusion-weighted imaging (DWI) has emerged as a major contributor to enhancement synthesis, understanding the influence of DWI-related image artifacts is important for the robustness and potential clinical implementation of AI-based contrast-free imaging approaches. We evaluated the robustness of a pix2pix-based vCE synthesis model to artifact-contaminated DWI during tra…

Health · Problem Space — documented harm · certified 2026-11-04 · v1 · article view · machine-readable

Current reading — problem

In 61 test lesions, the lesion-level error of AI-generated virtual contrast breast MRI rose with the share of slices showing severe signal-loss artifacts (ρ = 0.478 in 12 lesions), so poor-quality input scans can distort lesion depiction.

What this doesn’t fix

Correlation analyses were exploratory with no multiplicity correction, the key signal-loss finding rested on only 12 lesions, and reader agreement was low.

Evidence

Reader signal

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Truvace Impact Record TRV-2026-2369, v1: “Influence of dominant sequence artifacts on generative AI for virtual contrast-enhancement in breast MRI.” Truvace, 2026-11-04. /record/TRV-2026-2369 (accessed at citation time). sha256 8eb4322b3d91e1f1…

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