We have developed and validated a deep learning-based real-time high-quality (HQ) multi-parametric (Mp) 4D-MRI technique. A dual-supervised downsampling-invariant deformable registration (D3R) model was trained on retrospectively downsampled 4D-MRI with 100 radial spokes in the k-space. The deformations obtained from the downsampled 4D-MRI were applied to 3D-MRI to reconstruct HQ Mp 4D-MRI. The D3R model provides accurate and stable registration performance at up to 500 times downsampling, and the HQ Mp 4D-MRI shows significantly improved quality with sub-voxel level motion accuracy. This technique provides HQ Mp 4D-MRI within 500 ms and holds great potential in online tumor tracking in MR-guided radiotherapy.
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