Patch-CNN: Training data-efficient deep learning for high-fidelity diffusion tensor estimation from minimal diffusion protocols

We propose a new method, Patch-CNN, for diffusion tensor (DT) estimation from only six-direction diffusion weighted images (DWI). Deep learning-based methods have been recently proposed for dMRI parameter estimation, using either voxel-wise fully-connected neural networks (FCN) or image-wise convolutional neural networks (CNN). In the acute clinical context -- where pressure of time limits the number of imaged directions to a minimum -- existing approaches either require an infeasible number of training images volumes (image-wise CNNs), or do not estimate the fibre orientations (voxel-wise FCNs) required for tractogram estimation. To overcome these limitations, we propose Patch-CNN, a neural network with a minimal (non-voxel-wise) convolutional kernel (3$\times$3$\times$3). Compared with voxel-wise FCNs, this has the advantage of allowing the network to leverage local anatomical information. Compared with image-wise CNNs, the minimal kernel vastly reduces training data demand. Evaluated against both conventional model fitting and a voxel-wise FCN, Patch-CNN, trained with a single subject is shown to improve the estimation of both scalar dMRI parameters and fibre orientation from six-direction DWIs. The improved fibre orientation estimation is shown to produce improved tractogram.