From 3D Time-of-Flight Angiography to Accelerated 4D Arterial Spin Labeling Angiography: A Fast Few-Shot Transfer Learning Approach

PurposeTo develop a data-efficient deep learning framework for rapid reconstruction of highly accelerated 4D arterial spin labeling (ASL) magnetic resonance angiography (MRA) with robust generalization using extremely limited acquired data, addressing the challenges of prolonged acquisition and reconstruction time. MethodsA simulation-driven, few-shot transfer learning approach was adopted by leveraging publicly available 3D time-of-flight (TOF)-MRA data to generate realistic multi-coil complex-valued pseudo-ASL k-space datasets for large-scale pre-training. A 3D unrolled reconstruction network was trained on this simulated data using a histogram-weighted loss and subsequently extended to 4D using lightweight temporal fusion modules. Fine-tuning was performed using only two experimentally acquired 4D ASL-MRA datasets. The method was evaluated on retrospectively and prospectively undersampled Cartesian 4D ASL-MRA data acquired at 3T and compared with compressed sensing (CS) and locally low-rank (LLR) reconstructions. ResultsThe proposed method achieved superior reconstruction quality compared with CS and LLR, with improved vessel depiction, particularly in distal branches, and enhanced temporal fidelity. Quantitative evaluation demonstrated higher vessel-masked peak signal-to-noise ratio and structural similarity index measure, along with increased error entropy, indicating reduced noise and structured artifacts. The initial pre-trained model already outperformed conventional methods, while additional 4D fine-tuning further improved performance. Robust reconstruction was demonstrated in prospectively undersampled data and multi-slab acquisitions, enabling large-coverage, time-resolved angiography within clinically feasible scan times (4-6 min). ConclusionsSimulation-driven pre-training combined with few-shot fine-tuning enables accurate and rapid reconstruction of highly accelerated 4D ASL-MRA in data-limited settings. The proposed framework provides a practical pathway toward clinically feasible, non-contrast dynamic cerebrovascular imaging.