Title: Advancing low-field MRI with a universal denoising imaging transformer: Towards fast and high-quality imaging

Abstract: Recent developments in low-field (LF) magnetic resonance imaging (MRI) systems present remarkable opportunities for affordable and widespread MRI access. A robust denoising method to overcome the intrinsic low signal-noise-ratio (SNR) barrier is critical to the success of LF MRI. However, current data-driven MRI denoising methods predominantly handle magnitude images and rely on customized models with constrained data diversity and quantity, which exhibit limited generalizability in clinical applications across diverse MRI systems, pulse sequences, and organs. In this study, we present ImT-MRD: a complex-valued imaging transformer trained on a vast number of clinical MRI scans aiming at universal MR denoising at LF systems. Compared with averaging multiple-repeated scans for higher image SNR, the model obtains better image quality from fewer repetitions, demonstrating its capability for accelerating scans under various clinical settings. Moreover, with its complex-valued image input, the model can denoise intermediate results before advanced post-processing and prepare high-quality data for further MRI research. By delivering universal and accurate denoising across clinical and research tasks, our model holds great promise to expedite the evolution of LF MRI for accessible and equal biomedical applications.