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TractoTransformer: Diffusion MRI Streamline Tractography using CNN and Transformer Networks

NeurIPS 2025 · Image generation › Fast diffusion sampling · approach: Diffusion models as perception tools · 1 citations (OpenAlex)

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Proposes TractoTransformer, a CNN-plus-decoder-only-Transformer model that predicts conditional fODF directions auto-regressively along streamlines for diffusion MRI tractography.

Problem

White matter tractography from noisy, ambiguous dMRI measurements, where crossing, merging and fanning fiber configurations degrade per-voxel orientation predictions that ignore spatial or sequential structure.

Approach

Treats tractography as autoregressive sequence modeling: a 3D CNN embeds local dMRI neighborhoods of each streamline point, and a decoder-only Transformer predicts a smoothed distribution over 724 sphere directions plus an end-of-fiber class, conditioned on the trajectory so far.

Key results

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Use TractoTransformer instead of DeepTractISMRM 2015 Tractography Challenge · ISMRM 2015 Tractography ChallengeVC (%): 71 -> 82Helped
Use TractoTransformer instead of RFISMRM 2015 Tractography Challenge · ISMRM 2015 Tractography ChallengeOL (%): 75 -> 84Helped
Use TractoTransformer instead of CTtrackISMRM 2015 Tractography Challenge · ISMRM 2015 Tractography ChallengeOR (%): 16 -> 31Hurt
Use TractoTransformer instead of DeepTractISMRM 2015 Tractography Challenge · ISMRM 2015 Tractography ChallengeF1 (%): 70 -> 75Helped
Add the CNN3D module (ablation)TractoTransformer · ISMRM 2015 Tractography ChallengeVC (%): 69.86 -> 81.51Helped
Add reverse-streamline augmentation (ablation)TractoTransformer · ISMRM 2015 Tractography ChallengeF1 (%): 73.76 -> 74.78Helped
Add label smoothing (ablation)TractoTransformer · ISMRM 2015 Tractography ChallengeF1 (%): 74.85 -> 74.78No clear effect

Surprising findings

Limitations

Experimental setup

Datasets: ISMRM 2015 Tractography Challenge phantom TractoInferno

Benchmarks: ISMRM 2015 Tractometer TractoInferno (qualitative)

Metrics: VC OL OR F1

Baselines: RF LearnToTrack DeepTract Entrack TrackToLearn CTtrack

Builds on: Transformer decoder CTtrack DeepTract LearnToTrack

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