MAMA-SYNTH

Synthesizing Virtual Contrast-Enhancement in Breast MRI

Participate on Grand Challenge

Context

Dynamic contrast-enhanced MRI (DCE-MRI) plays a central role in breast cancer management, but its reliance on gadolinium-based contrast agents raises various concerns. MAMA-SYNTH introduces a standardized, clinically informed benchmark for evaluating generative models, with the goal of advancing the development of contrast-reduced and contrast-free breast MRI protocols.

Why?
64
Gd
Gadolinium

Side Effects

Gadolinium deposits, even from chelated agents, can lead to long-term accumulation, potential neurotoxicity and trigger nephrogenic systemic fibrosis.

💧

Contamination

Gadolinium is detected in drinking water supplies worldwide and beverages, raising concerns about long-term exposure and environmental health impacts.

💰

Accessibility

Gadolinium contrast agents significantly increase the cost of MRI examinations, limiting accessibility in resource-constrained settings.

Task

The task of the challenge is to synthesize single-timepoint 2-dimensional post-contrast breast DCE-MRI slices from corresponding pre-contrast T1-weighted MRI inputs using paired clinical data. Participating algorithms operate on pre-contrast images and generate synthetic peak enhancement post-contrast output.

Pre-contrast MRI

Pre-contrast

🤖
Post-contrast MRI

Peak-enhancement

Data

The challenge utilizes diverse datasets to ensure algorithmic generalizability across different scanners and populations:

Training Cohort: MAMA-MIA Dataset

This dataset contains pre-treatment DCE-MRI from 1,506 patients from 25 + centers across the United States. The MAMA-MIA dataset was utilized as the training set in the first edition of MAMA Challenges for Primary Tumor Segmentation and Pathologic Complete Response Prediction. Learn more about this benchmark at the MAMA-MIA Challenge 2025 and access the complete dataset at MAMA-MIA Dataset.

Acquisition Plane

Axial 84.4%
Sagittal 15.6%

Magnetic Field Strength

1.5T 72.1%
3T 27.9%

Scanner Manufacturers

GE 64.1%
Siemens 27.3%
Philips 8.6%

Testing Cohorts

Radboud University Medical Centre

The Netherlands

Dataset: 200 pre-contrast and 200 post-contrast DCE-MRI scans.

Acquisition Parameters:
• Plane: Axial (99.5%), Unspecified (0.5%)
• Magnetic Field Strength: 3T (100%)
• Fat Suppression: Yes (100.0%)
• Scanner Manufacturers: Siemens (100%)
• Acquisition Protocol: t1_fl3d_tra_Dixon_W (100%)
• Contrast Agents: DOTAREM (99.0%), GADOVIST (0.5%), Unspecified (0.5%)
• Imaging Parameters: TR 5–10 ms, TE 2–5 ms, flip angle 8–15°, slice thickness ~1 mm
• Image Dimensions: 416×416 pixels (100.0%)
• Pixel Spacing: 0.8654–0.9615 mm (mean: 0.8689 mm, median: 0.8654 mm, SD: 0.0157 mm)
• Slice Thickness Distribution: 1.0 mm (65.7%), 1.1 mm (23%), 1.2 mm (9.0%), 1.3 mm (1.5%), 1.4 mm (1.0%)

Instituto Alexander Fleming

Argentina

Dataset: 100 pre-contrast and 100 post-contrast DCE-MRI scans.

Acquisition Parameters:
• Plane: Axial
• Magnetic Field Strength: 1.5T
• Fat Suppression: Yes (FAT, FAT Classic, Spectral, Water)
• Scanner Manufacturer: GE
• Contrast Agents: DOTAREM, GADOVIST
• Imaging Parameters: TR 4.2 ms, TE 2 ms, flip angle 12°, slice thickness 1.1 mm
• Image Matrix: 512 × 512 pixels

Evaluation Framework

Timeline

May 1 Validation Phase Opens
June 15 Test Phase Opens
June 30 Last Submission Deadline
August 1 Official Results Release
October 8 Winners Announcement at Deep-Breath Workshop (MICCAI 2026)

Organization Team

Richard Osuala

Richard Osuala

Universitat de Barcelona, Spain

Challenge Co-Lead
Smriti Joshi

Smriti Joshi

Universitat de Barcelona, Spain

Challenge Co-Lead
Jarek van Dijk

Jarek van Dijk

Radboud University Medical Centre, Netherlands

Challenge Co-Lead
Luyi Han

Luyi Han

Radboud University Medical Centre, Netherlands

Maria Laura Cosaka

Maria Laura Cosaka

Instituto Alexander Fleming, Argentina

Daniel Mysler

Daniel Mysler

Instituto Alexander Fleming, Argentina

Lidia Garrucho

Lidia Garrucho

Universitat de Barcelona, Spain

Karim Lekadir

Karim Lekadir

Universitat de Barcelona & ICREA, Spain

Simone Balocco

Simone Balocco

Universitat de Barcelona & CVC, Spain

Oliver Diaz

Oliver Diaz

Universitat de Barcelona & CVC, Spain

Partners & Institutions

Contact

For inquiries about the MAMA-SYNTH challenge, feel free to reach out to Richard Osuala (richard.osuala@ub.edu), and Smriti Joshi (smriti.joshi@ub.edu).