Abstract
Purpose: To investigate whether a vision-language foundation model can enhance undersampled MRI reconstruction by providing high-level contextual information beyond conventional priors. Methods: We proposed a semantic distribution-guided reconstruction framework that uses a pre-trained vision-language foundation model to encode both the reconstructed image and auxiliary information into high-level semantic features. A contrastive objective aligns the reconstructed representation with the target semantic distribution, ensuring consistency with high-level perceptual cues. The proposed objective works with various deep learning-based reconstruction methods and can flexibly incorporate semantic priors from multimodal sources. To test the effectiveness of these semantic priors, we evaluated reconstruction results guided by priors derived from either image-only or image-language auxiliary information. Results: Experiments on knee and brain datasets demonstrate that semantic priors from image