Super-resolution (SR) facilitates high-fidelity mapping beyond the spatial resolution capacity of clinical neuro-oncology MRI. While state-of-the-art deep learning algorithms have augmented this domain, such methods exclusively learn from spatial or spectral domains and are often compounded by tumor boundary over-smoothing and geometrically inconsistent pathologies. In this paper, we introduce Hy-DTGL, a hybrid-domain transformer with a global–local attention modal super-resolution (SR) framework that learns a joint reconstruction across four inter-dependent knowledge domains: local spatial, global spatial, spectral and wavelet. Using windowed self-attention, Hy-DTGL learns highly localized pathologic textures; pooled global attention constrains anatomical plausibility; Fourier-learnable modulation provides spectral energy per semblance; and multi-scale discrete wavelet tiling preserves multi-scale tumor morphology. Optimization occurs via a hybrid objective, combining Charbonnier loss, gradient edge-loss, and spectral domain loss. The proposed framework was trained on BraTS 2019 (BT_19) and evaluated on BT_19, BraTS 2020 (BT_20), BraTS 2023 (BT_23), and IXI under both in-domain and strict zero-shot settings, and achieves competitive performance relative to the evaluated baselines under the adopted degradation and evaluation protocol at ×2, ×4, and ×8 SR factors. In the BraTS 2020 ×4 test resolution, 37.46 dB PSNR and 0.986 SSIM are attained, outperforming deep learning CNN-based SR (ECFNet) by 2.47 dB and transformer-based (WavTrans) by 4.05 dB in PSNR. Ablative studies reveal the spatial, spectral and multi-scale constraints notably converge to a faithfully mapped image space with restored tumor boundary delineation and global-structure consistency. We also show the Hy-DTGL generalizability by how it improves downstream tumor segmentation metrics: the super-resolved scans improve the segmentation Dice coefficient by 0.063 and significant reductions are observed in the Hausdorff Distance from 19.05 mm to 13.01 mm relative to the original low-resolution images, suggesting potential utility for downstream neuro-oncological image analysis.
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Hassan et al. (2026) studied this question.
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