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In Fourier-based medical imaging, sampling below the Nyquist rate results in an underdetermined system, in which a linear reconstruction will exhibit artifacts. Another consequence is lower signal-to-noise ratio (SNR) because of fewer acquired measurements. Even if one could obtain information to perfectly disambiguate the underdetermined system, the reconstructed image could still have lower image quality than a corresponding fully sampled acquisition because of reduced measurement time. The coupled effects of low SNR and underdetermined system during reconstruction makes it difficult to isolate the impact of low SNR on image quality. To this end, we present an image quality prediction process that reconstructs fully sampled, fully determined data with noise added to simulate the SNR loss induced by a given undersampling pattern. The resulting prediction image empirically shows the effects of noise in undersampled image reconstruction without any effect from an underdetermined system. We discuss how our image quality prediction process simulates the distribution of noise for a given undersampling pattern, including variable density sampling that produces colored noise in the measurement data. An interesting consequence of our prediction model is that recovery from an underdetermined nonuniform sampling is equivalent to a weighted least squares optimization that accounts for heterogeneous noise levels across measurements. Through experiments with synthetic and in vivo datasets, we demonstrate the efficacy of the image quality prediction process and show that it provides a better estimation of reconstruction image quality than the corresponding fully sampled reference image.