The aim of this study is to develop and evaluate a regularized Simultaneous Multi-Slice (SMS) reconstruction method for improved Cardiac Magnetic Resonance Imaging (CMR). The proposed reconstruction method, SMS with COmpOsition of k-space IntErpolations (SMS-COOKIE) combines the advantages of Iterative Self-consistent Parallel Imaging Reconstruction (SPIRiT) and split slice-Generalized Autocalibrating Partially Parallel Acquisitions (GRAPPA), while allowing regularization for further noise reduction. The proposed SMS-COOKIE was implemented with and without regularization, and validated using a Saturation Pulse-Prepared Heart rate Independent inversion REcovery (SAPPHIRE) myocardial T ₁ mapping sequence. The performance of the proposed reconstruction method was compared to ReadOut (RO)–SENSE-GRAPPA and split slice-GRAPPA, on both retrospectively and prospectively three-fold SMS-accelerated data with an additional two-fold in-plane acceleration. All SMS reconstruction methods yielded similar T ₁ values compared to single band imaging. SMS-COOKIE showed lower spatial variability in myocardial T ₁ with significant improvement over RO-SENSE-GRAPPA and split slice-GRAPPA (P < 10 ⁻⁴). The proposed method with additional locally low rank (LLR) regularization reduced the spatial variability, again with significant improvement over RO-SENSE-GRAPPA and split slice-GRAPPA (P < 10 ⁻⁴). In conclusion, improved reconstruction quality was achieved with the proposed SMS-COOKIE, which also provided lower spatial variability with significant improvement over split slice-GRAPPA.

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Purpose: To develop a physics-guided deep learning (PG-DL) reconstruction strategy based on a signal intensity informed multi-coil (SIIM) encoding operator for highly-accelerated simultaneous multislice (SMS) myocardial perfusion cardiac MRI (CMR). Methods: First-pass perfusion CMR acquires highly-accelerated images with dynamically varying signal intensity/SNR following the administration of a gadolinium-based contrast agent. Thus, using PG-DL reconstruction with a conventional multi-coil encoding operator leads to analogous signal intensity variations across different time-frames at the network output, creating difficulties in generalization for varying SNR levels. We propose to use a SIIM encoding operator to capture the signal intensity/SNR variations across time-frames in a reformulated encoding operator. This leads to a more uniform/flat contrast at the output of the PG-DL network, facilitating generalizability across time-frames. PG-DL reconstruction with the proposed SIIM encoding operator is compared to PG-DL with conventional encoding operator, split slice-GRAPPA, locally low-rank (LLR) regularized reconstruction, low-rank plus sparse (L + S) reconstruction, and regularized ROCK-SPIRiT. Results: Results on highly accelerated free-breathing first pass myocardial perfusion CMR at three-fold SMS and four-fold in-plane acceleration show that the proposed method improves upon the reconstruction methods use for comparison. Substantial noise reduction is achieved compared to split slice-GRAPPA, and aliasing artifacts reduction compared to LLR regularized reconstruction, L + S reconstruction and PG-DL with conventional encoding. Furthermore, a qualitative reader study indicated that proposed method outperformed all methods. Conclusion: PG-DL reconstruction with the proposed SIIM encoding operator improves generalization across different time-frames /SNRs in highly accelerated perfusion CMR.

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Dynamic contrast enhanced (DCE) MRI acquires a series of images following the administration of a contrast agent, and plays an important clinical role in diagnosing various diseases. DCE MRI typically necessitates rapid imaging to provide sufficient spatio-temporal resolution and coverage. Conventional MRI acceleration techniques exhibit limited image quality at such high acceleration rates. Recently, deep learning (DL) methods have gained interest for improving highly-accelerated MRI. However, DCE MRI series show substantial variations in SNR and contrast across images. This hinders the quality and generalizability of DL methods, when applied across time frames. In this study, we propose signal intensity informed multi-coil MRI encoding operator for improved DL reconstruction of DCE MRI. The output of the corresponding inverse problem for this forward operator leads to more uniform contrast across time frames, since the proposed operator captures signal intensity variations across time frames while not altering the coil sensitivities. Our results in perfusion cardiac MRI show that high-quality images are reconstructed at very high acceleration rates, with substantial improvement over existing methods.

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Purpose: To develop and evaluate a simultaneous multislice (SMS) reconstruction technique that provides noise reduction and leakage blocking for highly accelerated cardiac MRI. Methods: ReadOut Concatenated k-space SPIRiT (ROCK-SPIRiT) uses the concept of readout concatenation in image domain to represent SMS encoding, and performs coil self-consistency as in SPIRiT-type reconstruction in an extended k-space, while allowing regularization for further denoising. The proposed method is implemented with and without regularization, and validated on retrospectively SMS-accelerated cine imaging with three-fold SMS and two-fold in-plane acceleration. ROCK-SPIRiT is compared with two leakage-blocking SMS reconstruction methods: readout-SENSE-GRAPPA and split slice–GRAPPA. Further evaluation and comparisons are performed using prospectively SMS-accelerated cine imaging. Results: Results on retrospectively three-fold SMS and two-fold in-plane accelerated cine imaging show that ROCK-SPIRiT without regularization significantly improves on existing methods in terms of PSNR (readout-SENSE-GRAPPA: 33.5 ± 3.2, split slice–GRAPPA: 34.1 ± 3.8, ROCK-SPIRiT: 35.0 ± 3.3) and SSIM (readout-SENSE-GRAPPA: 84.4 ± 8.9, split slice–GRAPPA: 85.0 ± 8.9, ROCK-SPIRiT: 88.2 ± 6.6 [in percentage]). Regularized ROCK-SPIRiT significantly outperforms all methods, as characterized by these quantitative metrics (PSNR: 37.6 ± 3.8, SSIM: 94.2 ± 4.1 [in percentage]). The prospectively five-fold SMS and two-fold in-plane accelerated data show that ROCK-SPIRiT and regularized ROCK-SPIRiT have visually improved image quality compared with existing methods. Conclusion: The proposed ROCK-SPIRiT technique reduces noise and interslice leakage in accelerated SMS cardiac cine MRI, improving on existing methods both quantitatively and qualitatively.

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Purpose To accelerate coronary MRI acquisitions with arbitrary undersampling patterns by using a novel reconstruction algorithm that applies coil self-consistency using subject-specific neural networks. Methods Self-consistent robust artificial-neural-networks for k-space interpolation (sRAKI) performs iterative parallel imaging reconstruction by enforcing self-consistency among coils. The approach bears similarity to SPIRiT, but extends the linear convolutions in SPIRiT to nonlinear interpolation using convolutional neural networks (CNNs). These CNNs are trained individually for each scan using the scan-specific autocalibrating signal (ACS) data. Reconstruction is performed by imposing the learned self-consistency and data-consistency, which enables sRAKI to support random undersampling patterns. Fully-sampled targeted right coronary artery MRI was acquired in six healthy subjects. The data were retrospectively undersampled, and reconstructed using SPIRiT, l₁-SPIRiT and sRAKI for acceleration rates of 2 to 5. Additionally, prospectively undersampled whole-heart coronary MRI was acquired to further evaluate reconstruction performance. Results sRAKI reduces noise amplification and blurring artifacts compared with SPIRiT and l₁-SPIRiT, especially at high acceleration rates in targeted coronary MRI. Quantitative analysis shows that sRAKI outperforms these techniques in terms of normalized mean-squared-error (~44% and ~21% over SPIRiT and ‘₁-SPIRiT at rate 5) and vessel sharpness (~10% and ~20% over SPIRiT and l₁-SPIRiT at rate 5). Whole-heart data shows the sharpest coronary arteries when resolved using sRAKI, with 11% and 15% improvement in vessel sharpness over SPIRiT and l₁-SPIRiT, respectively. Conclusion sRAKI is a database-free neural network-based reconstruction technique that may further accelerate coronary MRI with arbitrary undersampling patterns, while improving noise resilience over linear parallel imaging and image sharpness over l₁ regularization techniques.

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Perfusion cardiac MRI (CMR) is a radiation-free and noninvasive imaging tool which has gained increasing interest for the diagnosis of coronary artery disease. However, resolution and coverage are limited in perfusion CMR due to the necessity of single snap-shot imaging during the first-pass of a contrast agent. Simultaneous multi-slice (SMS) imaging has the potential for high acceleration rates with minimal signal-to-noise ratio (SNR) loss. However, its utility in CMR has been limited to moderate acceleration factors due to residual leakage artifacts from the extra-cardiac tissue such as the chest and the back. Outer volume suppression (OVS) with leakage-blocking reconstruction has been used to enable higher acceleration rates in perfusion CMR, but suffers from higher noise amplification. In this study, we sought to augment OVS-SMS/MB imaging with a regularized leakage-blocking reconstruction algorithm to improve image quality. Results from highly-accelerated perfusion CMR show that the method improves upon SMS-SPIRiT in terms of leakage reduction and split slice (ss)-GRAPPA in terms of noise mitigation.

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Myocardial T1 mapping is a quantitative MRI technique that has found great clinical utility in the detection of various heart disease. These acquisitions typically require three breath-holds, leading to long scan durations and patient discomfort. Simultaneous multi-slice (SMS) imaging has been shown to reduce the scan time of myocardial T1 mapping to a single breath-hold without sacrificing coverage, albeit at reduced precision. In this work, we propose a new reconstruction strategy for SMS imaging that combines the advantages of two different k-space interpolation strategies, while allowing for regularization, in order to improve the precision of accelerated myocardial T1 mapping.

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Coronary MRI is a non-invasive radiation-free imaging tool for the diagnosis of coronary artery disease. One of its limitations is the long scan time, due to the need for high resolution imaging in the presence of respiratory and cardiac motions. Machine learning (ML) methods have been recently utilized to accelerate MRI. In particular, a scan-specific ML technique, called Robust Artifical-neural-network for k-space Interpolation (RAKI) has shown promise in cardiac MRI. However, it requires uniform undersampling. In this study, we sought to extend this approach to arbitrary sampling patterns, using coil self-consistency. This technique, called SPIRiTRAKI,
utilizes scan-specific convolutional neural networks to nonlinearly enforce coil self-consistency. Additionally, regularization terms can also be incorporated. SPIRiT-RAKI was
used to accelerate right coronary MRI. Reconstructions were compared to SPIRiT for different undersampling patterns and acceleration rates. Results show SPIRiT-RAKI reduces
residual aliasing and blurring artifacts compared to SPIRiT.@en

Background Robust Artificial-neural-networks for k-space Interpolation (RAKI) is a recently proposed deep-learning-based reconstruction algorithm for parallel imaging. Its main premise is to perform k-space interpolation using convolutional neural networks (CNNs) trained on subject-specific autocalibration signal (ACS) data. Since training is performed individually for each subject, the reconstruction time is longer than approaches that pre-train on databases. In this study, we sought to reduce the computational time of RAKI. Methods RAKI was implemented using CPU multi-processing and process pooling to maximize the utility of GPU resources. We also proposed an alternative CNN architecture that interpolates all output channels jointly for specific skipped k-space lines. This new architecture was compared to the original CNN architecture in RAKI, as well as to GRAPPA in phantom, brain and knee MRI datasets, both qualitatively and quantitatively. Results The optimized GPU implementations were approximately 2-to-5-fold faster than a simple GPU implementation. The new CNN architecture further improved the computational time by 4-to-5-fold compared to the optimized GPU implementation using the original RAKI CNN architecture. It also provided significant improvement over GRAPPA both visually and quantitatively, although it performed slightly worse than the original RAKI CNN architecture. Conclusions The proposed implementations of RAKI bring the computational time towards clinically acceptable ranges. The new CNN architecture yields faster training, albeit at a slight performance loss, which may be acceptable for faster visualization in some settings.

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