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.

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.