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Abstract PurposeTo determine the feasibility of simultaneous multi‐slice (SMS) real‐time MRI (RT‐MRI) at 0.55T for the evaluation of cardiac function. MethodsCardiac CINE MRI is routinely used to evaluate left‐ventricular (LV) function. The standard is sequential multi‐slice balanced SSFP (bSSFP) over a stack of short‐axis slices using electrocardiogram (ECG) gating and breath‐holds. SMS has been used in CINE imaging to reduce the number of breath‐holds by a factor of 2–4 at 1.5T, 3T, and recently at 0.55T. This work aims to determine if SMS is similarly effective in the RT‐MRI evaluation of cardiac function. We used an SMS bSSFP pulse sequence with golden‐angle spirals at 0.55T with an SMS factor of three. We cover the LV with three acquisitions for SMS, and nine for single‐band (SB). Imaging was performed on 9 healthy volunteers and 1 patient with myocardial fibrosis and sternal wires. A spatio‐temporal constrained reconstruction is used, with regularization parameters selected by a board‐certified cardiologist. Images were quantitatively analyzed with a normalized contrast and an Edge Sharpness (ES) score. ResultsThere was a statistically significant 2‐fold difference in contrast between SMS and SB and no significant difference in ES score. The contrast for SMS and SB were 13.38/29.05 at mid‐diastole and 10.79/22.26 at end‐systole; the ES scores for SMS and SB were 1.77/1.83 at mid‐diastole and 1.50/1.72 at end‐systole. ConclusionsSMS cardiac RT‐MRI at 0.55T is feasible and provides sufficient blood‐myocardium contrast to evaluate LV function in three slices simultaneously without any gating or periodic motion assumptions.