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PurposeTo 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). MethodsFirst‐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. ResultsResults 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. ConclusionPG‐DL reconstruction with the proposed SIIM encoding operator improves generalization across different time‐frames /SNRs in highly accelerated perfusion CMR. 

Late gadolinium enhancement (LGE) with cardiac magnetic resonance (CMR) imaging is the clinical reference for assessment of myocardial scar and focal fibrosis. However, current LGE techniques are confined to imaging of a single cardiac phase, which hampers assessment of scar motility and does not allow cross-comparison between multiple phases. In this work, we investigate a three step approach to obtain cardiac phase-resolved LGE images: (1) Acquisition of cardiac phase-resolved imaging data with varyingT₁weighting. (2) Generation of semi-quantitative ${\text{T}}_{\text{1}}^{\text{*}}$maps for each cardiac phase. (3) Synthetization of LGE contrast to obtain functional LGE images. The proposed method is evaluated in phantom imaging, six healthy subjects at 3T and 20 patients at 1.5T. Phantom imaging at 3T demonstrates consistent contrast throughout the cardiac cycle with a coefficient of variation of 2.55 ± 0.42%.In-vivoresults show reliable LGE contrast with thorough suppression of the myocardial tissue is healthy subjects. The contrast between blood and myocardium showed moderate variation throughout the cardiac cycle in healthy subjects (coefficient of variation 18.2 ± 3.51%). Images were acquired at 40–60 ms and 80 ms temporal resolution, at 3T and 1.5, respectively. Functional LGE images acquired in patients with myocardial scar visualized scar tissue throughout the cardiac cycle, albeit at noticeably lower imaging resolution and noise resilience than the reference technique. The proposed technique bears the promise of integrating the advantages of phase-resolved CMR with LGE imaging, but further improvements in the acquisition quality are warranted for clinical use.