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Abstract #0753

Free-breathing SMS-bSSFP myocardial perfusion imaging with prospective slice-tracking and AI-based reconstruction

Naledi Lenah Adam1, Ronald Mooiweer1,2,3, Andrew Tyler1, Karl Kunze1,2, Peter Speier4, Daniel Stäb5, Amedeo Chiribiri1, and Sébastien Roujol1
1School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Camberley, United Kingdom, 3MR Physics, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom, 4Cardiovascular predevelopment, Siemens Healthcare GmbH, Erlangen, Germany, 5MR Research Collaborations, Siemens Healthcare Limited, Melbourne, Australia

Synopsis

Keywords: Motion Correction, Perfusion, free breathing, myocardial perfusion, simultaneous multi-slice, prospective motion-correction, machine learning/artificial intelligence

Motivation: Simultaneous multi-slice-bSSFP shows promise for myocardial perfusion imaging with high spatial coverage/resolution. Free-breathing acquisitions are desirable but currently result in large through-plane motion.

Goal(s): To develop a free-breathing SMS-bSSFP myocardial perfusion technique with high spatial coverage/resolution and prospective through-plane motion correction.

Approach: Prospective slice-tracking using fastNAV was implemented into an SMS-bSSFP perfusion sequence. Image reconstruction used TGRAPPA combined with a deep learning-based complex-value image denoiser. This technique was evaluated in 10 patients undergoing two rest SMS perfusion scans with/without fastNAV.

Results: The proposed approach resulted in significant motion reduction, low noise-level reconstruction, and no degradation of myocardial sharpness.

Impact: This study demonstrates the feasibility of prospective slice tracking in an SMS perfusion sequence. Combined with the proposed deep learning-based reconstruction, it provides a myocardial perfusion protocol with increased spatial coverage, high spatial resolution, and feasible under free-breathing conditions.

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Keywords