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Fig 1.

A schematic of the SMS-COOKIE objective function in Eq 3.

(a) Data consistency term (depicted with blue box) enforces consistency with the acquired k-space data κSMS, (b) Split slice-GRAPPA consistency term (depicted with maroon box) provides noisy but reliable estimates of individual k-space slices, (c) SPIRiT term (depicted with green box) further enforces coil self-consistency and improves the individual k-space estimations. An SMS acceleration factor of n = 3 is shown and regularization terms are not depicted.

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Fig 1 Expand

Fig 2.

Representative T1 weighted images with low SNR from a retrospectively SMS-accelerated dataset, reconstructed using RO-SENSE-GRAPPA, split slice-GRAPPA, proposed SMS-COOKIE and proposed regularized SMS-COOKIE.

Single band images are shown in the top row as reference, and difference images are obtained by subtracting them from the reconstructions. Regularized SMS-COOKIE shows the lowest error and visually similar results compared to single band reference images.

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Fig 2 Expand

Table 1.

Average PSNR and SSIM metrics over all subject, 15 images and all three slices.

Regularized SMS-COOKIE shows the highest PSNR performance with 23.2%, 20.5% and 10.3% improvement compared to RO-SENSE-GRAPPA, split slice-GRAPPA and SMS-COOKIE. Likewise, regularized SMS-COOKIE shows the highest SSIM among all methods, with 21.1%, 19.7% and 9.5% improvement compared to RO-SENSE-GRAPPA, split slice-GRAPPA and SMS-COOKIE.

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Table 1 Expand

Fig 3.

Representative leakage and g-factor maps from a retrospectively SMS-accelerated dataset.

(A) Highest leakage is exhibited in RO-SENSE-GRAPPA (up to 6.5%), which is reduced using split slice-GRAPPA (up to 6.2%). The least amount of leakage is observed with SMS-COOKIE (up to 3.5%). (B) Highest g-factor values are observed in RO-SENSE-GRAPPA (mean = 3.76), corresponding to highest noise amplification, while the lowest g-factor values are shown in SMS-COOKIE (mean = 2.84). Leakage analysis and g-factor quantification require linearity in image reconstruction, therefore regularized SMS-COOKIE cannot be included in these analyses.

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Fig 3 Expand

Fig 4.

Quantitative pixel-wise tissue characterization as T1 maps of the three slices covering the heart in a retrospectively three-fold SMS and two-fold in-plane accelerated imaging.

Single band, RO-SENSE-GRAPPA, split slice-GRAPPA, proposed SMS-COOKIE amd proposed regularized SMS-COOKIE results are shown. Regularized SMS-COOKIE exhibits closer match to single band image in terms of visual quality and shows less noise compared to other reconstruction methods.

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Fig 4 Expand

Fig 5.

Bullseye representation of myocardial T1 times and T1 spatial variability over all subjects in retrospectively SMS accelerated study.

Among non-regularized SMS methods, SMS-COOKIE shows the lowest spatial variability. When regularization is included, SMS-COOKIE further improves the spatial variability.

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Fig 5 Expand

Fig 6.

Quantitative evaluation as T1 maps of the three slices covering the heart in a prospectively accelerated SMS acquisition.

All 4 reconstructions are shown with single band as the reference tissue characterization on the leftmost column. Regularized SMS-COOKIE s hows the closest visual quality to single band references.

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Fig 6 Expand

Fig 7.

Prospectively SMS accelerated study with bullseye representation of myocardial T1 times and T1 spatial variability over all subjects.

SMS-COOKIE shows the lowest spatial variability compared to non-regularized SMS reconstruction methods. Additionally, regularized SMS-COOKIE further improves the spatial variability compared to existing methods and showed less spatial variability compared to single band reference.

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Fig 7 Expand

Fig 8.

Quantitative pixel-wise tissue characterization as T1 maps of the three slices covering the heart in a simulation study with three-fold SMS and two-fold in-plane acceleration.

Regularized SMS-COOKIE improves upon all methods and shows closest image quality to reference images depicted as single band images.

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Fig 8 Expand

Fig 9.

Bullseye representation of myocardial T1 times and T1 spatial variability in 3-fold SMS and 2-fold in-plane accelerated simulation study.

SMS-COOKIE shows the least spatial variability among non-regularized SMS methods, which is further improved by regularized SMS-COOKIE.

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Fig 9 Expand

Table 2.

Average PSNR and SSIM metrics over 15 images and all three slices for simulation study at 3-fold SMS and 2-fold in-plane acceleration.

Regularized SMS-COOKIE shows the highest PSNR and SSIM performance compared to non-regularized methods.

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Table 2 Expand