Efficient Interleaved Multi-Band Outer Volume Suppression for Highly Accelerated Simultaneous Multi-Slice Imaging of the Heart

In this work, we aimed to develop and evaluate multi-band outer volume suppression pulses for increased acceleration rates in simultaneous multi-slice accelerated cardiac MRI. MB-OVS pulses were constructed from a multi-band combination of two slab-selective saturation pulses and tested for various pulse shapes using Bloch simulation and phantom experiment. The MB-OVS pulses were interleaved between imaging pulses to ensure homogeneous suppression throughout the cardiac cycle/imaging window in vivo. Simultaneous multi-slice (SMS) CINE and first-pass myocardial perfusion scans with and without the proposed MB-OVS pulses were compared in terms of residual artifacts at high acceleration rates. Among the tested pulses, both Bloch simulation and phantom experiments showed that amplitude-optimized sinc pulses provided the best trade-off in suppression efficiency, the required B1+, SAR, and slab profile. CINE imaging with 5-fold SMS-OVS acceleration significantly outperformed imaging without MB-OVS, maintaining leakage-free image quality, even when adding 2-fold in-plane acceleration. SMS-OVS also enabled perfusion imaging in 9 slices with 1.7 × 1.7 mm² resolution, achieving a 16-fold spatial-only acceleration while ensuring accurate contrast dynamics without leakage artifacts. Interleaved MB-OVS modules enabled thorough leakage artifact suppression in cardiac SMS-accelerated CINE and perfusion imaging, particularly at high acceleration rates. The proposed approach may be promising for unlocking further acceleration potential of SMS in cardiac imaging.