Open-source myocardial T₁ mapping with simultaneous multi-slice acceleration: Combining an auto-calibrated...

Enabling fast and accessible myocardial T₁ mapping is crucial for extending its clinical application. We introduce Open-MOLLI-SMS combining simultaneous multi-slice (SMS) with auto-calibration and variable-rate selective excitation (VERSE)-multiband pulses to obtain all slices in a fast single-shot T₁ mapping sequence.

Open-MOLLI-SMS was developed by integrating SMS with the open-source method Open-MOLLI previously implemented in Pulseq. Three methods were integrated for Open-MOLLI-SMS: (1) auto-calibration blip patterns to ensure consistency between the data and coil information; (2) a blipped-balanced SSFP (bSSFP) readout to induce controlled aliasing in parallel imaging shifts without disturbing the bSSFP frequency response; and (3) a VERSE-multiband pulse for minimizing the achievable TR and the specific absortion rate (SAR) impact of SMS. Two (SMS2) or three (SMS3) slices were excited simultaneously and encoded with an in-plane acceleration factor of 2. Experiments were performed in the International Society for Magnetic Resonance in Medicine/National Institute of Standards and Technology phantom and five healthy volunteers.

Phantom results show accurate T₁ estimates for reference values between 400 to 2200 ms. Artifacts were visible for Open-MOLLI-SMS3 but not replicated in vivo. In vivo Open-MOLLI-SMS (T₁ ^SMS2  = 993 ± 10 ms; T₁ ^SMS3  = 1031 ± 17 ms) provided similar values to mean T₁ single-band Open-MOLLI estimates (T₁ ^Open-MOLLI  = 1005 ± 47 ms). Open-MOLLI-SMS2 provided the closest estimates to the reference.

This proof-of-principle implementation study demonstrates the feasibility of speeding up T₁ -mapping acquisitions and increasing coverage by combining auto-calibration strategies with a blipped-bSFFP readout and VERSE multiband RF excitation pulses. The proposed methodology was built on the Open-MOLLI mapping sequence, which provides a fast means for prototyping and enables open-source sharing of the method.