Robust simultaneous multislice MRI reconstruction using slice-wise learned generative diffusion priors

Simultaneous multislice (SMS) imaging is a powerful technique for accelerating magnetic resonance imaging (MRI) acquisitions. However, SMS reconstruction remains challenging due to complex signal interactions between and within the excited slices. In this study, we introduce ROGER, a robust SMS MRI reconstruction method based on deep generative priors. Utilizing denoising diffusion probabilistic models (DDPM), ROGER begins with Gaussian noise and gradually recovers individual slices through reverse diffusion iterations while enforcing data consistency from measured k-space data within the readout concatenation framework. The posterior sampling procedure is designed such that the DDPM training can be performed on single-slice images without requiring modifications for SMS tasks. Additionally, our method incorporates a low-frequency enhancement (LFE) module to address the practical issue that SMS-accelerated fast spin echo (FSE) and echo planar imaging (EPI) sequences cannot easily embed fully-sampled autocalibration signals. Extensive experiments on both retrospectively and prospectively accelerated datasets demonstrate that ROGER consistently outperforms existing methods, enhancing both anatomical and functional imaging with strong out-of-distribution generalization. The source code and sample data for ROGER are available at https://github.com/Solor-pikachu/ROGER.