Highly Accelerated Multishot EPI through Synergistic Combination of Machine Learning and Joint Reconstruction

Purpose: To introduce a combined machine learning (ML) and physics-based image reconstruction framework that enables navigator-free, highly accelerated multishot echo planar imaging (msEPI), and demonstrate its application in high-resolution structural imaging. Methods: Singleshot EPI is an efficient encoding technique, but does not lend itself well to high-resolution imaging due to severe distortion artifacts and blurring. While msEPI can mitigate these artifacts, high-quality msEPI has been elusive because of phase mismatch arising from shot-to-shot physiological variations which disrupt the combination of the multiple-shot data into a single image. We employ Deep Learning to obtain an interim magnitude-valued image with minimal artifacts, which permits estimation of image phase variations due to shot-to-shot physiological changes. These variations are then included in a Joint Virtual Coil Sensitivity Encoding (JVC-SENSE) reconstruction to utilize data from all shots and improve upon the ML solution. Results: Our combined ML + physics approach enabled R=8-fold acceleration from 2 EPI-shots while providing 1.8-fold error reduction compared to the MUSSELS, a state-of-the-art reconstruction technique, which is also used as an input to our ML network. Using 3 shots allowed us to push the acceleration to R=10-fold, where we obtained a 1.7-fold error reduction over MUSSELS. Conclusion: Combination of ML and JVC-SENSE enabled navigator-free msEPI at higher accelerations than previously possible while using fewer shots, with reduced vulnerability to poor generalizability and poor acceptance of end-to-end ML approaches.