Purpose: This study presents a variable resolution (VR) sampling and deep learning reconstruction approach for multi-spectral MRI near metal implants, aiming to reduce scan times while maintaining image quality. Background: The rising use of metal implants has increased MRI scans affected by metal artifacts. Multi-spectral imaging (MSI) reduces these artifacts but sacrifices acquisition efficiency. Methods: This retrospective study on 1.5T MSI knee and hip data from patients with metal hardware used a novel spectral undersampling scheme to improve acquisition efficiency by ~40%. U-Net-based deep learning models were trained for reconstruction. Image quality was evaluated using SSIM, PSNR, and RESI metrics. Results: Deep learning reconstructions of undersampled VR data (DL-VR) showed significantly higher SSIM and PSNR values (p<0.001) compared to conventional reconstruction (CR-VR), with improved edge sharpness. Edge sharpness in DL-reconstructed images matched fully sampled references (p=0.5). Conclusion: This approach can potentially enhance MRI examinations near metal implants by reducing scan times or enabling higher resolution. Further prospective studies are needed to assess clinical value.
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