PEARL: Cascaded Self-Supervised Cross-Fusion Learning for Parallel MRI Acceleration.

Supervised deep learning (SDL) methodology holds promise for accelerated magnetic resonance imaging (AMRI) but is hampered by the reliance on extensive training data. Some self-supervised frameworks, such as deep image prior (DIP), have emerged, eliminating the explicit training procedure but often struggling to remove noise and artifacts under significant degradation. This work introduces a novel self-supervised accelerated parallel MRI approach called PEARL, leveraging a multiple-stream joint deep decoder with two cross-fusion schemes to accurately reconstruct one or more target images from compressively sampled k-space. Each stream comprises cascaded cross-fusion sub-block networks (SBNs) that sequentially perform combined upsampling, 2D convolution, joint attention, ReLU activation and batch normalization (BN). Among them, combined upsampling and joint attention facilitate mutual learning between multiple-stream networks by integrating multi-parameter priors in both additive and multiplicative manners. Long-range unified skip connections within SBNs ensure effective information propagation between distant cross-fusion layers. Additionally, incorporating dual-normalized edge-orientation similarity regularization into the training loss enhances detail reconstruction and prevents overfitting. Experimental results consistently demonstrate that PEARL outperforms the existing state-of-the-art (SOTA) self-supervised AMRI technologies in various MRI cases. Notably, 5-fold$\sim$6-fold accelerated acquisition yields a 1$\%$ $\sim$ 2$\%$ improvement in SSIM$_{\mathsf{ROI}}$ and a 3$\%$ $\sim$ 6$\%$ improvement in PSNR$_{\mathsf{ROI}}$, along with a significant 15$\%$ $\sim$ 20$\%$ reduction in RLNE$_{\mathsf{ROI}}$.