Back to Physics: Operator-Guided Generative Paths for SMS MRI Reconstruction

Simultaneous multi-slice (SMS) imaging with in-plane undersampling enables highly accelerated MRI but yields a strongly coupled inverse problem with deterministic inter-slice interference and missing k-space data. Most diffusion-based reconstructions are formulated around Gaussian-noise corruption and rely on additional consistency steps to incorporate SMS physics, which can be mismatched to the operator-governed degradations in SMS acquisition. We propose an operator-guided framework that models the degradation trajectory using known acquisition operators and inverts this process via deterministic updates. Within this framework, we introduce an operator-conditional dual-stream interaction network (OCDI-Net) that explicitly disentangles target-slice content from inter-slice interference and predicts structured degradations for operator-aligned inversion, and we instantiate reconstruction as a two-stage chained inference procedure that performs SMS slice separation followed by in-plane completion. Experiments on fastMRI brain data and prospectively acquired in vivo diffusion MRI data demonstrate improved fidelity and reduced slice leakage over conventional and learning-based SMS reconstructions.