Contrast-enhanced three-dimensional T 1 -weighted imaging based on magnetization-prepared rapid-gradient recalled echo is widely used for detecting small brain metastases. However, since contrast materials remain in both blood and the tumor parenchyma and thus increase the signal intensity of both regions, it is often challenging to distinguish brain tumors from blood. In this work, we develop a T 1 -weighted, black-blood version of single-slab three-dimensional turbo/ fast spin echo whole-brain imaging, in which the signal intensity of the brain tumor is selectively enhanced while that of blood is suppressed. For blood suppression, variable refocusing flip angles with flow-sensitizing gradients are employed. To avoid a signal loss resulting from the flow-sensitizing scheme, the first refocusing flip angle is forced to 180°. Composite restore pulses at the end of refocusing pulse train are applied to achieve partial inversion recovery for the T 1 -weighted contrast. Simulations and in vivo volunteer and patient experiments are performed, demonstrating that this approach is highly efficient in detecting small brain metastases. Magn Reson Med 63:553-561, 2010. V C 2010 Wiley-Liss, Inc.Key words: contrast-enhanced; metastatic tumor; black blood; magnetic resonance imaging; MRI; three dimensional; variable flip angle In brain metastasis, wherein blood vessels do not maintain the blood-brain barrier, exogenously administered small-molecular-weight contrast agents typically accumulate within the extravascular extracellular space. Thus, contrast-enhanced (CE) imaging methods (1-6), which are sensitive to the T 1 -shortening effect of contrast materials, have been used for the detection of brain metastases. Among them, CE T 1 -weighted two-dimensional spin echo (SE) imaging has gained widespread clinical acceptance for the detection of brain tumors with permeable vessels, providing high signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR), but has limitations in detecting the small size of metastases due to partial-volume effects. To overcome this problem, magnetizationprepared rapid-gradient-echo (MP-RAGE) imaging (7,8), which is the most widely used three-dimensional (3D) T 1 -weighted imaging sequence, can be used to acquire high-resolution, isotropic whole-brain data in a clinically acceptable imaging time. Despite these advantages, a potential confound is the distribution of contrast agents within blood vessels and the tumor parenchyma resulting in the simultaneous enhancement of both regions, thereby impairing the accuracy of metastatic lesion detection. Thus, since the blood vessels close to the brain tumors may result in diagnostic confusion, it is necessary to selectively enhance the signal intensity of the brain tumors while suppressing the blood vessels elsewhere in the brain.Black-blood imaging methods (9-14), wherein blood signals are selectively suppressed using spatial presaturation (9,10), double inversion recovery (11,12), or motion-sensitizing magnetization preparation (13,14), if successfully...