Continuous arterial spin labeling (CASL) using adiabatic inversion is a widely used approach for perfusion imaging. For the quantification of perfusion, a reliable determination of the labeling efficiency is required. A numerical method for predicting the labeling efficiency in CASL experiments under various experimental conditions, including spin relaxation, is demonstrated. The approach is especially useful in the case of labeling at the carotid artery with a surface coil, as consideration of the experimental or theoretical profile of the B 1 field is straightforward. Other effects that are also accounted for include deviations from a constant labeling gradient, and variations in the blood flow velocity due to the cardiac cycle. Assuming relevant experimental and physiological conditions, maximum inversion efficiencies of about 85% can be obtained. Perfusion imaging with magnetically labeled water as an endogenous tracer is capable of measuring regional cerebral blood flow (rCBF) (1,2). Continuous arterial spin labeling (CASL) can be achieved by velocity-driven adiabatic spin inversion in the carotid artery (2,3). This represents an effective method of spin labeling for absolute quantification of rCBF if the value of the inversion efficiency, ␣, is accurately known. The inversion efficiency is the percentage of (initially positive) longitudinal magnetization M z that becomes aligned with the negative z-axis at the end of the adiabatic fast passage:In velocity-driven adiabatic inversion, ␣ depends on the magnitude and spatial profile of both the RF magnetic field, B RF (z), and the frequency offset along the direction of flow (typically the z-axis), B G (z). The hemodynamics in the artery also affect ␣. Several approaches for theoretically analyzing the inversion efficiency by modeling the inversion process have been published (4 -8). Although the results of Refs. 4 -8 agreed with experimental data, some simplifications in their calculations did not match realistic conditions, especially if separate coils are used for CASL and image generation. The most valuable advantages of separating the radiofrequency (RF) irradiation for labeling and imaging by the use of two coils are the easy implementation of multislice imaging with arbitrary slice orientation, and the elimination of magnetization-transfer effects. Perfusion measurements with the dual-coil setup have been performed in animals (9,10) and humans (11,12). A recent study demonstrated the potential for functional magnetic resonance imaging (fMRI) by mapping rCBF changes in subjects performing a motor paradigm (13). In those experiments, the surface coil used for labeling provided a nonuniform RF field. Marro et al. (5) addressed in their model the influence of a nonuniform B RF profile, but did not consider different depths of the position of the artery. However, this might be relevant because the depth of the carotid artery can vary among subjects (especially children). Our numerical simulations of the inversion process explicitly consider such profiles. So...