Purpose: To determine whether pulsed arterial spin-labeled (pulsed ASL) balanced steady-state free precession (bSSFP) imaging allows for rapid projective depiction of the carotid arteries without electrocardiographic (ECG) gating.
Materials and Methods:The carotid arteries of six volunteers were scanned at 1.5 T using an ASL two-dimensional bSSFP sequence. Three configurations were tested, with and without ECG gating: (a) full field-of-view (FOV) acquisition (scan time ϭ 48 s), (b) full-FOV acquisition with parallel acceleration of 2 (24 s), and sequence C (half-FOV acquisition (24 s). Vessel-to-background contrast-to-noise ratios (CNRs) and vessel lengths were compared between sequence configurations. Vessel caliber measurements were compared with those obtained from threedimensional time-of-flight (TOF) angiography.
Results:The carotid arteries were seen over extensive lengths with ASL two-dimensional bSSFP. Projected vessel length and vessel-to-background CNR did not differ with ECG gating (P ϭ NS). Nonaccelerated full-FOV and half-FOV scans provided larger apparent vessel-to-background CNR and slightly longer vessel lengths than the parallel-accelerated scans (P Ͻ 0.01). Carotid diameter measurements were in agreement with those obtained from three-dimensional TOF (intraclass correlation coefficient ϭ 0.810; P Ͻ 0.001). CAROTID ARTERY DISEASE IS A KNOWN RISK FAC-TOR for ischemic stroke. It is routinely evaluated by magnetic resonance angiography (MRA), which is often performed using time-of-flight (TOF) or contrast-enhanced three-dimensional spoiled gradient-echo methods (1,2). Although these methods are capable of generating diagnostic results, they suffer from several limitations. Depending on the method used, these limitations include acquisition times on the order of several minutes that render the method susceptible to patient motion and image artifacts, saturation effects due to in-plane flow (3,4), and the use of contrast media that are costly and entail the risk of nephrogenic systemic fibrosis (5).
ConclusionProjective digital subtraction x-ray angiography is currently the reference method for assessing the patency of carotid vessels (6). Although projective methods for angiography do not allow for retrospective review of vascular morphology along arbitrary views, as allowed with the aforementioned MRA methods, they may allow for fast depiction of long portions of the carotid vessels. Previous studies have reported that projective MRA of the carotid arteries can be performed with arterial spin-labeling (ASL) methods using thick two-dimensional slices (7-9). These encouraging studies, however, were performed years ago on MR systems that were far less capable than current MR systems, as the imaging scans took several minutes to complete and were prone to artifacts.Balanced steady-state free precession (bSSFP) imaging is a sequence that is used frequently for cardiovascular imaging on modern MR scanners (10). In conjunction with electrocardiographic (ECG) gating, it has been applied for spin-labeled im...