2022
DOI: 10.1002/mrm.29159
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VESPA ASL: VElocity and SPAtially Selective Arterial Spin Labeling

Abstract: Purpose: Spatially-selective arterial spin labeling perfusion MRI is sensitive to arterial transit times (ATT) that can result in inaccurate perfusion quantification when ATTs are long. Velocity-selective ASL is robust to this effect because blood is labeled within the imaging region, allowing immediate label delivery. However, velocity-selective ASL cannot characterize ATTs, which can provide important clinical information. Here, we introduce a novel pulse sequence, called VESPA ASL, that combines velocity-se… Show more

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Cited by 11 publications
(24 citation statements)
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References 57 publications
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“…Despite improved quantitative accuracy, VSASL does not capture any information related to arterial transit, which can be useful in its own right. As mentioned above, a combined VSASL/PCASL approach 55 for steno‐occlusive disease may be optimal to assess perfusion and stenosis/collaterals. Arteriovenous malformations or fistulae may also benefit from a combined approach for detecting arteriovenous shunting with high sensitivity.…”
Section: Neuro Applicationsmentioning
confidence: 99%
“…Despite improved quantitative accuracy, VSASL does not capture any information related to arterial transit, which can be useful in its own right. As mentioned above, a combined VSASL/PCASL approach 55 for steno‐occlusive disease may be optimal to assess perfusion and stenosis/collaterals. Arteriovenous malformations or fistulae may also benefit from a combined approach for detecting arteriovenous shunting with high sensitivity.…”
Section: Neuro Applicationsmentioning
confidence: 99%
“…SVS excitation was first used in a recent study of intracranial arterial spin labeling (ASL) as an alternative to velocity-selective ASL (VSASL). 32 The additional spatial selectivity in SVS preparation allowed for the use of pseusocontinuous ASL immediately after VSASL and therefore enabled simultaneous measurements of arterial transit time (ATT) and ATT-insensitive cerebral blood flow. The concept of improving arterial signal by preserving upstream blood magneitzation was utilized in an earlier work on coronary MRA.…”
Section: Discussionmentioning
confidence: 99%
“…Subsequent experiments would likely involve such a scan in a prior session. ATT-insensitive approaches such as VS-ASL (Wong et al, 2006) and the more recently introduced VESPA ASL (Woods et al, 2022) which additionally provides measures of ATT are interesting alternatives to consider in this regard. The study could have also benefitted from retinotopic scans which would have substantiated the anatomical locations of the positive and negative ROIs.…”
Section: Discussionmentioning
confidence: 99%