Review Article

Overview and Critical Appraisal of Arterial Spin Labelling Technique in Brain Perfusion Imaging

Figure 9

A drawing showing the mechanism for proximal inversion with a control for off-resonance effect (PICORE) mechanism. The labelling image is acquired using a large inversion slab (a) during application of proximal tagging; (b) a saturation slab is placed on the imaging plane in order to remove tagging contamination; (c) the tagged image is obtained after a delay time () where the tagged blood water leaves the labelled plane and starts diffusing from intravascular vessels into tissue at the image plane during arterial arrival time. The control image is acquired using (a) a shifted RF pulse with no gradient; (b) a saturation slab followed by (c) obtains the control image after the same delay time . The ASL difference image (control−label), unlike those in EPISTAR and FAIR, does not involve any tagged venous spins. Static tissue is shown using green arrows and tagged blood water with blue arrows.