Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
J Magn Reson Imaging. 2011 Apr;33(4):940-9. doi: 10.1002/jmri.22345.
To compare the test-retest reproducibility of three variants of arterial spin labeling (ASL): pseudo-continuous (pCASL), pulsed (PASL) and continuous (CASL).
Twelve healthy subjects were scanned on a 3.0T scanner with PASL, CASL, and pCASL. Scans were repeated within-session, after 1 hour, and after 1 week to assess reproducibility at different scan intervals.
Comparison of within-subject coefficients of variation (wsCV) demonstrated high within-session reproducibility (ie, low wsCV) for CASL-based methods (gray matter [GM] wsCV for pCASL: 3.5% ± 0.02%, CASL: 4.1% ± 0.07%) compared to PASL (wsCV: 7.5% ± 0.06%), due to the higher signal-to-noise ratio (SNR) associated with continuous labeling, evident in the 20% gain in temporal SNR and 58% gain in raw SNR for pCASL relative to PASL. At the 1-week scan interval, comparable reproducibility between PASL (GM wsCV 9.2% ± 0.12%) and pCASL (GM wsCV 8.5% ± 0.14%) was observed, indicating the dominance of physiological fluctuations.
Although all three approaches are capable of measuring cerebral blood flow within a few minutes of scanning, the high precision and SNR of pCASL, with its insensitivity to vessel geometry, make it an appealing method for future ASL application studies.
比较三种动脉自旋标记(ASL)变体(伪连续式 ASL [pCASL]、脉冲式 ASL [PASL]和连续式 ASL [CASL])的测试-再测试可重复性。
12 名健康受试者在 3.0T 扫描仪上接受 PASL、CASL 和 pCASL 扫描。在同一时段内、1 小时后和 1 周后重复扫描,以评估不同扫描间隔的可重复性。
比较受试者内变异系数(wsCV),基于 CASL 的方法(灰质 [GM] pCASL 的 wsCV:3.5%±0.02%,CASL:4.1%±0.07%)显示出较高的同时间段内可重复性(即低 wsCV),与 PASL(wsCV:7.5%±0.06%)相比,这归因于连续标记相关的更高信噪比(SNR),这在 pCASL 相对于 PASL 的 20%的时间 SNR 增益和 58%的原始 SNR 增益中显而易见。在 1 周的扫描间隔,观察到 PASL(GM wsCV 9.2%±0.12%)和 pCASL(GM wsCV 8.5%±0.14%)之间具有可比性的可重复性,表明生理波动的主导作用。
尽管三种方法都能够在扫描几分钟内测量脑血流,但 pCASL 的高精度和 SNR,以及其对血管几何形状的不敏感性,使其成为未来 ASL 应用研究的一种有吸引力的方法。