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Current state and guidance on arterial spin labeling perfusion MRI in clinical neuroimaging

Lindner, Thomas; Bolar, Divya S; Achten, Eric; Barkhof, Frederik; Bastos-Leite, António J; Detre, John A; Golay, Xavier; ... on behalf of the ISMRM Perfusion Study Group; + view all (2023) Current state and guidance on arterial spin labeling perfusion MRI in clinical neuroimaging. Magnetic Resonance in Medicine 10.1002/mrm.29572. (In press). Green open access

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Abstract

This article focuses on clinical applications of arterial spin labeling (ASL) and is part of a wider effort from the International Society for Magnetic Resonance in Medicine (ISMRM) Perfusion Study Group to update and expand on the recommendations provided in the 2015 ASL consensus paper. Although the 2015 consensus paper provided general guidelines for clinical applications of ASL MRI, there was a lack of guidance on disease-specific parameters. Since that time, the clinical availability and clinical demand for ASL MRI has increased. This position paper provides guidance on using ASL in specific clinical scenarios, including acute ischemic stroke and steno-occlusive disease, arteriovenous malformations and fistulas, brain tumors, neurodegenerative disease, seizures/epilepsy, and pediatric neuroradiology applications, focusing on disease-specific considerations for sequence optimization and interpretation. We present several neuroradiological applications in which ASL provides unique information essential for making the diagnosis. This guidance is intended for anyone interested in using ASL in a routine clinical setting (i.e., on a single-subject basis rather than in cohort studies) building on the previous ASL consensus review.

Type: Article
Title: Current state and guidance on arterial spin labeling perfusion MRI in clinical neuroimaging
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/mrm.29572
Publisher version: https://doi.org/10.1002/mrm.29572
Language: English
Additional information: © 2023 The Authors. Magnetic Resonance in Medicine published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: arterial spin labeling, clinical routine ASL, perfusion
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery.ucl.ac.uk/id/eprint/10164469
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