Table 1.
Method | References | Territories | Advantages | Disadvantages | Limitations | |
---|---|---|---|---|---|---|
Separate Labeling RF Coil (CASL) |
Full Neck (butterfly) | 14, 30, 31 | Left and right anterior and middle cerebral circulation (ICA) Posterior circulation (VAs & BA) with post-processing |
High SNR 1Lower RF power deposition Unrestricted 3-D coverage due to absence of MT effects |
Requires use of additional hardware, not easy to implement in clinical scanner | Can only label circulation of the neck, proximal to COW; distal branches are not accessible |
Single Loop | 15, 16, 19 | Left and right anterior and middle cerebral circulation (ICA, requires repositioning of RF coil) | Posterior circulation not separable from anterior and middle circulation | |||
Selective Inversion of Spatial Slabs | Single-coil CASL | 20 | Left and right anterior and middle cerebral circulation (ICA) Posterior circulation (VAs & BA) with post-processing |
Does not require additional hardware, easy to implement in clinical scanner | High RF power deposition | Can only label circulation of the neck, proximal to COW; distal branches are not accessible |
PASL techniques | 5, 21, 22, 24–28 | Left and right anterior and middle cerebral circulation (ICA) Posterior circulation (VAs & BA) Arteries located proximal and distal to the COW |
High flexibility of selective labeling of proximal and distal branches of COW | Imprecise delineation of the vascular territories due to imprecise selectivity Artifacts due to overlap of labeling and imaging regions |
Tortuosity of vessels may impede clear identification of territories Spatial coverage significantly limited by interference of labeling region with measurement slices |
|
2D Labeling RF pulses | 18 | In principle, any artery of choice | Highest theoretical flexibility of selective labeling of any artery of choice | Hard to obtain selective 2D pulse without artifacts from side lobes | Moving arterial spins due to blood flow distort the profile of the 2D RF pulse and diminish selectivity |
When compared to single-coil CASL methods;