Determining the optimal postlabeling delay for arterial spin labeling using subject‐specific estimates of blood velocity in the carotid artery

• Published in: Journal of magnetic resonance imaging Vol. 50; no. 3; pp. 951 - 960
• Main Authors: Gai, Neville D., Butman, John A.
• Format: Journal Article
• Language: English
• Published: Hoboken, USA John Wiley & Sons, Inc 01.09.2019; Wiley Subscription Services, Inc
• Subjects: 3D EPI; 3D PCASL; Adult; Anemia, Sickle Cell - physiopathology; arterial spin labeling; Blood flow; Carotid arteries; Carotid Arteries - diagnostic imaging; Carotid Arteries - physiopathology; Carotid artery; carotid artery velocity; Cerebral blood flow; Cerebrovascular Circulation - physiology; Correlation analysis; Delay; Echo-Planar Imaging - methods; Error analysis; Female; Field strength; Goodness of fit; Humans; Imaging, Three-Dimensional - methods; Labeling; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Medical imaging; Middle Aged; optimal labeling delay; Perfusion; Polynomials; Prospective Studies; Sickle cell disease; Signal-To-Noise Ratio; Spin labeling; Spin Labels; Statistical analysis; Statistical tests; Veins & arteries; Velocity; Young Adult; optimal labeling delay; carotid artery velocity; 3D EPI; 3D PCASL; arterial spin labeling
• DOI: 10.1002/jmri.26670
• ISSN: 1053-1807; 1522-2586

Background Arterial spin labeling with 3D acquisition requires determining a single postlabeling delay (PLD) value. PLD affects the signal‐to‐noise ratio (SNR) per unit time as well as quantitative cerebral blood flow (CBF) values due to its bearing on the presence of a vascular signal. Purpose To search for an optimal PLD for pseudocontinuous arterial spin labeling (pCASL) using patient‐specific carotid artery blood velocity measurements. Study Type Prospective. Subjects A control group of 11 volunteers with no known pathology. Corroboration was through a separate group of six volunteers and a noncontrol group of five sickle cell disease (SCD) patients. Field Strength/Sequence Pseudocontinuous arterial spin labeling with 3D nonsegmented echo planar imaging acquisition at 3T. Assessment A perfusion‐based measure was determined over a range of PLDs for each of 11 volunteers. A third‐order polynomial was used to find the optimal PLD where the defined measure was maximum. This was plotted against the corresponding carotid artery velocity to determine a relationship between the perfusion measure and velocity. Corroboration was done using a group of six volunteers and a noncontrol group of five patients with SCD. PLD was determined from the carotid artery velocity and derived relationship and compared with optimal PLD obtained from measured perfusion over a range of PLD values. Error between the perfusion measure at predicted and measured optimal PLD was determined. Statistical Tests Chi‐squared goodness of fit; Pearson correlation; Bland–Altman. Results Carotid artery velocity was 63.8 ± 6.6 cm/s (53.1 ≤ v ≤ 72.3 cm/s) while optimal PLD was 1374 ± 226.5 msec (1102 ≤ PLD ≤ 1787 msec) across the 11 volunteers. PLD as a function of carotid velocity was determined to be PLD = −31.94. v + 3410 msec (Pearson correlation –0.93). In six volunteers, mean error between the perfusion measure at predicted and measured optimal PLD was 1.35%. Pearson correlation between the perfusion measure at the predicted PLD and the measure obtained experimentally was r = 0.96 (P < 0.001). Bland–Altman revealed a slight bias of 1.3%. For the test case of five SCD patients, the mean error was 1.3%. Data Conclusion Carotid artery velocity was used to determine optimal PLD for pCASL with 3D acquisition. The derived relationship was used to predict optimal PLD and the associated perfusion measure, which was found to be accurate when compared with its measured counterpart. Level of Evidence: 2 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2019;50:951–960.