Effects of double-ECG gating in synchronized breathing myocardial arterial spin labeling

Myocardial perfusion can be quantitatively measured noninvasively using arterial spin labeling (ASL). Motion due to the cardiac cycle is tackled with the use of single- or double-ECG gating. The goals of this study were to investigate the performance of double-gating, in synchronized breathing myocardial ASL with presaturation pulses by comparison with single-gating, and to compare the different quantification strategies for double-gated data. This study showed that double-gating is more robust to heart rate variability than single-gating in synchronized breathing ASL sequences with presaturation pulses, but accurate saturation-recovery fitting requires the acquisition of several baseline images.