Non-Contrast MRI of Micro-Vascularity of the Feet and Toes

Non-contrast MR perfusion techniques were developed to assess micro-vascularity of the foot in humans. Using flow-out spin labeling with 3D SSFSE acquisition at multiple Tis, we obtained perfusion signal into distal feet and toes. Signal vs. TI data was fit to determine perfusion metrics including peak height (PH), apparent blood volume (aBV) and apparent blood flow (aBF). Compared to 1-tag, when 4-tag pulses were used PH, aBV, and aBF were significantly greater, suggesting increased signal afforded by the 4-tag pulses. This will be useful for subjects with low blood flow, such as those with peripheral artery disease.