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August 29, 2026Magnetic Resonance Materials in Physics Biology and MedicineOpen Access

Recent advances in arterial spin labeling MRI for imaging brain tumors

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Authors

GHGabriel HoffmannMOMatthias J.P. van Osch

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Overview

Review reveals advances in arterial spin labeling MRI for brain tumor evaluation, suggesting potential to assess vascular structure and blood-brain barrier integrity without contrast agents.

Key Points

  • To review recent technological advances in arterial spin labeling (ASL) perfusion MRI and their clinical utility in the assessment, grading, and post-treatment monitoring of brain tumors.
  • Synthesized technical developments in ASL sequences, including multi-time point and velocity-selective ASL.
  • Evaluated functional extensions of ASL, such as hypercapnic breathing challenges, blood-brain barrier (BBB) permeability mapping, and vessel-selective arterial labeling.
  • Multi-time point and velocity-selective ASL improve cerebral blood flow quantification accuracy and generate arterial transit time maps while reducing transit delay artifacts.
  • Novel ASL adaptations allow assessment of tumor neovascular reactivity via hypercapnic challenge and quantification of water transport across the blood-brain barrier.
  • Vessel-selective ASL sequences successfully identify specific arterial feeders supplying distinct tumor regions without the need for gadolinium-based contrast agents.

Cite This Study

Hoffmann et al. (2026) studied this question.

synapsesocial.com/papers/6a9299bb8e5d7d1fc0c11d7fhttps://doi.org/10.1007/s10334-026-01408-w
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