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Updated: May 5, 2026

Author Spotlight: Noninvasive Cerebral Blood Flow Determination in Human Functional Brain Region for Diagnosis of Neurological Disorders
Published on: May 31, 2024
Pseudocontinuous arterial spin labeling with prospective motion correction (PCASL-PROMO)
Zungho Zun1, Ajit Shankaranarayanan, Greg Zaharchuk
1Department of Radiology, Stanford University, Stanford, California, USA.
PROMO successfully corrects motion artifacts in 3D pseudocontinuous arterial spin labeling (PCASL) perfusion imaging. This integration improves cerebral blood flow measurements without impacting image quality.
Area of Science:
- Medical Imaging
- Neuroimaging
- Biomedical Engineering
Background:
- Segmented 3D ASL perfusion imaging is increasingly used.
- Conventional motion correction methods are incompatible with segmented imaging.
Purpose of the Study:
- To integrate 3D pseudocontinuous ASL (PCASL) with PROMO (PROspective MOtion correction).
- To evaluate the effectiveness of PCASL-PROMO for cerebral blood flow (CBF) measurements.
Main Methods:
- PROMO was integrated into 3D PCASL without extending the repetition time.
- The system was tested with controlled and random motion using separate and interleaved scans.
Main Results:
- PROMO integration showed negligible difference (<0.2%) in average ASL signal.
- PROMO significantly reduced motion artifacts in both controlled and random motion scenarios.
- Real-time motion updating alone substantially reduced artifacts, with rescanning critical for tagged images.
Conclusions:
- PROMO is a successful motion correction strategy for PCASL CBF imaging.
- This integration enhances the reliability of perfusion measurements in challenging imaging conditions.
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