In this work, we applied a novel ASL method (Turbo-QUASAR) to evaluate the effects of life-long anaemia on cerebral physiology by comparing patients with Sickle Cell Disease to healthy controls. Turbo-QUASAR enables simultaneous assessment of cerebral blood flow (CBF), cerebral blood volume (aCBV) and arterial transit time (ATT) as well as tissue T1 and M0. We found normal ATT in the presence of elevated CBF in patients. In addition we found increased aCBV in patients. Acetazolamide administration shortened ATT with no change in aCBV suggesting maximal dilation and reserves being accessed by faster ATT. aCBV was inversely related to haemoglobin.