In the present study, we demonstrated the utility of superselective 4D-MR angiography with pCASL combined with CENTRA-keyhole (SS-4D-PACK) for the visualization of brain AVMs. This method enables a time-resolved and vessel-selective angiography within 5 minutes without a use of contrast agents. It was showed that almost perfect vessel selectivity was achieved with SS-4D-PACK. Although CNRs were slightly reduced in SS-4D-PACK due to a labeling loss during superselective label focusing, this was acceptable since visualization was well preserved. SS-4D-PACK can be a non-invasive clinical tool for assessing brain AVMs.
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