A new 4D-MRA approach named 4D-AccASL-PACK (4D-APACK) was implemented and images were acquired in six healthy volunteers and one AVM patient. 4D-APACK consists of 4D-PACK and acceleration-selective arterial spin labeling (AccASL) for obtaining efficiently both dynamic information and ATT independent visualization of very slow flow. 4D-APACK replaces last timepoint data of 4D-PACK with AccASL. To investigate hemodynamics accuracy for 4D-APACK, ATT correlation between 4D-pCASL and 4D-APACK and contamination of sinuses were measured. The vessel visualization of MCA M1 to M4 were compared with 4D-pCASL. We demonstrate that 4D-APACK brings reliable hemodynamic information comparable to 4D-pCASL, while retaining MCA visualization performance.