We report our experience using a noninvasive magnetic resonance technique for quantitative imaging of human brain perfusion at 1.5 T. This technique uses magneticafy inverted arterial water as a freely diffusible blood flow tracer. A perfusion image is calculated from magnetic resonance images acquired with and without arterial blood inversion and from an image of the apparent spin-lattice relaxation time. Single-slice perfusion maps were obtained from nine volunteers with approximately 1 x 2 x 5-mm resolution in an acquisition time of 15 min. Analysis yielded average perfusion rates of 93 + 16 ml 100 g-l-min'1 for gray matter, 38 ± 10 ml 100 g'i.min-1 for white matter, and 52 ± 8 ml 100 g'l min-I for whole brain. Significant changes in perfusion were observed during hyperventilation and breath holding. This technique may be used for quantitative measurement of perfusion in human brain without the risks and expense of methods which use exogenous tracers.

A subtractive time-of-flight technique for magnetic resonance angiography is described. In this approach, the arterial supply to an organ is inverted in a steady-state fashion by applying off-resonance irradiation in the presence of a linear magnetic field gradient. An angiogram is formed by subtracting an image acquired with arterial inversion from a control image acquired with no arterial inversion. A single coil is used to apply both the inversion and observation pulses. Intracranial angiograms obtained from normal volunteers using a two-dimensional projective implementation of this technique at 1.5 T illustrate excellent small vessel detail and background suppression.

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