Recent technical developments in ASL: A Review of the State of the Art

This review article provides an overview of a range of recent technical developments in
advanced arterial spin labeling (ASL) methods that have been developed or adopted by
the community since the publication of a previous ASL consensus paper by Alsop et al.
1 . It is part of a series of review/recommendation papers from the International Society
for Magnetic Resonance in Medicine (ISMRM) Perfusion Study Group. Here, we focus
on advancements in readouts and trajectories, image reconstruction, noise reduction,
partial volume correction, quantification of non-perfusion parameters, fMRI,
fingerprinting, vessel selective ASL, angiography, deep learning, and ultra-high field
ASL. We aim to provide a high level understanding of these new approaches and some
guidance for their implementation, with the goal of facilitating the adoption of such
advances by research groups and by MRI vendors. Topics that are outside the scope of
this article, and are reviewed at length in separate articles, include velocity selective
ASL, multiple-timepoint ASL, body ASL, and clinical ASL recommendations.