Evidence map›Paper›PMID 40968573›Full record

ArticleMagnetic resonance in medicine2026

Optimization of pseudo-continuous arterial spin labeling for brain perfusion imaging in the intraoperative setting.

Carmen Sánchez-Albardíaz, Marta Calvo-Imirizaldu, Verónica Aramendía-Vidaurreta, Rebeca Echeverria-Chasco, Marta Vidorreta, Bartolomé Bejarano, Lain H Gonzalez-Quarante, Ana Aransay García, Cristina Honorato, Elena Cacho-Asenjo and 2 more

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Carmen Sánchez-AlbardíazDepartment of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0002-5804-5389
Marta Calvo-ImirizalduDepartment of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0002-9063-401X
Verónica Aramendía-VidaurretaDepartment of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0001-9834-2866
Rebeca Echeverria-ChascoDepartment of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0003-0199-2593
Marta VidorretaSiemens Healthcare, Madrid, Spain.ORCID https://orcid.org/0000-0002-4272-3691
Bartolomé BejaranoDepartment of Neurosurgery, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0001-5933-2390
Lain H Gonzalez-QuaranteDepartment of Neurosurgery, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0001-6676-7034
Ana Aransay GarcíaDepartment of Neurosurgery, Clínica Universidad de Navarra, Pamplona, Spain.
Cristina HonoratoDepartment of Anesthesia, Perioperative Medicine and Critical Care, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0002-5177-6285
Elena Cacho-AsenjoDepartment of Anesthesia, Perioperative Medicine and Critical Care, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0001-9333-9887
Antonio Martinez-SimonDepartment of Anesthesia, Perioperative Medicine and Critical Care, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0002-3039-4798
Maria A Fernández-SearaDepartment of Radiology, Clínica Universidad de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0001-8536-6295

Funding

Siemens HealthcareSpanish Ministry of Science, Innovation and Universities
6 · The paper itself

Abstract

purposePseudo-continuous arterial spin labeling (PCASL) efficiency during intraoperative MRI is degraded due to large field inhomogeneities observed in some patients and lower arterial blood velocities induced by anesthesia. The purpose of this work was to maximize labeling efficiency during intraoperative MRI by optimizing PCASL parameters at 3 T.

methodsEffects of PCASL labeling pulse interval and gradient parameters on labeling efficiency were first investigated by numerical simulations based on Bloch equations. PCASL parameters were modified accordingly, considering hardware constraints, and evaluated experimentally. An experiment in healthy volunteers compared three labeling pulse intervals. In intraoperative brain tumor patients, different configurations were tested in two experiments: different labeling pulse intervals in patient experiment 1, and different labeling pulse interval and gradient average (

resultsNumerical simulations showed that shortening the labeling pulse interval improved robustness of PCASL to off-resonance effects and that raising the

conclusionShortening the labeling pulse interval and increasing the gradient average improves PCASL efficiency in the intraoperative setting.

Indexed as

BrainBrain NeoplasmsCerebrovascular CirculationImage Processing, Computer-AssistedMagnetic Resonance AngiographyMagnetic Resonance ImagingAdultAlgorithmsBlood Flow VelocityComputer SimulationFemaleHealthy VolunteersHumansMaleMiddle AgedSpin LabelsSpin Labelsbrain tumorscerebral blood flowintraoperative MRIpseudo‐continuous arterial spin labeling

Identifiers

PMID40968573
PMCPMC12681307

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.