A combination scan of 3-delay Hadamard-encoded pseudo-continuous ASL (H-pCASL) and single-delay pCASL with long labeling duration and long post-labeling delay was proposed as the robust arterial transit time (ATT) estimation for prolonged ATTs. Simulation showed that the mean normalized error of the proposed method was small for a wide range of ATTs compared to that of H-pCASL alone. In in vivo experiments, ATTs were not significantly different among the methods. However, 7-delay H-pCASL presented a lower ATT and larger variance. The proposed method improves the robustness of ATT estimation for prolonged ATTs with practical acquisition times in the clinical framework.
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