Differences in quantitative glioma perfusion imaging with ASL and DSC: validation with 15O-H2O PET

While agreement between ASL, DSC, and PET perfusion is well established in healthy volunteers, an analogous comparison in gliomas is still missing and more challenging. We compared ASL and DSC perfusion measurements with the gold-standard of 15 O-H 2 O-PET perfusion measurements in eight patients diagnosed with gliomas. We showed the importance of normalization to the contralateral hemisphere, and identified several examples of different regional perfusion as assessed with ASL and DSC and interpreted them using the PET reference.