{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T10:15:43Z","timestamp":1793182543198,"version":"4.5.0"},"reference-count":48,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Perfusion MRI techniques\u2014including dynamic susceptibility contrast (DSC) MRI, dynamic contrast-enhanced (DCE) MRI, arterial spin labeling (ASL) MRI, and intravoxel incoherent motion (IVIM) MRI\u2014hold strong potential as imaging techniques for diagnosing, staging, and monitoring disease across a range of clinical applications. However, clinical adoption, especially of quantitative parameters, remains variable across techniques. Key barriers to broader implementation include a lack of standardized acquisition and analysis protocols, leading to poor reproducibility and reduced clinical confidence. Additionally, limited awareness and understanding of certain techniques among radiologists contribute to underutilization in practice. This work provides practice recommendations to support radiologists in integrating perfusion MRI into routine clinical workflows. It includes guidance on technique selection, acquisition, and analysis, supported by a flowchart outlining typical imaging pathways. These efforts align with ongoing initiatives such as the Quantitative Medical Imaging Coalition (formerly QIBA) and the ISMRM Open Science Initiative for Perfusion Imaging (OSIPI), which are developing standards and tools to enhance reproducibility and clinical utility. Ultimately, the successful adoption of state-of-the-art perfusion MRI depends on close collaboration between clinicians, researchers, and industry stakeholders to ensure robust, standardized, and clinically meaningful application.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            <jats:italic>Perfusion MRI parameters hold great promise as imaging biomarkers, but their clinical adoption, especially of quantitative parameters, remains variable across perfusion MRI techniques<\/jats:italic>\n                            .\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            <jats:italic>An overview of perfusion MRI techniques, explaining the physics, illustrating clinical applications, and addressing common technical challenges, is provided to support perfusion MRI use in clinical practice<\/jats:italic>\n                            .\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            <jats:italic>Successful adoption of state-of-the-art perfusion MRI depends on close collaboration between clinicians, researchers, and industry stakeholders to ensure robust, standardized, and clinically meaningful applications for patient care<\/jats:italic>\n                            .\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00330-025-12306-5","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T07:53:43Z","timestamp":1769500423000},"page":"4788-4800","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["ESR Essentials: Perfusion MRI\u2014practice recommendations by the European Society for Magnetic Resonance in Medicine and Biology"],"prefix":"10.1007","volume":"36","author":[{"given":"Petra J.","family":"van Houdt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"V\u00e1clav\u016f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Sourbron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve S.","family":"Shalom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Federau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mami","family":"Iima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mira M.","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Knutsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronnie","family":"Wirestam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"G\u00fcnther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias J. 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Lena V\u00e1clav\u016f, Matthias J.P. van Osch: (not related to this work) Receives research support from Philips Healthcare. Petra J. van Houdt: (not related to this work) Receives research support from Philips Healthcare and Elekta AB. Eve S. Shalom: (not related to this work) employee of Perspectum Ltd., since February 2025. Christian Federau: founder and CEO, AI Medical AG. Mami Iima: (not related to this work) Belongs to the Department of Fundamental Development for Advanced Low Invasive Diagnostic Imaging at Nagoya University Graduate School of Medicine, which is financially supported by Himedic Nagoya. Lena V\u00e1clav\u016f: Funded by project number 20212 of the research programme \u2018NWO-Talent Programme Veni AES,\u2019 which is (partly) financed by the Dutch Research Council (NWO). Mira M. Liu was supported in part by the NIH National Center for Advancing Translational Sciences through award number TL1TR004420.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No complex statistical methods were necessary for this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Written informed consent was not required for this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Institutional Review Board approval was not required.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Study subjects or cohorts overlap"}},{"order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}