PURPOSE: To implement and evaluate a variable repetition time (TR) mod
ification of three-dimensional (3D) time-of-flight (TOF) magnetic reso
nance (MR) angiography. MATERIALS AND METHODS: Variable- and constant-
TR 3D TOF MR angiography of the intracranial vasculature was performed
in 20 healthy volunteers and 10 patients with known or suspected cere
brovascular disease. Total acquisition time was short and held constan
t for all studies. Frequency-selective fat saturation (FS) and magneti
zation transfer saturation (MTS) pulses were applied. The associated m
aximum-intensity projection (MIP) images were evaluated quantitatively
for contrast-to-noise (C/N) and qualitatively for depiction of vessel
s that exhibit slow flow. RESULTS: Variable-TR MIP images exhibited im
proved C/N and depiction of small peripheral vessels and venous struct
ures when compared with constant-TR MIP images. These observations wer
e consistent for all studies. CONCLUSIONS: The variable-TR modificatio
n improved the depiction of intracranial vessels that exhibit slow now
.