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Reproducibility of flow and wall shear stress analysis using flow-sensitive four-dimensional MRI.
MedLine Citation:
PMID:  21448968     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To systematically investigate the scan-rescan reproducibility and observer variability of flow-sensitive four-dimensional (4D) MRI in the aorta for the assessment of blood flow and global and segmental wall shear stress.
MATERIALS AND METHODS: ECG and respiration-synchronized flow-sensitive 4D MRI data (spatio-temporal resolution = 1.7 × 2.0 × 2.2 mm(3) /40.8 ms) were acquired in 12 healthy volunteers. To analyze scan-rescan variability, flow-sensitive 4D MRI was repeated in 10 volunteers during a second visit. Data analysis included calculation of time-resolved and total flow, peak systolic velocity, and regional and global wall shear stress (WSS) in up to 24 analysis planes distributed along the aorta.
RESULTS: Scan-rescan, inter-observer, and intra-observer agreement was excellent for the calculation of total flow and peak systolic velocity (mean differences <5% of the average flow parameter). Global WSS demonstrated moderate agreement and increased variability regarding wall shear stress (scan-rescan, inter-observer, and intra-observer agreement; mean differences <10% of the average WSS parameters). The segmental distribution of wall shear stress in the thoracic aorta could reliably be reproduced (r > 0.87; P < 0.001) for different observers and examinations.
CONCLUSION: Flow-sensitive 4D MRI-based analysis of aortic blood flow can be performed with good reproducibility. Robustness of global and regional WSS quantification was limited, but spatio-temporal WSS distributions could reliably be replicated. J. Magn. Reson. Imaging 2011;33:988-994. © 2011 Wiley-Liss, Inc.
Authors:
Michael Markl; Wolf Wallis; Andreas Harloff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  33     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  988-94     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
Department of Radiology - Medical Physics, University Hospital Freiburg, Germany. michael.markl@uniklinik-freiburg.de.
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