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Four-dimensional flow MRI using spiral acquisition
Linköping University, Department of Medical and Health Sciences, Clinical Physiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Clinical Physiology in Linköping. Linköping University, Center for Medical Image Science and Visualization (CMIV).
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Clinical Physiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Clinical Physiology in Linköping. Linköping University, Center for Medical Image Science and Visualization (CMIV).ORCID iD: 0000-0003-2198-9690
Linköping University, Department of Medical and Health Sciences, Clinical Physiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Clinical Physiology in Linköping. Linköping University, Center for Medical Image Science and Visualization (CMIV).ORCID iD: 0000-0003-1395-8296
2012 (English)In: Magnetic Resonance in Medicine, ISSN 0740-3194, E-ISSN 1522-2594, Vol. 68, no 4, 1065-1073 p.Article in journal (Refereed) Published
Abstract [en]

Time-resolved three-dimensional phase-contrast MRI is an important tool for physiological as well as clinical studies of blood flow in the heart and vessels. The application of the technique is, however, limited by the long scan times required. In this work, we investigate the feasibility of using spiral readouts to reduce the scan time of four-dimensional flow MRI without sacrificing quality. Three spiral approaches are presented and evaluated in vivo and in vitro against a conventional Cartesian acquisition. In vivo, the performance of each method was assessed in the thoracic aorta in 10 volunteers using pathline-based analysis and cardiac output analysis. Signal-to-noise ratio and background phase errors were investigated in vitro. Using spiral readouts, the scan times of a four-dimensional flow acquisition of the thoracic aorta could be reduced 23-fold, with no statistically significant difference in pathline validity or cardiac output. The shortened scan time improves the applicability of four-dimensional flow MRI, which may allow the technique to become a part of a clinical workflow for cardiovascular functional imaging.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2012. Vol. 68, no 4, 1065-1073 p.
Keyword [en]
cine three-dimensional flow, phase contrast, spiral, pathline
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-84888DOI: 10.1002/mrm.23297ISI: 000309203500008OAI: oai:DiVA.org:liu-84888DiVA: diva2:564004
Note

Funding Agencies|Swedish Research Council||Swedish Heart-Lung Foundation||

Available from: 2012-11-01 Created: 2012-10-26 Last updated: 2017-12-07Bibliographically approved
In thesis
1. Fast and Accurate 4D Flow MRI for Cardiovascular Blood Flow Assessment
Open this publication in new window or tab >>Fast and Accurate 4D Flow MRI for Cardiovascular Blood Flow Assessment
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The study of blood flow is essential in understanding the physiology and pathophysiology of the cardiovascular system. Small disturbances of the blood flow may over time evolve and contribute to cardiovascular pathology. While the blood flow in a healthy human appears to be predominately laminar, turbulent or transitional blood flow is thought to be involved in the pathogenesis of several cardiovascular diseases. Wall shear stress is the frictional force of blood on the vessel wall and has been linked to the pathogenesis of atherosclerosis and aneurysms. Despite the importance of hemodynamic factors, cardiovascular diagnostics largely relies on the indirect estimation of function based on morphological data.

Time-resolved three-dimensional (3D) phase-contrast magnetic resonance imaging (MRI), often referred to as 4D flow MRI, is a versatile and non-invasive tool for cardiovascular blood flow assessment. The use of 4D flow MRI permits estimation of flow volumes, pressure losses, wall shear stress, turbulence intensity and many other unique hemodynamic parameters. However, 4D flow MRI suffers from long scan times, sometimes over 40 minutes. Furthermore, the accuracy of the many different 4D flow MRI-based applications and estimates have not been thoroughly examined.

In this thesis, the accuracy of 4D flow MRI-based turbulence intensity mapping and wall shear stress estimation was investigated by using numerical simulations of MRI flow measurements. While the results from the turbulence intensity mapping agreed well with reference values from computational fluid dynamics data, the accuracy of the MRI-based wall shear stress estimates was found to be very sensitive to different parameters, especially to spatial resolution, and wall shear stress values over 5 N/m2 were not well resolved.

To reduce the scan time, a 4D flow MRI sequence using spiral k-space trajectories was implemented and validated in-vivo and in-vitro. The scan time of 4D flow MRI was reduced by more than two-fold compared to a conventional Cartesian acquisition already accelerated using SENSE factor 2, and the data quality was maintained. For a 4D flow scan of the human heart, the use of spiral k-space trajectories resulted in a scan time of around 13 min, compared to 30 min for the Cartesian acquisition. By combining parallel imaging and spiral trajectories, the total scan time of a 4D flow measurement of the entire heart may be further reduced. This scan time reduction may also be traded for higher spatial resolution.

Numerical simulation of 4D flow MRI may act as an important tool for future optimization and validation of the spiral 4D flow sequence. The scan-time reductions offered by the spiral k-space trajectories can help to cut costs, save time, reduce discomfort for the patient as well as to decrease the risk for motion artifacts. These benefits may facilitate an expanded clinical and investigative use of 4D flow MRI, including larger patient research studies.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2013
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1380
National Category
Medical Engineering
Identifiers
urn:nbn:se:liu:diva-100146 (URN)10.3384/diss.diva-100146 (DOI)978-91-7519-506-3 (ISBN)
Public defence
2013-12-13, Berzeliussalen, Campus Valla, Linköpings universitet, Linköping, 09:00 (English)
Opponent
Supervisors
Available from: 2013-11-07 Created: 2013-10-29 Last updated: 2013-11-19Bibliographically approved

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Sigfridsson, AndreasPetersson, SvenCarlhäll, CarljohanEbbers, Tino

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Clinical PhysiologyFaculty of Health SciencesDepartment of Clinical Physiology in LinköpingCenter for Medical Image Science and Visualization (CMIV)Division of Cardiovascular Medicine
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