Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data

Congenital heart defects (CHD) introduce haemodynamic changes; e.g., bicuspid aortic valve (BAV) presents a turbulent helical flow, which activates aortic pathological processes. Flow quantification is crucial for diagnostics and to plan corrective strategies. Multiple imaging modalities exist, with...

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Main Authors: Froso Sophocleous, Kiril Delchev, Estefania De Garate, Mark C. K. Hamilton, Massimo Caputo, Chiara Bucciarelli-Ducci, Giovanni Biglino
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/6/662
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author Froso Sophocleous
Kiril Delchev
Estefania De Garate
Mark C. K. Hamilton
Massimo Caputo
Chiara Bucciarelli-Ducci
Giovanni Biglino
author_facet Froso Sophocleous
Kiril Delchev
Estefania De Garate
Mark C. K. Hamilton
Massimo Caputo
Chiara Bucciarelli-Ducci
Giovanni Biglino
author_sort Froso Sophocleous
collection DOAJ
description Congenital heart defects (CHD) introduce haemodynamic changes; e.g., bicuspid aortic valve (BAV) presents a turbulent helical flow, which activates aortic pathological processes. Flow quantification is crucial for diagnostics and to plan corrective strategies. Multiple imaging modalities exist, with phase contrast magnetic resonance imaging (PC-MRI) being the current gold standard; however, multiple predetermined site measurements may be required, while 4D MRI allows for measurements of area (A) and velocity (U) in all spatial dimensions, acquiring a single volume and enabling a retrospective analysis at multiple locations. We assessed the feasibility of gathering hemodynamic insight into aortic hemodynamics by means of wave intensity analysis (WIA) derived from 4D MRI. Data were collected in <i>n</i> = 12 BAV patients and <i>n</i> = 7 healthy controls. Following data acquisition, WIA was successfully derived at three planes (ascending, thoracic and descending aorta) in all cases. The values of wave speed were physiological and, while the small sample limited any clinical interpretation of the results, the study shows the possibility of studying wave travel and wave reflection based on 4D MRI. Below, we demonstrate for the first time the feasibility of deriving wave intensity analysis from 4D flow data and open the door to research applications in different cardiovascular scenarios.
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spelling doaj.art-ff22d85ce32d42acb1e0458fd4b55dae2023-11-18T09:21:02ZengMDPI AGBioengineering2306-53542023-05-0110666210.3390/bioengineering10060662Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging DataFroso Sophocleous0Kiril Delchev1Estefania De Garate2Mark C. K. Hamilton3Massimo Caputo4Chiara Bucciarelli-Ducci5Giovanni Biglino6Bristol Heart Institute, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UKBristol Heart Institute, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UKBristol Heart Institute, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UKUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol BS1 3NU, UKBristol Heart Institute, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UKBristol Heart Institute, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UKBristol Heart Institute, Bristol Medical School, University of Bristol, Bristol BS8 1QU, UKCongenital heart defects (CHD) introduce haemodynamic changes; e.g., bicuspid aortic valve (BAV) presents a turbulent helical flow, which activates aortic pathological processes. Flow quantification is crucial for diagnostics and to plan corrective strategies. Multiple imaging modalities exist, with phase contrast magnetic resonance imaging (PC-MRI) being the current gold standard; however, multiple predetermined site measurements may be required, while 4D MRI allows for measurements of area (A) and velocity (U) in all spatial dimensions, acquiring a single volume and enabling a retrospective analysis at multiple locations. We assessed the feasibility of gathering hemodynamic insight into aortic hemodynamics by means of wave intensity analysis (WIA) derived from 4D MRI. Data were collected in <i>n</i> = 12 BAV patients and <i>n</i> = 7 healthy controls. Following data acquisition, WIA was successfully derived at three planes (ascending, thoracic and descending aorta) in all cases. The values of wave speed were physiological and, while the small sample limited any clinical interpretation of the results, the study shows the possibility of studying wave travel and wave reflection based on 4D MRI. Below, we demonstrate for the first time the feasibility of deriving wave intensity analysis from 4D flow data and open the door to research applications in different cardiovascular scenarios.https://www.mdpi.com/2306-5354/10/6/662aortabicuspid aortic valvemagnetic resonance imagingaortic valvewave intensity analysishemodynamics
spellingShingle Froso Sophocleous
Kiril Delchev
Estefania De Garate
Mark C. K. Hamilton
Massimo Caputo
Chiara Bucciarelli-Ducci
Giovanni Biglino
Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data
Bioengineering
aorta
bicuspid aortic valve
magnetic resonance imaging
aortic valve
wave intensity analysis
hemodynamics
title Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data
title_full Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data
title_fullStr Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data
title_full_unstemmed Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data
title_short Feasibility of Wave Intensity Analysis from 4D Cardiovascular Magnetic Resonance Imaging Data
title_sort feasibility of wave intensity analysis from 4d cardiovascular magnetic resonance imaging data
topic aorta
bicuspid aortic valve
magnetic resonance imaging
aortic valve
wave intensity analysis
hemodynamics
url https://www.mdpi.com/2306-5354/10/6/662
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