Skip to main content

Advertisement

Log in

Flussmessungen in der kardialen MRT

Flow measurements in cardiac MRI

  • Leitthema
  • Published:
Der Radiologe Aims and scope Submit manuscript

Zusammenfassung

Flussmessungen gehören zum Standardrepertoire der MRT des Herzens. Dabei stehen die Quantifizierungen intra- und extrakardialer Shuntvolumina sowie von Klappenvitien im Vordergrund. Aber auch die Abschätzung von Stenosen, beispielsweise des Aortenisthmus v. a. über einen assoziierten Kollateralfluss, sind klinisch akzeptiert. Bei der Planung und Auswertung einer Phasenkontrastflussmessung müssen einige Regeln beachtet werden, um fehlerhafte Ergebnisse zu vermeiden. Dann aber ist die Phasenkontrastflussmessung eine wertvolle Ergänzung für die tägliche Routine in der Herzbildgebung.

Abstract

Phase-contrast flow measurements have become an established method in cardiac MRI. The quantification of intra- and extracardiac shunt volumes as well as the evaluation of valvular disease and aortic coarctation have proved their clinical usefulness. There are some rules that have to be followed when performing and analyzing phase-contrast flow measurements. With these rules in mind, quantitative phase-contrast flow measurements are a reliable and precise method for clinical use of cardiac MRI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Boesiger P, Maier SE, Kecheng L et al. (1992) Visualization and quantification of the human blood flow by magnetic resonance imaging. J Biomech 25: 55–67

    Article  PubMed  Google Scholar 

  2. O’Donnell M (1985) NMR blood flow imaging using multiecho, phase contrast sequences. Med Phys 12: 59–64

    Article  PubMed  Google Scholar 

  3. Gatehouse PD, Keegan J, Crowe LA et al. (2005) Applications of phase-contrast flow and velocity imaging in cardiovascular MRI. Eur Radiol 15: 2172–2184

    Article  PubMed  Google Scholar 

  4. Lotz J, Meier C, Leppert A, Galanski M (2002) Cardiovascular flow measurement with phase-contrast MR imaging: basic facts and implementation. Radiographics 22: 651–671

    PubMed  Google Scholar 

  5. Bakker CJ, Hoogeveen RM, Viergever MA (1999) Construction of a protocol for measuring blood flow by two-dimensional phase-contrast MRA. J Magn Reson Imaging 9: 119–127

    Article  PubMed  Google Scholar 

  6. Ley S, Fink C, Puderbach M et al. (2006) MRI measurement of the hemodynamics of the pulmonary and systemic arterial circulation: influence of breathing maneuvers. Am J Roentgenol 187: 439–444

    Article  Google Scholar 

  7. Sakuma H, Kawada N, Kubo H et al. (2001) Effect of breath holding on blood flow measurement using fast velocity encoded cine MRI. Magn Reson Med 45: 346–348

    Article  PubMed  Google Scholar 

  8. Kozerke S, Scheidegger MB, Pedersen EM, Boesiger P (1999) Heart motion adapted cine phase-contrast flow measurements through the aortic valve. Magn Reson Med 42: 970–978

    Article  PubMed  Google Scholar 

  9. ACC/AHA (2006) Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): Developed in Collaboration With the Society of Cardiovascular Anesthesiologists: Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation 114: e84–231

    Article  PubMed  Google Scholar 

  10. Schlosser T, Malyar N, Jochims M et al. (2006) Quantification of aortic valve stenosis in MRI-comparison of steady-state free precession and fast low-angle shot sequences. Eur Radiol, published online

  11. Reant P, Lederlin M, Lafitte S et al. (2006) Absolute assessment of aortic valve stenosis by planimetry using cardiovascular magnetic resonance imaging: comparison with transesophageal echocardiography, transthoracic echocardiography, and cardiac catheterisation. Eur J Radiol 59: 276–283

    Article  PubMed  Google Scholar 

  12. Djavidani B, Debl K, Buchner S et al. (2006) MRI planimetry for diagnosis and follow-up of valve area in mitral stenosis treated with valvuloplasty. Rofo 178: 781–786

    PubMed  Google Scholar 

  13. Djavidani B, Debl K, Lenhart M et al. (2005) Planimetry of mitral valve stenosis by magnetic resonance imaging. J Am Coll Cardiol 45: 2048–2053

    Article  PubMed  Google Scholar 

  14. Gutberlet M, Hosten N, Vogel M et al. (2001) Quantification of morphologic and hemodynamic severity of coarctation of the aorta by magnetic resonance imaging. Cardiol Young 11: 512–520

    Article  PubMed  Google Scholar 

  15. Riehle TJ, Oshinski JN, Brummer ME et al. (2006) Velocity-encoded magnetic resonance image assessment of regional aortic flow in coarctation patients. Ann Thorac Surg 81: 1002–1007

    Article  PubMed  Google Scholar 

  16. Eichhorn JG, Fink C, Delorme S et al. (2006) Magnetic resonance blood flow measurements in the follow-up of pediatric patients with aortic coarctation – a re-evaluation. Internat J Cardiol 113: 291–298

    Article  Google Scholar 

  17. Nielsen JC, Powell AJ, Gauvreau K et al. (2005) Magnetic resonance imaging predictors of coarctation severity. Circulation 111: 622–628

    Article  PubMed  Google Scholar 

  18. Steffens JC, Bourne MW, Sakuma H, O’Sullivan M, Higgins CB (1994) Quantification of collateral blood flow in coarctation of the aorta by velocity encoded cine magnetic resonance imaging. Circulation 90: 937–943

    PubMed  Google Scholar 

  19. Wang ZJ, Reddy GP, Gotway MB et al. (2003) Cardiovascular shunts: MR imaging evaluation. Radiographics 23 Spec No: S181–194

    Google Scholar 

  20. Beerbaum P, Korperich H, Barth P et al. (2001) Noninvasive quantification of left-to-right shunt in pediatric patients: phase-contrast cine magnetic resonance imaging compared with invasive oximetry. Circulation 103: 2476–2482

    PubMed  Google Scholar 

  21. Sieverding L, Jung WI, Klose U, Apitz J (1992) Noninvasive blood flow measurement and quantification of shunt volume by cine magnetic resonance in congenital heart disease. Preliminary results. Pediatr Radiol 22: 48–54

    Article  PubMed  Google Scholar 

  22. Hundley WG, Hillis LD, Hamilton CA et al. (2000) Assessment of coronary arterial restenosis with phase-contrast magnetic resonance imaging measurements of coronary flow reserve. Circulation 101: 2375–2381

    PubMed  Google Scholar 

  23. Kreitner KF, Ehrhard K, Kunz RP et al. (2004) Non-invasive assessment of coronary artery bypass grafts – an update. Rofo 176: 1079–1088

    PubMed  Google Scholar 

  24. Yu HY, Peng HH, Wang JL et al. (2006) Quantification of the pulse wave velocity of the descending aorta using axial velocity profiles from phase-contrast magnetic resonance imaging. Magn Reson Med 56: 876–883

    Article  PubMed  Google Scholar 

  25. Markl M, Draney MT, Hope MD et al. (2004) Time-resolved 3-dimensional velocity mapping in the thoracic aorta: visualization of 3-directional blood flow patterns in healthy volunteers and patients. J Comput Assist Tomogr 28: 459–468

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Es besteht kein Interessenkonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt wird oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Lotz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lotz, J. Flussmessungen in der kardialen MRT. Radiologe 47, 333–341 (2007). https://doi.org/10.1007/s00117-007-1478-8

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00117-007-1478-8

Schlüsselwörter

Keywords

Navigation