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In vivo analysis of physiological 3D blood flow of cerebral veins
Objectives To visualize and quantify physiological blood flow of intracranial veins in vivo using time-resolved, 3D phase-contrast MRI (4D flow MRI), and to test measurement accuracy. Methods Fifteen healthy volunteers underwent repeated ECG-triggered 4D flow MRI (3 Tesla, 32-channel head coil). Int...
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| Published in: | European radiology 2015-08, Vol.25 (8), p.2371-2380 |
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| creator | Schuchardt, Florian Schroeder, Laure Anastasopoulos, Constantin Markl, Michael Bäuerle, Jochen Hennemuth, Anja Drexl, Johann Valdueza, José M. Mader, Irina Harloff, Andreas |
| description | Objectives
To visualize and quantify physiological blood flow of intracranial veins in vivo using time-resolved, 3D phase-contrast MRI (4D flow MRI), and to test measurement accuracy.
Methods
Fifteen healthy volunteers underwent repeated ECG-triggered 4D flow MRI (3 Tesla, 32-channel head coil). Intracranial venous blood flow was analysed using dedicated software allowing for blood flow visualization and quantification in analysis planes at the superior sagittal, straight, and transverse sinuses. MRI was evaluated for intra- and inter-observer agreement and scan-rescan reproducibility. Measurements of the transverse sinuses were compared with transcranial two-dimensional duplex ultrasound.
Results
Visualization of 3D blood flow within cerebral sinuses was feasible in 100 % and within at least one deep cerebral vein in 87 % of the volunteers. Blood flow velocity/volume increased along the superior sagittal sinus and was lower in the left compared to the right transverse sinus. Intra- and inter-observer reliability and reproducibility of blood flow velocity (mean difference 0.01/0.02/0.02 m/s) and volume (mean difference 0.0002/-0.0003/0.00003 l/s) were good to excellent. High/low velocities were more pronounced (8 % overestimation/9 % underestimation) in MRI compared to ultrasound.
Conclusions
Four-dimensional flow MRI reliably visualizes and quantifies three-dimensional cerebral venous blood flow in vivo and is promising for studies in patients with sinus thrombosis and related diseases.
Key Points
•
4D flow MRI can be used to visualize and quantify physiological cerebral venous haemodynamics
•
Flow quantification within cerebral sinuses reveals high reliability and accuracy of 4D flow MRI
•
Blood flow volume and velocity increase along the superior sagittal sinus
•
Limited spatial resolution currently precludes flow quantification in small cerebral veins |
| doi_str_mv | 10.1007/s00330-014-3587-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1827920606</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1827920606</sourcerecordid><originalsourceid>FETCH-LOGICAL-c541t-e9fd2e06156481a42799d41c62de0ffcb05dc62a5242e6d16f9b7101dd4689de3</originalsourceid><addsrcrecordid>eNqFkV9LwzAUxYMobk4_gC9S8MWX6r1JmqaPY_4bDHzR59A26ezomplsc_v2pm6KCOJTEs7vnhvOIeQc4RoB0hsPwBjEgDxmiUzjzQHpI2c0RpD8kPQhYzJOs4z3yIn3MwDIkKfHpEcTwSRF2SfDcRut67WN8jZvtr72ka2ixWu42cZO6zJvInYbFY21Oqoa-97JpXGmcEFZm7r1p-SoyhtvzvbngLzc3z2PHuPJ08N4NJzEZcJxGZus0tSAwERwiTmn4V-aYymoNlBVZQGJDo88oZwaoVFUWZEioNZcyEwbNiBXO9-Fs28r45dqXvvSNE3eGrvyCmWwpCBA_I-KLMGUpRQCevkLndmVC1l8UjzEBLKjcEeVznrvTKUWrp7nbqsQVFeF2lWhQhWqq0JtwszF3nlVzI3-nvjKPgB0B_ggtVPjfqz-0_UD3y6R9Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1694638080</pqid></control><display><type>article</type><title>In vivo analysis of physiological 3D blood flow of cerebral veins</title><source>Springer Nature</source><creator>Schuchardt, Florian ; Schroeder, Laure ; Anastasopoulos, Constantin ; Markl, Michael ; Bäuerle, Jochen ; Hennemuth, Anja ; Drexl, Johann ; Valdueza, José M. ; Mader, Irina ; Harloff, Andreas</creator><creatorcontrib>Schuchardt, Florian ; Schroeder, Laure ; Anastasopoulos, Constantin ; Markl, Michael ; Bäuerle, Jochen ; Hennemuth, Anja ; Drexl, Johann ; Valdueza, José M. ; Mader, Irina ; Harloff, Andreas</creatorcontrib><description>Objectives
To visualize and quantify physiological blood flow of intracranial veins in vivo using time-resolved, 3D phase-contrast MRI (4D flow MRI), and to test measurement accuracy.
Methods
Fifteen healthy volunteers underwent repeated ECG-triggered 4D flow MRI (3 Tesla, 32-channel head coil). Intracranial venous blood flow was analysed using dedicated software allowing for blood flow visualization and quantification in analysis planes at the superior sagittal, straight, and transverse sinuses. MRI was evaluated for intra- and inter-observer agreement and scan-rescan reproducibility. Measurements of the transverse sinuses were compared with transcranial two-dimensional duplex ultrasound.
Results
Visualization of 3D blood flow within cerebral sinuses was feasible in 100 % and within at least one deep cerebral vein in 87 % of the volunteers. Blood flow velocity/volume increased along the superior sagittal sinus and was lower in the left compared to the right transverse sinus. Intra- and inter-observer reliability and reproducibility of blood flow velocity (mean difference 0.01/0.02/0.02 m/s) and volume (mean difference 0.0002/-0.0003/0.00003 l/s) were good to excellent. High/low velocities were more pronounced (8 % overestimation/9 % underestimation) in MRI compared to ultrasound.
Conclusions
Four-dimensional flow MRI reliably visualizes and quantifies three-dimensional cerebral venous blood flow in vivo and is promising for studies in patients with sinus thrombosis and related diseases.
Key Points
•
4D flow MRI can be used to visualize and quantify physiological cerebral venous haemodynamics
•
Flow quantification within cerebral sinuses reveals high reliability and accuracy of 4D flow MRI
•
Blood flow volume and velocity increase along the superior sagittal sinus
•
Limited spatial resolution currently precludes flow quantification in small cerebral veins</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-014-3587-x</identifier><identifier>PMID: 25638218</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accuracy ; Adult ; Blood Flow Velocity - physiology ; Cerebral Veins - physiology ; Cerebrovascular Circulation - physiology ; Cranial Sinuses - physiology ; Diagnostic Radiology ; Female ; Flow velocity ; Hemodynamics ; Humans ; Imaging ; Imaging, Three-Dimensional ; Internal Medicine ; Interventional Radiology ; Magnetic Resonance ; Magnetic Resonance Angiography ; Male ; Medicine ; Medicine & Public Health ; Multimodal Imaging ; Neuroradiology ; Physiology ; Prospective Studies ; Radiology ; Reproducibility ; Reproducibility of Results ; Sinus Thrombosis, Intracranial - physiopathology ; Sinuses ; Software ; Thrombosis ; Ultrasonic imaging ; Ultrasonography, Doppler, Duplex ; Ultrasound ; Veins & arteries ; Visualization ; Young Adult</subject><ispartof>European radiology, 2015-08, Vol.25 (8), p.2371-2380</ispartof><rights>European Society of Radiology 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-e9fd2e06156481a42799d41c62de0ffcb05dc62a5242e6d16f9b7101dd4689de3</citedby><cites>FETCH-LOGICAL-c541t-e9fd2e06156481a42799d41c62de0ffcb05dc62a5242e6d16f9b7101dd4689de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27938,27939</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25638218$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schuchardt, Florian</creatorcontrib><creatorcontrib>Schroeder, Laure</creatorcontrib><creatorcontrib>Anastasopoulos, Constantin</creatorcontrib><creatorcontrib>Markl, Michael</creatorcontrib><creatorcontrib>Bäuerle, Jochen</creatorcontrib><creatorcontrib>Hennemuth, Anja</creatorcontrib><creatorcontrib>Drexl, Johann</creatorcontrib><creatorcontrib>Valdueza, José M.</creatorcontrib><creatorcontrib>Mader, Irina</creatorcontrib><creatorcontrib>Harloff, Andreas</creatorcontrib><title>In vivo analysis of physiological 3D blood flow of cerebral veins</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
To visualize and quantify physiological blood flow of intracranial veins in vivo using time-resolved, 3D phase-contrast MRI (4D flow MRI), and to test measurement accuracy.
Methods
Fifteen healthy volunteers underwent repeated ECG-triggered 4D flow MRI (3 Tesla, 32-channel head coil). Intracranial venous blood flow was analysed using dedicated software allowing for blood flow visualization and quantification in analysis planes at the superior sagittal, straight, and transverse sinuses. MRI was evaluated for intra- and inter-observer agreement and scan-rescan reproducibility. Measurements of the transverse sinuses were compared with transcranial two-dimensional duplex ultrasound.
Results
Visualization of 3D blood flow within cerebral sinuses was feasible in 100 % and within at least one deep cerebral vein in 87 % of the volunteers. Blood flow velocity/volume increased along the superior sagittal sinus and was lower in the left compared to the right transverse sinus. Intra- and inter-observer reliability and reproducibility of blood flow velocity (mean difference 0.01/0.02/0.02 m/s) and volume (mean difference 0.0002/-0.0003/0.00003 l/s) were good to excellent. High/low velocities were more pronounced (8 % overestimation/9 % underestimation) in MRI compared to ultrasound.
Conclusions
Four-dimensional flow MRI reliably visualizes and quantifies three-dimensional cerebral venous blood flow in vivo and is promising for studies in patients with sinus thrombosis and related diseases.
Key Points
•
4D flow MRI can be used to visualize and quantify physiological cerebral venous haemodynamics
•
Flow quantification within cerebral sinuses reveals high reliability and accuracy of 4D flow MRI
•
Blood flow volume and velocity increase along the superior sagittal sinus
•
Limited spatial resolution currently precludes flow quantification in small cerebral veins</description><subject>Accuracy</subject><subject>Adult</subject><subject>Blood Flow Velocity - physiology</subject><subject>Cerebral Veins - physiology</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Cranial Sinuses - physiology</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Imaging</subject><subject>Imaging, Three-Dimensional</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Magnetic Resonance</subject><subject>Magnetic Resonance Angiography</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multimodal Imaging</subject><subject>Neuroradiology</subject><subject>Physiology</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Reproducibility</subject><subject>Reproducibility of Results</subject><subject>Sinus Thrombosis, Intracranial - physiopathology</subject><subject>Sinuses</subject><subject>Software</subject><subject>Thrombosis</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Ultrasound</subject><subject>Veins & arteries</subject><subject>Visualization</subject><subject>Young Adult</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFkV9LwzAUxYMobk4_gC9S8MWX6r1JmqaPY_4bDHzR59A26ezomplsc_v2pm6KCOJTEs7vnhvOIeQc4RoB0hsPwBjEgDxmiUzjzQHpI2c0RpD8kPQhYzJOs4z3yIn3MwDIkKfHpEcTwSRF2SfDcRut67WN8jZvtr72ka2ixWu42cZO6zJvInYbFY21Oqoa-97JpXGmcEFZm7r1p-SoyhtvzvbngLzc3z2PHuPJ08N4NJzEZcJxGZus0tSAwERwiTmn4V-aYymoNlBVZQGJDo88oZwaoVFUWZEioNZcyEwbNiBXO9-Fs28r45dqXvvSNE3eGrvyCmWwpCBA_I-KLMGUpRQCevkLndmVC1l8UjzEBLKjcEeVznrvTKUWrp7nbqsQVFeF2lWhQhWqq0JtwszF3nlVzI3-nvjKPgB0B_ggtVPjfqz-0_UD3y6R9Q</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Schuchardt, Florian</creator><creator>Schroeder, Laure</creator><creator>Anastasopoulos, Constantin</creator><creator>Markl, Michael</creator><creator>Bäuerle, Jochen</creator><creator>Hennemuth, Anja</creator><creator>Drexl, Johann</creator><creator>Valdueza, José M.</creator><creator>Mader, Irina</creator><creator>Harloff, Andreas</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150801</creationdate><title>In vivo analysis of physiological 3D blood flow of cerebral veins</title><author>Schuchardt, Florian ; Schroeder, Laure ; Anastasopoulos, Constantin ; Markl, Michael ; Bäuerle, Jochen ; Hennemuth, Anja ; Drexl, Johann ; Valdueza, José M. ; Mader, Irina ; Harloff, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-e9fd2e06156481a42799d41c62de0ffcb05dc62a5242e6d16f9b7101dd4689de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accuracy</topic><topic>Adult</topic><topic>Blood Flow Velocity - physiology</topic><topic>Cerebral Veins - physiology</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Cranial Sinuses - physiology</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Flow velocity</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Imaging</topic><topic>Imaging, Three-Dimensional</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Magnetic Resonance</topic><topic>Magnetic Resonance Angiography</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multimodal Imaging</topic><topic>Neuroradiology</topic><topic>Physiology</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Reproducibility</topic><topic>Reproducibility of Results</topic><topic>Sinus Thrombosis, Intracranial - physiopathology</topic><topic>Sinuses</topic><topic>Software</topic><topic>Thrombosis</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Ultrasound</topic><topic>Veins & arteries</topic><topic>Visualization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schuchardt, Florian</creatorcontrib><creatorcontrib>Schroeder, Laure</creatorcontrib><creatorcontrib>Anastasopoulos, Constantin</creatorcontrib><creatorcontrib>Markl, Michael</creatorcontrib><creatorcontrib>Bäuerle, Jochen</creatorcontrib><creatorcontrib>Hennemuth, Anja</creatorcontrib><creatorcontrib>Drexl, Johann</creatorcontrib><creatorcontrib>Valdueza, José M.</creatorcontrib><creatorcontrib>Mader, Irina</creatorcontrib><creatorcontrib>Harloff, Andreas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Database (1962 - 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Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schuchardt, Florian</au><au>Schroeder, Laure</au><au>Anastasopoulos, Constantin</au><au>Markl, Michael</au><au>Bäuerle, Jochen</au><au>Hennemuth, Anja</au><au>Drexl, Johann</au><au>Valdueza, José M.</au><au>Mader, Irina</au><au>Harloff, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In vivo analysis of physiological 3D blood flow of cerebral veins</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>25</volume><issue>8</issue><spage>2371</spage><epage>2380</epage><pages>2371-2380</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objectives
To visualize and quantify physiological blood flow of intracranial veins in vivo using time-resolved, 3D phase-contrast MRI (4D flow MRI), and to test measurement accuracy.
Methods
Fifteen healthy volunteers underwent repeated ECG-triggered 4D flow MRI (3 Tesla, 32-channel head coil). Intracranial venous blood flow was analysed using dedicated software allowing for blood flow visualization and quantification in analysis planes at the superior sagittal, straight, and transverse sinuses. MRI was evaluated for intra- and inter-observer agreement and scan-rescan reproducibility. Measurements of the transverse sinuses were compared with transcranial two-dimensional duplex ultrasound.
Results
Visualization of 3D blood flow within cerebral sinuses was feasible in 100 % and within at least one deep cerebral vein in 87 % of the volunteers. Blood flow velocity/volume increased along the superior sagittal sinus and was lower in the left compared to the right transverse sinus. Intra- and inter-observer reliability and reproducibility of blood flow velocity (mean difference 0.01/0.02/0.02 m/s) and volume (mean difference 0.0002/-0.0003/0.00003 l/s) were good to excellent. High/low velocities were more pronounced (8 % overestimation/9 % underestimation) in MRI compared to ultrasound.
Conclusions
Four-dimensional flow MRI reliably visualizes and quantifies three-dimensional cerebral venous blood flow in vivo and is promising for studies in patients with sinus thrombosis and related diseases.
Key Points
•
4D flow MRI can be used to visualize and quantify physiological cerebral venous haemodynamics
•
Flow quantification within cerebral sinuses reveals high reliability and accuracy of 4D flow MRI
•
Blood flow volume and velocity increase along the superior sagittal sinus
•
Limited spatial resolution currently precludes flow quantification in small cerebral veins</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25638218</pmid><doi>10.1007/s00330-014-3587-x</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2015-08, Vol.25 (8), p.2371-2380 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1827920606 |
| source | Springer Nature |
| subjects | Accuracy Adult Blood Flow Velocity - physiology Cerebral Veins - physiology Cerebrovascular Circulation - physiology Cranial Sinuses - physiology Diagnostic Radiology Female Flow velocity Hemodynamics Humans Imaging Imaging, Three-Dimensional Internal Medicine Interventional Radiology Magnetic Resonance Magnetic Resonance Angiography Male Medicine Medicine & Public Health Multimodal Imaging Neuroradiology Physiology Prospective Studies Radiology Reproducibility Reproducibility of Results Sinus Thrombosis, Intracranial - physiopathology Sinuses Software Thrombosis Ultrasonic imaging Ultrasonography, Doppler, Duplex Ultrasound Veins & arteries Visualization Young Adult |
| title | In vivo analysis of physiological 3D blood flow of cerebral veins |
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